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You are the social worker in a pulmonary care unit. The patient is 75 years old, has lung cancer, and is on a ventilator in a comatose state. The patient's family, medical team, and ethics committee have determined that keeping the patient on a ventilator is futile care, and they order the patient to be slowly withdrawn from the ventilator. Furthermore, the cost of caring for this patient is now in excess of $300,000 and a shortage of available beds in the hospital has meant that some patients have had to be referred to other hospitals.
1. How would you feel about being involved in this process?
2. Apply a decision making-model to determine if this is an ethical course of action or not.
3. What values are involved?
4. What other information would you want to know?
5. How do justice and the distribution of resources figure into this case?
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