In the case, “It’s Over, Debbie.” The case raises a lot of ethical concerns. Autonomy, Beneficence, Nonmaleficence, and Role fidelity, are the four ethical principles involving in this case. Each of these principles was neglected or used by the physician handling the patient’s treatment. Autonomy is defined as the capacity to be one’s own person and make one’s own decision without being manipulated by external forces. (P38 Judson). A patient has to be competent to make her own decision. In this case, we know that Debbie has ovarian cancer and is in severe anguish. This is clouding her thought process, stating to the doctor, “Let’s get this over with”, it is obvious that due to her pain she just wants to be over her life. Secondly, ethical
