Instruction

Format:
o Length: Approximately500-750 words per casein long-answer form (not point form). Word count does not include footnotes. Note that answersmuch longer or shorter will be penalized.
o File: .doc(x) or .pdfformatting only (please noopen source documents – if this is a problem contact me beforehand).
o Use in text citations with the author(s) names and page number(s). It is not necessary to include a reference page. If you choose to use outside sources please footnote them in Chicago/Turabian style: http://www.press.uchicago.edu/books/turabian/turabian_citationguide.html

Instructions:
o Introduction: Identify each question by its case number. There’s no need to rewrite the case.
o Guiding Questions:
1. What are the relevant features of the case?
2. What is the problem?
3. What are the possibilities for the resolution of the case (alternatives)?
4. What are some of the key considerations with respect to the four principles or other guiding principles (e.g. consent)?
5. What is your recommendation? Why?
6. Why is your recommendation better than the alternative(s)?

Case #1:
You are one of the attending physicians at a chronic care facility in Kitchener. One of the residents, an 84-year-old war veteran with no living relatives, unable to look after himself owing to physical frailty and mild cognitive decline, develops gangrene in his foot due to poor circulation which does not respond to medical treatment. Advised to have the foot amputated, he refuses, saying, “My foot will get better on its own. I’ve seen lots worse during the war!”
Case #2:
You are a social worker with Children and Family Services in Stratford. You have a 29-year-old woman in her second pregnancy in your caseload. Her first child had fetal alcohol syndrome and is in foster care. The woman continues to drink heavily during this second pregnancy. The woman’s mother alerts you to this and you are concerned for the well being of the five-month-old fetus. A case conference is held where you are given the suggestion to make an urgent application for court-ordered protection for the unborn child and involuntary hospitalization for the woman to treat her alcohol problem and control her alcohol intake.

Case #3:
Joan is a 24-year-old woman who has been hospitalized for almost 3 years with Guillain-Barré Syndrome. This has resulted in an almost complete decay of her respiratory motor nerves; she cannot breathe without the aid of a ventilator. She is bedridden and is considered incurable, but not terminal (she could be kept alive with technology indefinitely). For over a year, Joanhas expressed a firm and fixed desire to be removed from the ventilator so that she may die. Joan claims that her life is nolonger livable.
Main resources from this project:
? Gedge, Thomas, and Waluchow. Well and Good. 4th edition. Broadview Press (2014).
? Baylis, Downie, Hoffmaster, and Sherwin. Health Care Ethics in Canada. 3rd edition. Nelson (2012).
Video resources:
? Discussions in Bioethics
? A Death of One’s Own
? Examined Life #22: Can Ethics Help?http://www.youtube.com/watch?v=jfbhjkcf5ns
(This resource is really help to answer question #4 like mentioned what is four principles)

You also can use a little outside resource if necessary.