Benchmark - Patient's Spiritual Needs: Case Analysis

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Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications

Beneficence and Nonmaleficence

Patient Preferences

Autonomy

Faster dialysis will end up relieving or reducing high blood pressure as well as fluid buildup of James. James is placed on dialysis due to deteriorating condition. Also he needs the kidney transplant in a year. Samuel, James’s twin brother is the only one regarded as an ideal tissue donor. While conducting the kidney transplant would save the life of James, it will threaten the life of Samuel due to major surgery and losing one kidney (Ghaderi et al. 2018).

The care provider has abided by the parent’s autonomy through permitting them to exercise their spiritual beliefs. The care provider has also agreed to the patient’s faith the spiritual beliefs will restore the health of the patient. Mike the father of the twin thinks that miracle will heal his son as he struggle with the probability of going ahead with surgery. More so, little opinion is aired by Joanne the mother of the twins and this raises eyebrows as why

Quality of Life

Beneficence, Nonmaleficence, Autonomy

Contextual Features

Justice and Fairness

Medical treatment will help in restoring the kidney functionality of James as well as save his life, however he will experience some discomfort due to the temporary dialysis. Medical treatment should bring James’s renal function to normalcy however; he has not received such treatment as results of autonomy and parent’s decision on depend on faith. This led to continues deterioration of the health condition of the patient. The deteriorating condition will only demand kidney transplant. James is now going to depend on dialysis is which lower the quality of life, because the procedure has to be conducted three times in a week and it is physically draining (Ghaderi et al. 2018). With time he will lose life or undergo kidney transplant.

Having a kidney from Samuel will improve James’s quality of life. Samuel on the other hand will temporary decline in functionality and if he lose the one kidney, he will also require a transplant (Shaha et al. 2018).

If Samuel gives his brother a kidney he will save life of his brother ad not lose hm. He will in turn improve his life .Nomalificience principle is highlighted Mike struggle with the decision of losing one son and putting the other can on a major surgery leading to increased risk of surviving on one kidney (Gracindo et al. 2018).

Mike, the father of the twins wonders and is in dilemma whether it is just or fair to put Samuel through the great ordeal of surgery and go through the risk of having only one kidney. However, given the close relationship between James and Samuel, it would be proper if Samuel would have provides the kidney to his brother instead of losing him. Further, the opinion and thoughts of their father is taking center stage. Joanne’s feelings are not also acknowledged on the matter. Another thing that raises eyebrows is whether, Mike has right to place Samuel’s life primarily in his faith (Tilburt, Pacyna, & Rusthoven, 2020).

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Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

Based on the Christian perspective autonomy is the pressing principle in this particular scenario. Autonomy has to do with letting the patient decide or make choices related to their treatment in regard to their experiences, values as well as beliefs. Autonomy is demonstrated by mike when they decide not to go ahead with the surgery due to the moving sermon they had experienced in church thus, taking their son to healing services. The parent has therefore decided to let faith take its course (Shaha et al. 2018). Later the condition worsened. Autonomy plays a key role as the father struggle with the possibility of going ahead with surgery and putting Samuel at risk. The principle of justice is also crucial at this point when mike figures out if it would be fair to put the o through Samuel through ordeal of surgery. He is undecided and only hope that the son to be healed through faith.

In healthcare sector, the principle of autonomy is always considered and care providers are supposed to abide by or respect the decision made by the patient. If the patient is not fully autonomous in making choices in regard to medical treatment the care provider has duty to let the patient participate in medical decisions in relation to consequences of the choices or decision made (Shaha et al. 2018).

Religious objection has a very strong foundation in the legal precedent in constitution. It can be challenging for any curt to justify where when the patient or parents refuse medication for intention a that are not founded on the recognized religion. However, where the spiritual treatment the quality of life of the patient the patient autonomy may be excluded (Tilburt, Pacyna, & Rusthoven, 2020).

2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

In regard to Christian perspective, the Christian would run the importance or priority of the four principles in relation to faith. Western medicine was commenced by Judeo-Christian and the Greco-Roman heritage (Gracindo et al. 2018). Further in relation to principles of medical ethics there are different principles of the medical ethics comprising of moral code, doctor, patient relationship, nomalificience, moral justification, autonomy, justice and beneficence. There are only four principles named in the biomedical ethics including non-maleficence, justice, beneficence and autonomy. In regard to the Christian world view, the four principles would rank in the following manner. Autonomy will be the most prioritized principle to Christians. The respect for free is one of the most crucial topic in the biblical doctrine together with the interaction among human beings and GOD (Tilburt, Pacyna, & Rusthoven, 2020). In the book of genesis, a man is newly created and then given freedom to make choices. The man is given choices to follow commandment and not eat from the tree of knowledge because he would die in the process. Therefore God created and also respected the free will. Therefore, the work of care provider is to inform ad and then respect the choices made by the parents or patients. Non maleficence principle comes second where the care provide has the moral obligation not to cause harm to patient. Beneficence comes second and it is clearly stated in the bible that “love your neighbor as you love yourself” (Tilburt, Pacyna, & Rusthoven, 2020). The care providers should focus on benefiting others. Justice has to do with treating people with fairness and distributing resources equally. Therefore, the biblical law outlines how people should treat one another in spite of having diverse race and religion. All patients should be treated with compassion and dignity.

References:

Ghaderi, A., Malek, F., Mohammadi, M., Maskopaii, S. R., Hamta, A., & Madani, S. A. (2018). Adherence to principles of medical ethics among physicians in

Gracindo, G. C. L., da Silva Gallo, J. H., & Nunes, R. (2018). Threats to bioethical principles in medical practice in Brazil: new medical ethics code period. Brazilian Journal of Medical and Biological Research51(5).

Shaha, K. K., Patra, A. P., Chaudhari, V. A., Das, S., & Das, S. K. (2018). A review on Applications of Principles of Medical Ethics in the Practice of Surgery. South-East Asian Journal of Medical Education12(1).

Tilburt, J., Pacyna, J., & Rusthoven, J. (2020). Christian Integrity Regained: Reformational Worldview Engagement for Everyday Medical Practice. Christian bioethics: Non-Ecumenical Studies in Medical Morality. mazandaran province, iran. Archives of Iranian medicine21(1), 19.