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Paul is five and he is dying from cancer. He has been declining for months and now has reached a point where the team thinks he has started the dying process. He is not alert and only minimally responds to painful stimuli. The team has discussed Paul’s prognosis weekly with his father. Paul’s father, Byron, is his decision maker and only active parent in Paul’s life. Even with the knowledge that there is no treatment that can cure Paul, Byron continues to push for aggressive treatment. At this time, Byron requests that Paul receive CPR if his heart should stop. The nurses are distraught as they feel they will be forced to perform CPR. Paul’s tumors are such that his abdomen is four times the size it should be and nurses are distraught as they imagine pressing against his visible tumors. Ethics has been consulted by the care team to examine the conflict. What should they recommend?

Why is this the right solution (including an identification and justification in terms of the ethical systems/models)?

 
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