Ethics and rehabilitation of the patient with severe burns

In the case we present, a physician's order for the treatment of a patient with severe burns unfolds into an ethical dilemma for an occupational therapist. Several conflicting thoughts - in terms of the appropriateness and plan for treatment, while trying to maintain the patient's best interest as the central focus - come to mind. We examine the therapist's ethical responsibilities in light of considerations of futility, nonmaleficence, financial costs, and team relations. Several options for responding to the case are suggested.