Topic 3 DQ 1 Principlism, especially in the context of bioethics
Topic 3 DQ 1 Principlism, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic overview and other topicstudy materialsin your response. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. Jamess condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, Jamess kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. Jamess nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered?Jamess brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, This time around it is a matter of life and death. What could require greater faith than that?? © 2019. Grand Canyon University. All Rights Reserved. Topic 3: Optional Study Materials Principlism Principlism,? by Childress, in theEncyclopedia of Ethics(2001). https://lopes.idm.oclc.org/login?qurl=http://search.credoreference.com.lopes.idm.oclc.org/content/entry/routethics/principlism/0 Ethics Ethics,? by Hobden, fromKey Concepts in Nursing(2008). https://lopes.idm.oclc.org/login?qurl=http://search.credoreference.com.lopes.idm.oclc.org/content/entry/sageuknurs/ethics/0 American Journal of Bioethics American Journal of Bioethics website. http://www.bioethics.net/ Presidential Commission for the Study of Bioethical Issues Presidential Commission for the Study of Bioethical Issues website. https://bioethicsarchive.georgetown.edu/pcsbi/studies.html Bioethics Bioethics? from the Internet Encyclopedia of Philosophy website. http://www.iep.utm.edu/bioethic/ Bioethics Bioethics,? by Waters, fromCambridge Dictionary of Christian Theology(2011). https://lopes.idm.oclc.org/login?url=https://search.credoreference.com/content/entry/cupdct/bioethics/0?institutionId=5865 The Five-Box Method: The Four-Box Method? for the Catholic Physician The Five-Box Method: The ?Four-Box Method for the Catholic Physician,? by Marugg, Atkinson, and Fernandes, fromThe Linacre Quarterly(2014). https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC4240053/ The Four Quadrant Approach to Ethical Issues in Burn Care The Four Quadrant Approach to Ethical Issues in Burn Care,? by Teven and Gottlieb, fromAMA Journal of Ethics(2018). https://journalofethics.ama-assn.org/article/four-quadrant-approach-ethical-issues-burn-care/2018-06 Navigating Ethics in a Health-Care Setting Navigating Ethics in a Health-Care Setting,? by Sego, fromClinical Advisor(2011). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108243948&site=ehost-live&scope=site The Four Principles of Biomedical Ethics: A Foundation for Current Bioethical Debate The Four Principles of Biomedical Ethics: A Foundation for Current Bioethical Debate,? by Lawrence, fromJournal of Chiropractic Humanities(2007). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105887311&site=ehost-live&scope=site The Four Quadrants? Approach to Clinical Ethics Case Analysis; An Application and Review The ?Four Quadrants Approach to Clinical Ethics Case Analysis; An Application and Review,? by Sokol, fromJournal of Medical Ethics(2008). https://search-proquest-com.lopes.idm.oclc.org/docview/1781073684?accountid=7374 Teaching Clinical Ethics Using the Four Topic Method Teaching Clinical Ethics Using the Four Topic Method,? by Ediger, fromInternational Journal of Athletic Therapy & Training(2015). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN603857263&site=eds-live&scope=site Autonomy in Applied Medical Ethics Autonomy in Applied Medical Ethics,? by Freer, fromEthics & Medicine(2017). https://search-proquest-com.lopes.idm.oclc.org/docview/1861785878/fulltextPDF/91A6E593DF9F4C28PQ/6?accountid=7374 © 2019. Grand Canyon University. All Rights Reserved. © 2019. Grand Canyon University. All Rights Reserved.
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