Ethical issues are present in every aspect of healthcare. Ethical dilemmas in the neonatal intensive care unit (NICU) are particularly difficult because the patient cannot express himself. It is therefore up to the parents to make decisions regarding treatment. It is the nurse's job to advocate for the patient to ensure they receive the best care possible. The cost of care, termination of treatment, and the role of nurses in termination of treatment are all factors included in the care of patients suffering in the NICU. Cost of Care The average daily cost for a baby in the NICU is $3,500, and the total cost can be up to $1 million. The ethical dilemma present in this case is when a patient allows the nurse to evaluate the patient's pain and suffering in relation to the treatment plan in place (Settle, 2014). The ability to communicate well is essential for ethical decision making in the NICU (Monterosso et al., 2005). Nurses play an important role in supporting parents while their baby is in the NICU. Showing compassion and demonstrating caring actions when caring for the patient makes parents more likely to trust the nurse and the information the nurse provides them regarding their child's condition. This trust is important as it helps parents feel confident in the decisions they are making regarding their child's care. When the parents of a sick baby in the NICU decide to stop treatment, palliative care from the nurse and other healthcare professionals comes into play. Palliative care means keeping the child comfortable by treating symptoms and being there for the parents and child physically, emotionally, and spiritually (Eden & Callister, 2010). The patient and family should be placed in a private room that is dimly lit and has minimal noise. There should be enough space to accommodate other family members as well. All unnecessary medical equipment, such as ventilators and monitors, should be removed from the patient. IV access should remain in place to administer appropriate pain medications. Additional