In his commentary on end-of-life, Gawande's (2010) asked how far we have come in addressing the manner in which people die in America over the past 30 years. Reflect on Gawande's (2010) commentary:

• Discuss the challenges related to choice of care (curative or palliative) at end-of-life both from the perspective of healthcare delivery and the patient and family.
• End-of-life care decisions may result in ethical dilemmas. Identify a potential end-of-life care dilemma and discuss two ethical principles in conflict as a result of the dilemma