The hospice nurse is caring for a terminal patient with cancer whose daughter is the
primary caretaker. The patient indicates she is ready to die, but her daughter strongly
desires rehabilitative services. The nurse spends time speaking with the daughter about the
recent loss of her father and the current status of her mother. After the discussion, the
daughter tearfully states that she is willing to go along with her mother's wishes for no
further treatment. Which aspect of this situation best reflects the structural feature of "a
course of action" in relation to ethical problems?
Nurse's discussion with the daughter
Patient's indication that she is ready to die
Daughter's desire for rehabilitative services
Daughter's willingness to abide by her mother's wishes



Answer :

In this scenario, the aspect that best reflects the structural feature of "a course of action" in relation to ethical problems is the daughter's willingness to abide by her mother's wishes. Here's why:

1. Understanding the Situation: The daughter initially desired rehabilitative services for her mother, but after the nurse's discussion about her father's recent loss and the current status of her mother, she changed her perspective.

2. Respecting Autonomy: By being willing to go along with her mother's wishes for no further treatment, the daughter is honoring her mother's autonomy and right to make decisions about her own care, reflecting a crucial ethical aspect of respecting patient autonomy in healthcare.

3. Course of Action: The daughter's decision to support her mother's choice represents a significant course of action taken in response to the ethical dilemma at hand. It demonstrates a shift in perspective and a willingness to prioritize her mother's wishes over her own initial desires, highlighting the importance of empathy and understanding in healthcare decision-making.

4. Impact on Care: This course of action taken by the daughter has practical implications for the care provided to the terminal patient. It ensures that the patient's wishes are respected and followed, promoting a patient-centered approach to care that aligns with ethical principles.

In summary, the daughter's willingness to abide by her mother's wishes in this situation exemplifies the structural feature of "a course of action" in relation to ethical problems, emphasizing the significance of respecting patient autonomy and making decisions that prioritize the patient's values and preferences in healthcare settings.