Ethical and Spiritual Decision Making in Health Care
PHI413 Ethical and Spiritual Decision Making in Health Care
Week 5 Assignment
Benchmark – Patient’s Spiritual Needs: Case Analysis
For this final assignment, you will be tasked to review your work in the Topic 3 case study and continue to analyze the case to best determine spiritual care interventions throughout their plan of care. In particular, the focus will be on the Christian application of the four principles, as well as appropriate options in providing a patient with spiritual care.
Based on the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” and reading the topic Resources, complete the “Patient’s Spiritual Needs: Case Analysis” document in a maximum of 1,500 words, in which you will analyze the case study in relation to the following:
Patient autonomy
Christian perspective and actions related to sickness and health, principles of beneficence, and nonmaleficence
Spiritual needs assessment and appropriate interventions for all involved in providing care
Accountability that would demonstrate an ethical manner that reflects professional standards of practice and person-centered care and participatory approach to care
Note: Participatory approach to care calls for involving stakeholders, particularly the participants in a program or those affected by a given policy, in specific aspects of the evaluation process. The approach covers a wide range of different types of participation, and stakeholders can be involved at any stage of the impact evaluation process, including its design, data collection, analysis, reporting, and managing a study.
Also, person-centered care is “empowering people to take charge of their own health rather than being passive recipients of services” (WHO, 2021). This care strategy is based on the belief that patient views, input, and experiences can help improve overall health outcomes.
Support your response using only the following Topic 5 Resources:
Chapter 5 from the textbook Practicing Dignity: An Introduction to Christian Values and Decision-Making in Health Care
“Assessing Spiritual Health Through the Use of Spiritual Health Assessment Tools: Indications for End-of-Life Care”
“Faith-Sensitive End-of-Life Care for Children, Young People, and Their Families”
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
BS Health Sciences
1.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.
BS Nursing (RN to BSN)
9.1: Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.
9.2: Employ participatory approach to nursing care.
9.3: Demonstrate accountability to the individual, society, and the profession.
9.5: Demonstrate the professional identity of nursing.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns with AACN Core Competencies: 2.8, 9.1, 9.2, 9.3, 9.5
Patient’s Spiritual Needs: Case Analysis
After reviewing the Topic 3 “Case Study: Healing and Autonomy” chart and evaluation you completed and reading the topic Resources, respond to the following, using only citations from the case and topic Resources:
1.Based on the case and other topic Resources, in 200-250 words, should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2.Based on the case and other topic Resources, in 500-700 words, how ought a Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3.Based on the case and other topic Resources, in 200-250 words, how would a spiritual needs assessment help the physician assist Mike to determine the appropriate interventions for James and for his family or others involved in his care?
4.Based on the case and other topic Resources, in 250-300 words, how would accountability for Mike be demonstrated in an ethical manner that reflects professional standards of practice and a patient-centered care and participatory approach to care?
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. James’s 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, James’s 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. James’s 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—James’s 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?”
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