Cast Study of a Quadriplegic

Within three months of returning to college, however, Green became disinterested in his studies, dissatisfied with his physical dependence on others, and angered with his friends who spent less time with him because his physical constraints limited the scope of his activities. Green withdrew from social intercourse, reduced his food intake, and experienced a marked weight loss.

On a visit to the clinic, the patient confided to nurse Caron O'Neill that he intended to starve himself to death because he did not consider his present circumstances to be worth the effort. Green refused to discuss any potential interventions with the nurse, and added that any recommendations made by Ms O'Neill would be considered by him to be violations of both his rights and his confidentiality. Ms O'Neill is confident that a psychiatric evaluation would find Green cognitively and emotionally competent,

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number of people; or (2) acting to achieve a stated goal, i.e., "the end justifies the means" (Catalano, 1992, p. 91). Deontology is a system of ethics based on the tenets that (1) a set of moral rules exists which humans must follow, and (2) the principles underlying these moral rules are unchanging (Catalano, 1992, p. 92). Deontology is a difficult ethical system to employ because different people may adhere to different sets of moral rules. The ethical system of natural law holds that actions are "ethically correct when they are in accord with the end purpose of human nature and human goals" (Catalano, 1992, p. 94). Thus, the "do good and avoid evil" maxim of natural law ethics encompasses the ethical principles of beneficence and maleficence. Even within the system of natural law ethics, however, conflicts may arise in decisionmaking because a theist will conceive human nature and human goals in one way, while a non theist may conceive of those concepts in a quite different way (Catalano, 1992, pp. 9495). Dilemma Statement Nurse O'Neill's dilemma is a conflict between respecting a patient's right to act autonomously in relation to actions affecting his own life and her obligations as a nurse. The obligations of a nur
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Approximate Word count = 2008
Approximate Pages = 8 (250 words per page)

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