Healing and Autonomy Case Study Comprehensive Nursing Paper Example

Healing and Autonomy Case Study Comprehensive Nursing Paper Example

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.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

Medical Indications Beneficence and NonmaleficencePatient Preferences Autonomy
James suffers from acute glomerulonephritis.Initially, James has a strep throat infection, leading to subsequent kidney failure and associated hypertension and fluid build-up.The physician advises the family to consider temporary dialysis to reduce high blood pressure and fluid accumulation.The family, however, foregoes the dialysis and places their faith in God.James’ condition worsens, and now he requires a kidney transplant within the year.James is put under multiple rounds of dialysis to stabilize his deteriorating condition. Mike and Joanne, friends, and church members offer to donate a kidney, but they are not tissue matches. James’ brother, Samuel, is the only tissue match, and he has to undergo surgery, which sometimes can be life-threatening.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)Autonomy is the principle that allows patients to make uncoerced decisions.Since James is a minor, the parents have full authority to make decisions on his behalf. The physician allows the parents to put their faith in God’s healing power.The father seems to make the majority of the family decisions since this case offers no information about Joanne’s contribution to familial decision-making.  James and Samuel would be allowed to make personal decisions about the dialysis and kidney transplant if they were grown enough.Mike is in a difficult situation to either allow Samuel to donate his one kidney or wait for a miracle from God.James requires a kidney within that year, and the parents have to decide that suits both James and Samuel.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)
Quality of Life Beneficence, Nonmaleficence, AutonomyContextual Features Justice and Fairness
James’ condition affects his quality of life.His kidney failure has affected his life tremendously, and dialysis and transparent kidney procedures would help revamp his wellness.The dialysis is temporary but critical to his long-term recovery. A kidney transplant would be a longer-term intervention.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example) Mike and Joanne decide on James’ behalf, and their choices impact his health and potential recovery.In this case, not considering dialysis and relying on faith alone for the first time led to James’ condition worsening. It is always vital to make decisions in the patient’s best interests. The temporary dialysis would help reduce high blood pressure and fluid build-up.During the second visit, James is put under multiple rounds of dialysis, and he requires a kidney transplant within the year to enhance his quality of life.Samuel is the only tissue match, and in case of a transplant, he would undergo surgery, which can sometimes lead to life-threatening complications. Samuel would also require a transplant if his only remaining kidney fails. (Healing and Autonomy Case Study Comprehensive Nursing Paper Example) Justice and fairness should guide every medical decision.There are many factors, legal, social, cultural, and familial, that impact medical decisions and treatment preferences. Justice and fairness play a pivotal role in enhancing patient outcomes and their quality of life. It is therefore critical to make decisions in the patient’s best interests. It is vital to always trust in God, but some decisions depend on the circumstances, and in this case, dialysis would be the better and the fair option.Mike and Joanne decide on behalf of their sons, and they should always ascertain whether every decision they make is fair and just to their children. James has a right to treatment, and it would be fair and just to consider dialysis and the kidney transplant that would improve his quality of life.Fairly, many people want to donate, but they are not tissue matches. Samuel is the only compatible donor, and his interests too must be put into consideration. It would also be fair if Joanne’s perspectives play a role in familial decision-making. The decision-making process should be inclusive.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)
Healing and Autonomy Case Study Comprehensive Nursing Paper Example
Healing and Autonomy Case Study Comprehensive Nursing Paper Example 1

Part 2: Evaluation

Answer each of the following questions about how the four principles and four boxes approach would be applied:(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

