If the patient has any cognitive difficulties, Optum is impossible. My husband tried, but when he slept, he was always messing with the arrays. It just was not an option for him.

I think it really falls down to quality of life determination. If three more months of life is worth wearing this device 75% of your remaining life, then you should wear it. If it detracts from your quality of life, it’s not going to make you happy.