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The Deathbed Confession

SG is an 80-year-old white male with a history of nonsmall cell carcinoma of the lung. He is in hospice care and has been declining rapidly over the last week. He is currently on a morphine patient-controlled analgesia pump at 1 mg/h with 0.5 mg every 15 minutes as needed. He is using this infrequently and is alert and oriented though profoundly weak. During a visit of the hospice social worker, the patient confessed a murder that occurred 50 years before and was never solved. The patient stated that this had been ‘‘wearing on my mind for the past 50 years,’’ and he did not want to die without full disclosure. The family was previously unaware of his involvement in the murder. The team wonders what their responsibility is when a patient has a deathbed confession of a murder that occurred in the distant past. An ethics consult is requested.