Ethical Dilemma problem involving a choice between equally desirable or equally unsatisfactory alternatives to the different or competitive assignment of priorities and responsibilities, or to a problem without a satisfactory solution Right vs Right Examples of Dilemmas in nursing Euthanasia (mercy killing) Voluntary Euthanasia (decision taken by patient) Inadequate staffing Non-voluntary (decision taken by guardian if patient a child or unconscious) Types of performing Euthanasia - Direct ( intentional killing the patient) 1- Active, by drugs 2- passive, letting patients die by withdrawing treatment (switching off machines) or Withholding treatment (stop food or not doing surgery) - Indirect Provide treatment as pain relief which has Side effects of speeding death Incompetence Among nursing Peers DNR Written by a physician to critically ill patients. Order mean Do NoT Resuscitate And doesn’t mean do not treat order taken by a conscious and have capacity To decided , and family can’t withdraw it Reasons for DNR order - no medical benefits from CPR - very poor quality of life before CPR - very poor quality of life after CPR Informed consent Rakan