In a situation like this, would you insist on a pre-op "hold no harm" contract?
No I treat them like any other patients. I involve every patients and their family in the decision making process. Go over any procedure in detail. Explain every possible risks, complications, and benefits as well as indications for what we do and allow them to make a decision. Have never been sued in ~20 years of practice, but still paying liability insurance out the WAHZOOO.