Deputies who surrounded the home of a suicidal hospice patient confirmed the 75-year-old man was dead inside his Lakeside home.
When the patient pulled out a gun to shoot himself, his nurse tried to intervene deputies said.
The man fired the gun, injuring her hand deputies said.
A SWAT team arrived to the home on Morning Dove Road in an armored vehicle, making announcements to try and convince the man to come out.
At 4:30 p.m., deputies made entry into the home and confirmed the hospice patient was dead inside.
The nurse suffered a superficial wound and was taken to the hospital at about 1 p.m.
Keep up to date on breaking news: Follow us on Twitter @nbcsandiego, fan us on Facebook, sign up for our breaking news e-mail alerts or text SDBREAKING to 622339 to receive text messages for local breaking news. (For more info, text HELP. To end, text STOP. Message and data rates may apply.)