How would you weigh and balance the conflicting principles ?

Is there an ethical problem ?
Gather the facts; clinical, situational; need more facts ? Why ?
What are the choices under consideration?
What might be the consequences of these choices to the patient, to other stakeholders?
What ethical principles do these choices represent ? Are they in conflict?
Can you think of alternatives not yet considered that might relieve the conflict
What should be done? How would you weigh and balance the conflicting principles ?