A 21-year-old woman currently undergoing treatment for Hodgkin's lymphoma verbalizes being distraught over chemotherapy side effects. This patient has been seen by providers numerous times throughout her treatment. They have all provided education and supportive discussion about symptom management and the anticipated response to therapy with a curative approach.

What ethical problem is represented in this case (for the provider)?

What bioethics principle is present? (for the providers)

• Identify the ethical problem presented (ethical distress type a or b, ethical dilemma, locus of authority. (2 pt)
  • Ethical distress (moral distress) type A: constraint
  • Ethical distress type B: uncertainty
  • Ethical dilemma: two or more acceptable but mutually exclusive courses of action
• Identify an applicable bioethical principle (2 pt)
  • Autonomy (exercising or respecting personal freedom)
  • Beneficence (doing good)
  • Non-maleficence (doing no harm)
  • Justice (distributing benefits to those deserving of the benefits