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 assignm
Applying the Four Principles: Case Study
Part 1: Chart (60 points) Medical Indications Beneficence and Nonmaleficence | Patient Preferences Autonomy |
In medical science, treatment options are based on clinical data to make related diagnosis. James had acute glomerulonephritis as a result of strep throat infection that was complicated by elevated blood pressure and fluid overload requiring dialysis and subsequently kidney transplant. Beneficence stipulate acting with the best intensions in mind, while non-beneficence indicates do no harm. Although James parents were acting in his best interest their religious faith obscure their judgment even knowing that James condition would get worse if not treated. They had no intention to harm him, but came to reality when only kidney transplant can save his life. | Patient preference is the choice expressed by the patient or a substitute decision maker. James is a minor that did not participate in the decision regarding his health. “Autonomy emphasizes on the right of a person to make his/her own decision” (Beever, 2016). James is 8 years old and underage who cannot exercise his autonomy rights. His parents made the decisions for him without his input. The physician at least spoke with the parents but did not persuade them into agreeing with medical science. |
Quality of Life Beneficence, Nonmaleficence, Autonomy | Contextual Features Justice and Fairness |
Quality of life is the relevant medical features of the patient life before and after treatment. James medical condition was deteriorating while he was undergoing dialysis treatment. It is to a point where he needs kidney transplant and his father is thinking for his brother to be the donor or rely on faith again. Based on previous encounters, faith did not resolve the issue. The question is James valued? They should at least get James opinion, and work on the best interest of James and allow him to get the Kidney from his brother. | According to Gillon, (2018), “Contextual features determine the legal, social and familial setting that influences one’s medical decisions. James parents had faith that he could be healed through prayers which influenced their medical decisions”. They are thinking again on faith whether for him to receive his brother kidney. Gillon stated that, “Justice and fairness placed emphasize on equality. The conflict of interest arises when an ideal match for the kidney was identified and that happened to be his brother. The parents were willing for others and including themselves to donate a kidney but not his brother”. |
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References
Beever, J., & Brightman, A. O. (2016). Reflexive principlism as an effective approach for developing ethical reasoning in engineering. Science and engineering ethics, 22(1), 275-291.
Carr, M. F., & Winslow, G. R. (2017). From conceptual to concrete. In World Religions for Healthcare Professionals (pp. 31-45). Routledge
Gillon, R. (2018). Principlism, virtuism, and the spirit of oneness. In Healthcare Ethics, Law and Professionalism (pp. 45-59). Routledge.
Lozano, A.J (2004). Principles of Bioethics for Christian Physicians: Autonomy and Respect. The Linacre Quarterly, 71(2), 104-113
Orr, R.D. (2015). Incorporating spirituality into patient care. AMA journal of ethics, 17(5), 409-415.
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