ut in the absence of adequate family support, the treatment team recommended a nursing home as a better choice for continued care. The author discusses ethical issues presented by this case, including (1) assessment of decision-making capacity, (2) autonomy and self-determination of the patient, (3) medical paternalism, and (4) contextual features, such as social/family issues. ethical issues in postrehabilitation continuing care decisions in absence of family support, 73 yr old female with poststroke right hemiplegia and dysphagia and Broca's aphasia ...