Last year, I worked in a clinic in the pneumology domain. Most of my patients were chronic and returned several times at the clinic. One of my patients suffered of COPD and it was the third time that I treated him. We had very good contacts. In the first two stays at the clinic, the patient was jovial and motivated. But when the patient come for the third time, he was depressed because he had a lot of difficulties to breath. The dyspnoea increased more and more and it was difficult for the patient to move. One day, the patient told me that he didn’t want to live anymore and that he wanted to take EXIT, an association for the assisted suicide. I was really sad and I was convinced that the patient could still progress.
My ethical dilemma was: do I have to respect the choice of the patient and stop the therapy? or do I have to try to convince the patient that he can still progress?
What do you think about this dilemma?