Principles of biomedical ethics 6th edition pdf

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Liliana Faura

Case Study on Biomedical Ethics in the Christian Narrative.doc

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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/

©2019. Grand Canyon University. All Rights Reserved.

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