Margie is having a very difficult time taking this all in and is not feeling alone. She has come to the conclusion that she no longer wants to live her life alone. She wants to end her life and is requesting that the one thing that’s keeping her alive, her pacemaker, be disconnected. Two years ago Margie suffered a heart attack that almost took her life, which resulted in her having the electronic pacemaker implanted. The pacemaker keeps Margie’s heart rhythm at 100% pace, which is what keeps her alive. With all her family gone, she has no desire to live anymore and is requesting that her pacemaker be removed so that she can be reunited with her family.
Margie has spoken with Cindy Macklin, the Nursing Home Administrator, and has told her what she would like to happen. She has requested that Cindy call Dr. Vigay, who is the cardiologist surgeon who originally implanted the pacemaker. Dr. Vigay was stunned because in the 20 years of his practice he has never had a request from his patents. He has pretty much declined her request and has asked that she allow time to get her past her current state of mind and back to normal. Margie is now extremely upset and determined and is now requesting to see the Golden Oaks social worker, Jane Robison, MSW. Jane meets with Margie for more than an hour discussing and exploring all her options.
In this case, there are morals and conflicts involved. There are certain ethical, moral and legal conflicts that need to be determined. Morals are beliefs and values that conform to normal standards of what is right and wrong and deal with