Question:This assignment is base on the paper you help me with 2 weeks ago* In addition to the topic study materials, use the
This assignment is base on the paper you help me with 2 weeks ago* In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about ″Case Study: Healing and Autonomy″ as the basis for your responses in this assignment. Answer the following questions about a patient′s spiritual needs in light of the Christian worldview. In 200-250 words, respond to the following: 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. In 400-500 words, respond to the following: How ought the 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? In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike to determine appropriate interventions for James and for his family or others involved in his care? Remember to support your responses with the topic study materials. 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.
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Case Study On Biomedical Ethics In The Christian Narrative
Case Study On Biomedical Ethics In The Christian Narrative
Shauna Parker
Bachelor of Science in Nursing, Grand Canyon University
PHI-413V: Ethical and Spiritual Decision Making in Health Care
Professor Alicia Plant
March 27, 2021
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Medical Indications Beneficence and Nonmaleficence |
Patient Preferences Autonomy |
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The clinical data that is used to diagnose a patient and the extent of the severity of the problem thus determining the treatment options The beneficence principle involves acting with the best intentions and the non-beneficence requires the physicians not to harm James's parents were acting in the best interest of their son despite medical indications showing James's condition could get worse if not treated. They had no intention of harming their son as they returned when his condition worsened |
A patient preference is the choice of the patient. Autonomy principles require patients to make their own decision. James is 8 years thus cannot exercise his autonomy rights. His parents should have consulted him before deciding faith to know his view on the decision The physician could not impact James's parents' decision because it was their right but could have tried to talk to them. |
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Quality of Life Beneficence, Nonmaleficence, Autonomy |
Contextual Features Justice and Fairness |
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Quality of life refers to the required medical features of the life of a patient before and after treatment James condition was worse before treatment but after undergoing kidney dialysis his condition improved James needs a kidney transplant and they need to consult him as the last time they didn’t consult him, the condition got worse. They need to act in the best interest of their son which is to heal and thus they should allow a kidney transplant. |
Contextual features determine the social, family legal factors that influence the medical decision Faith influenced James parents medical decisions that he will be healed through prayers Justice and fairness principles involve equality |
According to the Christian worldview, the four principles are weighted and specified in the “healing and anatomy” case study. Beneficence is weighted when the parents of James have to decide on whether the child will undergo dialysis as per the physician's recommendation or place their faith in God through faith healing services. The weighted and chose the faith healing service in the interest of their son. They came back to the hospital after two days because James's condition had deteriorated in hopes that James would be healed. The parents have faith and this is the reason they prefer prayers compared to treatment and came to the hospital when they noticed the condition was worsening. On the autonomy, the patient chooses healing than dialysis because they had faith in God. The decision of James's parents is weighted on their faith since their son is 8 years old and cannot make a decision. Non-maleficence is a principle that requires physicians not to harm the patients. James's parents opted against the recommendation of the physician of their son undergoing dialysis because they weighted and chose to heal through prayers since they were Christians who believed in faith. The Justice and fairness principle which stresses equality is weighted lowly in the case study as the parents of James are against their son having a kidney transplant because of their Christian values which stress having faith in God.
Christians have to balance the principles of biomedical ethics and their beliefs. Through considering the best interest of both the patient's condition and their religion the patient will be able to balance the faith and health condition of an individual. The beneficence principle whereby the physician acted with the best intentions in mind and after considering the condition of James suggested the dialysis and the parents should have considered it since the physician knew the patient better and thus the parents of James should have considered it by having faith in God to heal their son through the process. On the autonomy principle, balancing both religion and the health of an individual is very important. James's parents should have consulted their son despite his young age instead of believing only in their faith to heal him which maybe was against his will. Parents should not harm their children because of their faith thus balancing the religion and the principle of non-maleficence. Christians are supposed to balance religion and the principle of justice and fairness in all their encounters and experiences. In James's situation, they should have been fair in decision making by involving their son and choosing the best means of getting their son get better which was through dialysis.
References
Gillon, R. (2018). Why Charlie Gard’s parents should have been the decision-makers about their son’s best interests. Journal of medical ethics, 44(7), 462-465.
SSorajjakool, S., Carr, M. F., Nam, J. J., Sorajjakool, S., & Bursey, E. (Eds.). (2017). World religions for healthcare professionals. Taylor & Francis.
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Benchmark – Patient's Spiritual Needs: Case Analysis |
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In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about "Case Study: Healing and Autonomy" as the basis for your responses in this assignment.
Answer the following questions about a patient's spiritual needs in light of the Christian worldview.
1. In 200-250 words, respond to the following: 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. In 400-500 words, respond to the following: How ought the 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. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic study materials.
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. Time New Roman font12
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Topic 5 Rubric: Benchmark – Patient's Spiritual Needs: Case Analys
Decision-Making and Principle of Autonomy
Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.
Decision-Making, Christian Perspective, and the Principles of Beneficence and Nonmaleficence
Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.
Spiritual Needs Assessment and Intervention (C1.2, 5.2)
How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.
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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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