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Patients tend to make decisions concerning their life during the end times. These decisions mostly emanate from the pain they go through during the period of illness. There are those who will choose not to take medicine or rather take drugs that speed up the dying process. These individuals sometimes tend to think that nobody understands them. This is the reason why most of them prefer being isolated from the real world. All they wish is to be given a chance to accomplish their desires. This is the most trying moment for family members of such patients. They have to work so hard to ensure that their relatives think otherwise (California Public Utilities Commission, 2000).

Choices made by patients at the end of life are quite challenging to both patients and nurses who provide them with care. Such patients believe that their relief lies mainly in death. In most cases, nurses are faced with great challenges when patients request them to assist in termination of life. These are the challenges referred to as ethical dilemma. Nurses are, therefore, required to come up with the best ethical decisions when handling patients. These decisions emanate from their personal belief as well as their experience from school. It is an ethical dilemma by solving which nurses are able to express their level of professionalism in the medical field (Lundy, 2009).

Life is very important. It is only life that cannot be traded with anything. The most challenging thing in life is when you are faced with situations that contradict your values. Personally, I cannot be able to honor a patient’s demand of withdrawing a ventilator. Knowing that I contributed to an individual’s death can give me a psychological torture. The best thing, in my opinion, would be to seek for assistance from trained personnel to handle the situation (Roussel, 2006).

Nurses are in the best position of addressing ethical dilemmas in order to improve on choices made during at the end of life. Nurses should promote beneficence as well as non-malefficiency (Dempski, 2000). This means that they should always avoid harming patients at all cost. Intentional harm towards patients is quite unethical. Nurses should be able to assist patients in decision making. It is important that patients are allowed to make their personal decisions, at the same time, nurses should intervene in cases of mental disorders (Dempski, 2000). 

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