A woman, suffering from advanced dementia, develops

A woman, suffering from advanced dementia, develops pneumonia. Before developing pneumonia, she seemed happy enough while going through her simple, repetitive daily routines. You are the physician on call at the long-term care facility where she lives. You ask her children what should be done to treat her pneumonia, since she did not make an advance directive before she developed dementia. Her son says that the pneumonia should not be treated, because he knows that she would not like to go on living in her present state (she is unable to read or enjoy television programs while, prior to succumbing to her dementia, she was a much-respected professor and public intellectual). He believes that if she were aware of her present state, she would think her worst nightmare had come true. Her daughter disagrees, saying that she made a promise to her mother to take care of her no matter what, and she states that she does not believe that “taking care of her means letting her die.” She believes that her mother is happy and that she has no memories of her earlier years and no conception that she was once different. (1) What should you do? (2) Whose decision is this to make? (3) What decision would you come to if you were a Kantian? A utilitarian? A virtue ethicist? A feminist? Which perspective is the most helpful? Discuss the issues that feminist and virtue ethics helps you to identify and analyze the case.

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