It's much more complicated in an advance request case. Patients who have cognitive disorders often resist everything. They may object to baths, getting dressed or brushing their teeth. In that case, I'm not sure resistance to treatment can be interpreted as a refusal of treatment. The question is far more complex in cases where individuals have cognitive problems.
I think we have to try to find a compromise between administering that care by force to a person who demonstrates physical refusal and cancelling the request that person has made. A compromise may be possible.
When patients make an advance request, they could specify in advance that they want the care to be administered even in the event of refusal, or that they prefer that the care not be administered to them in the event of refusal. I believe that could be a compromise. This dilemma could be resolved by the patients when they make their advance requests.