[The wishes and autonomy of the patient faced with a care decision].

The evolution of the care relationship, which gives a growing place to the wishes of the patient, poses two sorts of questions to the teams on the clinical wards. How far should they go in order to respect these wishes when the patient's autonomy is diminished? Can the user's free choice be conceived as absolute, or must it be framed by collective rules governing medical practice and the functioning of the institution. Consequently, how can the rights and obligations of the players and users of the healthcare system be articulated?