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Assignment questions
TheologyEssayBioethics

George ALS end of life decisions case study guide

An 1,800-2,000-word ethical analysis of George's euthanasia deliberation through the Christian worldview: suffering under fallenness and resurrection hope, the value of his life with ALS, the morally justified options, and your own decision.

Editorial process

Last reviewed · August 12, 2026

01

Why must fallenness and resurrection be answered separately?

The six questions are not six topics but one argument staged in sequence, and the first two are deliberately paired to prevent a one-sided answer. Fallenness and resurrection are the Christian narrative's two lenses on suffering, and they pull differently: read through fallenness, George's ALS is a consequence of a broken creation — suffering is real, not illusory, not deserved punishment, and not meaningless, which lets you take his anguish seriously without theologizing it away. Read through resurrection hope, that same suffering sits inside a story that does not end at death, which reframes but does not erase it. Answer both of them fully and separately; a submission that merges the two into one paragraph about God having a plan has collapsed the very tension the assignment exists to explore, and the rubric weights each of the two questions on its own line.

The third question shifts from suffering to worth, and it is the theological hinge of the paper. The Christian worldview grounds human value in the image of God rather than in capacity, productivity, or independence — which is precisely the claim ALS puts under pressure, since the disease progressively strips exactly the functions a capacity-based account would count. Say that explicitly: on the intrinsic-dignity view George's value is undiminished by paralysis, ventilator dependence, or loss of speech, and that conclusion is what constrains the euthanasia deliberation in question four. There the values in play are stewardship of a life understood as given rather than owned, the moral weight of suffering and its relief, the distinction between killing and allowing to die, and the concern that autonomy in this tradition is real but not absolute. Handle competing goods honestly rather than staging a debate with a strawman.

Question five asks what is morally justified, and the strong answer is not simply the negative one. Within this worldview the defensible options typically include refusing or withdrawing burdensome life-sustaining treatment, aggressive palliative and hospice care including symptom relief that may secondarily shorten life, advance directives naming his own wishes, and the spiritual and community support the tradition treats as owed to the suffering — while active euthanasia falls outside. Argue each with its reasoning. Question six then asks for your own decision, and it grades honesty plus coherence: state what you would do, ground it in your stated worldview, and note where it converges with or departs from the analysis above. Support with at least four citations from the topic study materials, hold the word count, include the required abstract, and submit to LopesWrite as instructed.

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Answer the fallenness and resurrection questions as two distinct lenses on the same suffering.
  • 02
    Ground human value in the image of God rather than capacity, and show why ALS tests that distinction.
  • 03
    Lay out the euthanasia deliberation's competing values without strawmen — stewardship, suffering relief, killing versus allowing to die, bounded autonomy.
  • 04
    Argue the positively justified options, not only the prohibition.
  • 05
    State your own decision coherently against your stated worldview, with four topic-material citations and the required abstract.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview. Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview. Case Study: End Of Life Decisions. Provide a 1,800-2,000-word ethical analysis while answering the following questions: How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world? How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection? As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person? What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia? Given the above, what options would be morally justified in the Christian worldview for George and why? Based on your worldview, what decision would you make if you were in George’s situation? Remember to support your responses with a minimum of 4 citations and references from the topic study materials. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
02

Turn the brief into deliverables

  1. 01
    An 1,800-2,000-word APA ethical analysis with an abstract.
  2. 02
    Answers to all six questions, each developed on its own terms.
  3. 03
    At least 4 citations and references from the topic study materials, submitted to LopesWrite.
03

How does the analysis move from suffering to options?

01

Suffering under fallenness

Read George's diagnosis through the broken-creation lens: suffering real and unmerited, neither punishment nor illusion, with what that permits him to feel and say.

02

Suffering under resurrection hope

Reframe the same diagnosis inside a narrative that continues past death, and state precisely what that changes and what it does not.

03

The value of his life

Ground worth in the image of God rather than capacity, and show why progressive loss of function does not diminish it — the hinge that constrains everything after.

04

Deliberation, options, and your decision

Weigh stewardship, suffering relief, the killing/allowing distinction and bounded autonomy; then argue the justified options — treatment refusal, palliation, hospice, advance directives, community support — and close with your own reasoned decision.

04

Where are the ALS and end-of-life materials?

Recommended databases

  • MedlinePlus
  • Stanford Encyclopedia of Philosophy

Search sequence

  1. 1.
    Read the ALS overview so the disease trajectory in the analysis is accurate rather than generic.
  2. 2.
    Review the end-of-life material for the treatment-refusal, palliative, and hospice options question five needs.
  3. 3.
    Consult the euthanasia entry for the arguments the deliberation must engage without strawmen.
  4. 4.
    Draft the six answers in order, then check the four-citation minimum against the topic study materials.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    Amyotrophic Lateral Sclerosis

    MedlinePlus, U.S. National Library of Medicine · 2024

    The accurate disease trajectory — progressive motor loss, respiratory involvement, preserved cognition — that the value-of-life argument must reckon with.

  2. 02

    End of Life Issues

    MedlinePlus, U.S. National Library of Medicine · 2024

    The concrete options landscape — advance directives, palliative and hospice care, treatment withdrawal — behind question five's positive content.

  3. 03

    Voluntary Euthanasia

    Stanford Encyclopedia of Philosophy · 2022

    The strongest form of the arguments the deliberation must engage — autonomy, suffering, the killing/letting-die distinction — so the analysis avoids strawmen.

06

Review before submission

Common mistakes

  • Merging the fallenness and resurrection questions into one paragraph, losing a separately weighted rubric item.
  • Treating suffering as illusory or deserved when the fallenness reading says neither.
  • Defending George's value on capacity grounds — the argument ALS is designed to break.
  • Staging the euthanasia deliberation against a strawman instead of weighing genuine competing goods.
  • Answering question five only negatively, when refusal of burdensome treatment, palliation, and hospice are the positive content.
  • Making the personal-decision answer an opinion detached from the worldview reasoning that precedes it.

Submission checklist

  • Fallenness and resurrection answered separately and fully.
  • Value-of-life argument grounded in intrinsic dignity, tested against ALS progression.
  • Euthanasia deliberation covers stewardship, suffering, killing/allowing, and autonomy's limits.
  • Morally justified options argued positively with reasoning.
  • Personal decision stated and grounded; 1,800-2,000 words, abstract included, 4+ topic-material citations.

Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

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Aaron Bishop

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PhD, Rhetoric & Composition

Argumentation and thesis development

Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.

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