Everyday humans face ethical dilemmas; Faced with each of these situations, we must make moral choices. Ethical dilemmas and moral choices are often difficult to confront because they tend to reveal the most raw human emotions. This article will discuss the ethical dilemmas raised by the case of Jonathon, a 22-year-old quadriplegic man diagnosed as diabetic during childhood ("Quality of Life Case Study - Session #1", nd, para. 1) . This case study raises many ethical questions; however, this article will focus on three. The main ethical dilemma questions both autonomy and competence: Is Jonathon capable of making his own medical decisions? From there, we must ask ourselves another essential question: Should his family have any 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 in more detail 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: in which 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 determining factor in our moral choices; lead each individual to internally examine their own values ​​and virtues. Jonathon's case is no different, the story behind the case is essential to understanding the choices made: at a fraternity party 18 months ago, Jonathon fell headfirst from a balcony; leaving him quadriplegic below the neck, ventilator dependent and needing assistance with basic functions. He sees himself as a burden and is ashamed that his foolish behavior has created such... middle of paper ...... I personally agree with the choices he made and that the ethical egoist could disagree; it’s not our job to make them. What is important for us to understand is where we are, as humans, in relation to the ethical and moral dilemmas we face. Works Cited Family 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from http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=401Quality of Life Case Study - Session #1 (Unpublished Master's Thesis).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. (nd). Spinal cord injury: spinal cord 101. Retrieved from http://www.spinalinjury.net/html/_spinal_cord_101.html