  1. In 200-250 words, answer the following: According to the Christian worldview, how would each of the principles be specified and weighted in this case? Explain why. (45 points)
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The principles of autonomy, non-maleficence, beneficence, justice, and fairness have their unique significance in medical practice and decision making (Principles of Medical Ethics, 2019). Every principle has its significance, but Christians tend to put more weight on some than others. According to the Christian worldview, autonomy seems to be the most vital of the principles. Autonomy allows individuals to make decisions uncoerced.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example) Every healthcare practitioner should respect a patient’s autonomy (Parsapoor et al., 2014). The Bible provides that God created people, and they have the power to choose between right and wrong. People seem to choose what is good for them, although God does not agree with most of their decisions. This power of decision-making is similar in the medical field. In this case, Mike and Joanne decide to forego the dialysis, rely on God, and wait for a miracle. Although the physician knows that dialysis is the best option, he does not influence their decision since he should respect the patient’s autonomy.  Christians are also required not to harm others by following God’s commandments. Non-maleficence is the second-most weighted principle. God’s commandments guide the Christians’ moral judgment. In Genesis, Cain kills his brother Abel, which is wrong and sinful. Christians should love and protect each other, ensuring no harm. Doing what is right according to the Bible prevents harm to others. Therefore, beneficence is the third-most vital principle. In this case, relying on faith is a good thing, but dialysis would be the right thing. The case shows two worldviews contradict. However, many Christians consider caring for the sick as a ministry, and dialysis and kidney transplant would be the right things to help James recover his wellness. Some Christians refuse medical treatment since they consider it a showcase of little faith (Black, 2006). The Bible teaches Christians to respect the legal authority and the constitution, which ensure justice and fairness. Christians are expected to obey earthly laws and rules. This correspondence shows that Christians should not rely on faith alone for everything.  (Healing and Autonomy Case Study Comprehensive Nursing Paper Example)     
  • In 200-250 words, answer the following: According to the Christian worldview, how might a Christian balance each of the four principles in this case? Explain why. (45 points)
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Striking the right balance would help in making the right decisions. Christians perceive every principle as essential, but some seem more vital than others. Mike and Joanne consider relying on faith after the first visit. However, the Bible teaches that faith without action is dead. Christians should consider medical practices as a ministry. In Mark 2:17, Jesus says, “Those who well have no need of a physician, but those who are sick. I came not to call the righteous, but sinners.” This verse shows that doctors are responsible for helping the sick recover.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example) Every decision should depend on the circumstance. James’ condition requires immediate medical attention. Christians should not harm others and should do what is right. Therefore, non-maleficence and beneficence come before autonomy in this case since the physician advises temporary dialysis would help reduce high blood pressure and alleviate the fluid build-up. James’ health problem is a matter between life and death. Dialysis and the kidney transplant would help improve James’ quality of life. Some Christians believe that relying on medical treatment shows little faith. However, the physician has expertise in this field, and he, according to Jesus, is responsible for helping James recover. Mike’s decision to rely on faith led to harm. It was not the right thing to do considering the immediate circumstance. James and Samuel would have to undergo surgery, which can be harmful but helps improve the quality of life (Carr & Winslow, 2017). The transplant is the only option and the right thing to do to help James recover. Life is sacred, and the parents should consider saving James’. Christians should take actions that are just and fair to others (Gillon, 2018). The immediate circumstance should help Christians strike the right balance and make the right decisions that positively impact others. (Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

References:

Black, L., LLm. (2006). Limiting Parents Rights in Medical Decision Making. AMA Journal of Ethics, 8(10). doi: https://journalofethics.ama.assn.org/article/limiting-parents-rights-medical-decisionmaking/2006-10(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

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Carr, M. F., & Winslow, G. R. (2017). From conceptual to concrete. In World Religions for Healthcare Professionals (pp. 31-45). Routledge.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

Gillon, R. (2018). Principlism, virtuism, and the spirit of oneness. In Healthcare Ethics, Law and Professionalism (pp. 45-59). Routledge.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

Parsapoor, A., MD, Parsapoor, M., Rezaei, N., MD, & Asghari, F., MD. (2014). Autonomy of Children and Adolescents in Consent to Treatment: Ethical, Jurisprudential and Legal Considerations. Iranian Journal of Pediatrics. Retrieved April 19, 2019.(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

Principles of Medical Ethics. (2019). Retrieved April 19, 2019, from www.jesuschristsavior.net(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

Reilly, D. (2006, Fall). Dr Dan Reilly Twitter Facebook LinkedIn YouTube Vimeo Following Christ’s example, I seek to serve those whose path crosses mine. Retrieved April 19, 2019, from http://danreilly.ca/(Healing and Autonomy Case Study Comprehensive Nursing Paper Example)

https://www.ncbi.nlm.nih.gov/

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