Transition Point Consistent in Patient Safety, Preventive & Ethics — 60yo Man | Ethics | SMLE Q#18397

A 60-year-old man has 2 days of colicky abdominal pain, abdominal distension, and repeated bilious vomiting. Examination shows distension, high-pitched tinkling bowel sounds, and mild diffuse tenderness. CT abdomen/pelvis shows dilated small-bowel loops with a transition point consistent with small-bowel obstruction. The surgical team recommends hospital admission for bowel rest, IV fluids, and possible operative management, but the patient refuses admission and requests discharge. He is alert, oriented, and clearly explains the diagnosis and consequences of leaving. What is the most appropriate next step in management?