Case 1: The Case of Anna Bentley This is Anna and her daughter Julia. Anna is 82 years old and has been a resident of Lotus Compassionate care for two years. Julia is Anna's only child. Although Julia did not like the idea of her mother living in a home, Anna convinced Julia that it was the best for both of them. Julia is 36 years old and has never been married. Anna believes that she is the only reason why Julia has not settled down yet. Anna believes her daughter shouldn't be spending all of her free time taking care of her mother. She wants Julia to live a life of her own. Apart from Anna's arthritis which makes it difficult for her to move around, Anna's mind and body is very healthy for her age. + Scenario 1: Anna has been recently diagnosed with stage 2 breast cancer. Having caught the cancer at an early stage, the doctor advised Anna to consider having a mastectomy and chemotherapy. Anna refused the surgery and treatment fearing how risky and difficult it will be at her age. Anna made arrangements to make sure she will be ready if her condition worsens. Although she has never needed a substitute decision-maker (SDM), Anna appointed her sister-in-law, Cynthia, as her SDM should one be needed. Anna also signed a refusal of treatment certificate (advanced care directive), which includes a do-not-resuscitate order. Anna has asked the centre and her sister not to let Julia know of her cancer and her decision not to have the treatment. Rose, an individual support worker, has been providing care for Anna since she moved to the centre. She has become really good friends with both Anna and Julia. She thinks Anna is making a mistake by not taking the treatment. Scenario 2: Rose learned that she was included in Anna's will. In the event of Anna's death, Rose will be receiving a monetary token of gratitude for her services. Rose is currently going through a financial crisis and thinks the money she will receive from Anna will help her considerably. She decided that she will find a way to make Anna have the surgery and the treatment. She believes her decision to do this is justified because she really believes that Anna has a good chance of beating cancer; and in case Anna does not make it through the surgery or the chemotherapy, then she will be able to receive the money from Anna.