Human beings face ethical dilemmas every day; with each of these situations we must make moral choices. Ethical dilemmas and moral choices are often difficult to address because they tend to bring out the rawest human emotions. This article will discuss the ethical dilemmas raised by the case of Jonathon, a 22-year-old quadriplegic male, who was diagnosed with diabetes in childhood (“Quality of Life Case Study – Session No. 1,” n.d., para. 1). This case study raises many ethical questions; however this paper will focus on three. The primary ethical dilemma questions both autonomy and competence: Is Jonathon capable of making his own medical decisions? From here we must ask ourselves another fundamental question: should his family have a say in his treatment? Jonathon's quality of life raises the third question: Without medical intervention will he die? This article will focus on two ethical perspectives that will be discussed further throughout the article: 1) My perspective: A 30-year-old nursing student, married, with children. My perspective on this case is based on moral decision making.2) Ethical Egoism Perspective: where the moral choice of this case is based on self-interest (Rae, 2009, p. 67). The personal history of an ethical case is often a driving factor in our moral choices; causing each individual to look internally at their own values ​​and virtues. Jonathon's case is no different, the story behind the case is essential to understanding the choices made: during a fraternity party 18 months ago, Jonathon fell headfirst from a balcony; leaving him quadriplegic below the neck, ventilator dependent and in need of assistance with basic functions. He sees himself as a burden and is ashamed that his senseless behavior has created such a… middle of paper… I personally agree with the choices he has made and that the ethical egoist may not; It's not up to us to make them happen. What is important for us to understand is our position as human beings with respect to the ethical and moral dilemmas we face. Works CitedFamily Caregiver Alliance. (2000). End-of-life decision making. Retrieved from http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=401Quality of Life Case Study - Session No. 1 (unpublished master's thesis). Colorado Christian University. (2011). Retrieved from http://docsharing.next.ecollege.com/(NEXT(01102dfc4f))/Main/CourseMode/DocSharing/ListCategoriesAndFilesView.ed#Rae, S.B. (2009). Moral Choices: An Introduction to Ethics. Grand Rapids, MI: Zondervan. Spinal Cord Injury Resource Center. (n.d.). Spinal Cord Injury: Spinal Cord 101. Retrieved from http://www.spinalinjury.net/html/_spinal_cord_101.html