About this Lesson
CASES
Ready for Discharge?
An Issue of Respect
A Patient's Decision?
PERSPECTIVES
Family Member
Supervisor
Physician
Nurse
Physician Assistant
Patient Perspective
THEMES
Ethical Decision Making

Mark, a 43-year-old computer programmer, has been in and out of remission for a rare form of leukemia for the past 5 years. Mark has a wife and 3-year-old daughter and his parents live close by. His treatment regime has been very difficult and painful. When his disease recently worsened, his oncologist recommended a new and experimental treatment, but Mark has decided against treatment. He has discussed this at length with his wife and his clergyman - and, although saddened, they respect his wishes. You and your colleagues are meeting with Mark and his parents to discuss his decision. As you will see, there is a great deal of disagreement among the members of the healthcare team.

It’s our responsibility to give you all the facts, and our recommendations. In the end, the decision of whether or not to continue treatment is up to you. If you do decide against treatment, I would appreciate it if you would sign a waiver stating that you have chosen this course of action, against the recommendations of our medical staff.