This nursing case study delves into the ethical complexities of social media use within the healthcare profession. The assignment examines the guidelines of professional bodies like the Nursing and Midwifery Board of Australia (NMBA), the National Council of State Boards of Nursing (NCSBN), and the Nursing and Midwifery Council (NMC) regarding social media, confidentiality, and patient privacy. It explores scenarios where nurses may breach ethical standards through social media interactions, emphasizing the importance of professional boundaries, open disclosure, and informed consent. The case study also addresses legal requirements for advance care directives, ethical implications of removing patients from transplant lists, and factors impacting the health and wellness of patients, considering cultural and environmental influences. The study underscores the nurse's role in supporting patient autonomy, making informed decisions, and adhering to ethical principles.