This article will focus on the two different aspects of adolescents and their choice of end-of-life care. The first section will focus on adolescents and will help provide a backbone to strengthen the choices they legally should be able to make using their right to autonomy. The American Academy of Pediatrics and the Institute of Medicine conducted a very useful study in favor of adolescent choice, which we will talk about in the first section of the document. The second section will focus on the paternalism and ethics behind the healthcare team making the final decision for the benefit of the patient. As well as information and studies on the decision-making process of adolescents and their tendency towards impulsivity. Keywords: adolescents, end-of-life, healthcare, choice, autonomy, paternalism, impulsivity, decision-making Adolescents and end-of-life choice End of Life Care involves choices such as hospice in some cases, if that is what the patient chooses. Hospice involves palliative care, where healthcare professionals, instead of treating the disease, treat the patient by helping to keep him comfortable and eliminating pain (Allender, Rector & Warner 2010). A patient's choice of end-of-life care is often considered after a terminal illness is diagnosed and the patient is able to decide how they would like to spend the rest of their days. Adolescence is characterized by a period of growth and self-search, which opens the debate on whether or not a teenager should be able to make a decision regarding his or her health. Pro-Choice Teens At what age should a person be able to make big decisions in life? We all begin with every choice made for us, which for the moment... middle of the paper... 37(8), 712-731. doi:10.1080/87565641.2012.718815 Quinn, G. P., Murphy, D., Knapp, C., Stearsman, D., Bradley-Klug, K. L., Sawczyn, K., & Clayman, M. (2011). Who decides? Decision making and fertility preservation in adolescents with cancer: a review of the literature. J Adolesc Health, Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179606/Tang, L. (2012). Patient anxiety before consulting a doctor and his behavior when choosing a hospital in China. BMC Public Health, Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536590/Wiener, Lori, Elizabeth Ballard, Tara Brennan, Haven Battles, Pedro Martinez, and Maryland Pao. 2008. “How I Want to Be Remembered: The Use of an Advance Care Planning Document in Adolescent and Young Adult Populations.” Journal of Palliative Medicine 11, no. 10: 1309-1313. MEDLINE with full text, EBSCOhost (accessed May 2019). 26, 2014).