Case Study On Biomedical Ethics In The Christian Narrative
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This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.
Based on the "Case Study: Healing and Autonomy" and other required topic study materials, you will complete the "Applying the Four Principles: Case Study" document that includes the following:
Part 1: Chart
This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.
Part 2: Evaluation
This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.
Remember to support your responses with the topic study materials.
APA style is not required, but solid academic writing is expected.
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Liliana Faura
Case Study on Biomedical Ethics in the Christian Narrative.doc
Summary 990 Words
Case Study on Biomedical Ethics in the Christ ian Narrat ive
Liliana Faura
GCU
07/21/2019
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
Immediate dialysis is needed to bring the health of James back. He is suffering from
high blood pressure and fluid buildup. When he missed dialysis, his condit ion worsened,
and it is only through a kidney transplant that can save him. With his twin brother as
the donor, he does not have to struggle to find a donor. However, he would also be
putt ing his brother in a risk.
In the first place, the physician respected the parent’s autonomy by allowing them to
believe that their son would be healed through God’s intervention. He allowed them
to take James to a church service with them. The parents are expected to decide
whether to enable Samuel to donate his kidney to James, and Mike is seemingly
leaning on the possibility of a miracle because of his belief in God.
In this case, respect for autonomy is the primary principle in practice. The physician
respected the strong faith and belief of the parents in God and allowed them time to
think about the best intervention for James treatment.
Quality of Life
Beneficence, Nonmaleficence, Autonomy
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Contextual Features
Just ice and Fairness
The only way to restore the health of James is through a kidney transplant. However,
his brother may be put in a difficult situation through the surgery, considering the
process of recovery. However, Mike should understand that failure to allow Samuel
donate his kidney to his brother would make James die and they will not forgive
themselves for allowing their son to die yet they had an opportunity to help. Non-
maleficence is shown as Mike struggles with the choice to make between his faith in
God and to allow his son to go through a kidney transplant.
Samuel could be allowed to donate his kidney to his twin brother, James. A question of
whether it was the sole decision of Mike could arise because Samuel could also make
a decision on the same. Joanne, his wife, is also on the picture as lit t le is given on her
inclusion in the decision-making process. It would be fair to include Joanne in decision
making. The beliefs and faith of Mike are what takes center stage. The life of James
solely lies in his faith.
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 Christ ian worldview, which
of the four principles is most pressing in this case? Explain why. (45 points)
The most pressing principle, in this case, is the principle of autonomy. Autonomy is
the process of giving patients the ability to make their own decision about their
health and medical attention. In this scenario, autonomy is evident as Mike opts to
forgo temporary dialysis for James to attend healing service for God’s miracle. The
physician gave the parents the autonomy to decide the fate of their child’s
treatment. He allowed them to believe in their faith and belief in God for healing. But
when the condit ion of James becomes worse, the father has to make a decision of
whether to allow his son Samuel to donate his kidney to James or continue believing in
service healing. They argued that they did not want to subject their son through
mult iple dialyses, yet God is capable of healing him. Because James is a child and is not
able to make appropriate decisions on his own, the parents assume the autonomy.
Patient autonomy is a significant element in medical decisions. The decision-making
abilit ies of autonomous people must be respected (Beauchamp & Childress, 2014).
The physician held a discussion with the mother of the patient about the diagnosis,
treatment approaches, risk of not being treated, and the risk of treatment.
2. In 200-250 words answer the following: According to the Christ ian worldview, how
might a Christ ian rank the priority of the four principles? Explain why. (45 points)
A Christ ian can rank the priorit ies as 1) autonomy; 2) Nonmaleficence; 3) Beneficence,
and 4) Just ice.
In the Christ ian faith, respect is highly valued as well as the relat ionship between
humans and God. After creating humans¸, God gave man the opportunity of making
their own decisions. From the Christ ian perspective, the physician should respect the
decision of the parents. The law of bioethics grants parents the power of deciding
the mode of treatment and the ability to decline certain treatments or medications
(Tom & James, 2014). Some decisions may not be in the best interest of the patient,
but the physician has an obligation of respecting them.
According to the principle of non-maleficence, humans should not be harmed.
Physicians should, therefore, make appropriate decisions and respect medical rules
and ethical conducts to safeguard the safety of patients.
The principle of beneficence is an ethical factor that involves the promotion of all that
is good. This implies doing everything to improve the health condit ion of patients. The
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principle of just ice calls for equal distribution of risks and benefit of research, and
there must be fair outcome and procedures (Beauchamp & Childress, 2014).
The order of the principles should appear like they are. Respect for autonomy should
appear ahead of the other tenets. Allowing patients to take part in their care and
make their own medical choices is crucial.
References:
Beauchamp, T. L., & Childress, J. F. (2014). Principles of biomedical ethics (7th ed.). New
York: Oxford University Press.
Tom L. & James F. (2014) Principles of Biomedical Ethics, 6th Edit ion. Oxford: Oxford
University Press, p. 417.
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 July 2019,
from http://danreilly.ca/