Hello Everyone! I had my first clinical on the oncology floor last week and I would like to know everyone's opinion on one ethical issue that has bothered me since that clinical. I had a patient who had stage 4 breast cancer who was being kept a live by her bi-pap machine. This patient had two daughter's. One daughter was ready for her to go, while the other wanted her to stay on the bi-pap as long as she could. The daughter who wanted her to stay around as long as possible was the patient's advanced directive. The patient was still some what alert and oriented but just kept screaming in pain. I can understand that one daughter didn't want to loose her mother but I couldn't stand to see a loved one screaming in pain continuously. I had to leave the room for a little while because it broke my heart. What would the ethical dilemma's be in this situation? Also when can someone step in to say enough is enough? Thank you!