A 33 -year-old female boxer sustains a cervical spine fracture during the welterweight championship match in Las Vegas. She has a fracture of $\mathrm{C} 1$ and $\mathrm{C} 2$ resulting in paralysis from the neck down and is ventilator dependent. She is fully alert and understands her medical condition. There has been no improvement for the last three months and there is no hope of recovery. Her manager is the health-care proxy. She is frustrated but not depressed and is repeatedly and clearly requesting removal from the ventilator. She understands that she will not survive without the ventilator.
What should you do?
a. Remove the ventilator as she requests.
b. Obtain a court order to continue the ventilator.
c. Seek family consensus on removing the ventilator.
d. Seek approval of the health-care proxy.
e. Sedate the patient and continue the ventilator.