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The deontological theories of ethics judges the morality of choices, not by what good could or might result from an action (even if the intent is "good"), but from a predetermined decision of what is/is not morally right to do.

For example: An elderly man has prostate cancer. He is is horrid pain. Medications intended to treat his cancer have caused terrible side effects. Though he had been very active and mentally quick before, he is now very thin and barely able to hold a short conversation. He's often confused, often hallucinating, often screaming in pain. Three nurses are all concerned about this man and overwhelmed with his suffering. During a Staff Meeting, Nurse 1 suggests increasing his pain medication, but Nurse 2 points out that the man has respiratory depression--he could die with more pain meds. Nurse 3 states that when an elderly person has cancer, especially with the costs of hospital care, families should be able to decide to end all care. The Nurses discuss the ethics and morality of euthanasia. Nurse 1 says ALL humans deserve the most care, regardless of their age, condition, or costs. Nurse 3 thinks patients should have the "Right to Die" with dignity and families can decide this---her "intent" is good, but she wonders who has the right to assist someone to die. Even Nurse 1 has, in some ways, a "good intent"--to end suffering and reduce the financial burden on patients and society. BUT, Nurse 2 maintains that any action that hastens any person's death is morally, ethically, and legally wrong. Nurse 2's argument is an example of deontological theories and beliefs. (This is the medical and nursing legal and moral standard applied in most States in the USA.)



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