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The Support study identified five key harms: (1) patient distress due to overly aggressive treatments, (2) family distress from prolonged decision-making processes, (3) inappropriate interventions leading to unnecessary suffering, (4) miscommunication about prognosis that can lead to unrealistic expectations, and (5) ethical dilemmas arising from the conflict between patient wishes and medical recommendations. These harms highlight the complexities and challenges within critical care decision-making and the importance of aligning treatment with patient values.

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