The elderly patient has been diagnosed with a terminal illness. Her family does not want her informed of the diagnosis by the health care team because they feel the patient will only worry themselves to the point of making themselves more ill and dying sooner. The patient is capable of making some healthcare decisions, but not all, and has a POA for her finances. The healthcare team is split in their opinion of sharing the information with the patient or following the families. What are the ethical dilemmas involved in this case? What are the steps if any the healthcare provider must take to ensure they are following both their ethical framework and the four principles of clinical ethical decision-making?