Joyce Weathers is a 62-year-old patient with emphysema. Mrs. Weathers is a grandmother who has smoked a pack of cigarettes a day for over 40 years. She enjoys smoking and does not want to quit. Her physician has become somewhat insistent that Mrs. Weathers quit. She tries, but each time she becomes nasty and irritable around her family. She lives with her daughter and two young grandchildren. The family members want her to quit, but it becomes very unpleasant at home when Mrs. Weathers tries to quit.

Discussion Questions

1. Using act-utilitarianism as a model, create a pain-avoided, pleasure-gained list to determine if Mrs. Weathers should continue smoking.

2. If your decision is that she should quit smoking, how can Mrs. Weathers's family help her?