Question Description

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 assignment.Answer the following questions about a patient’s spiritual needs in
light of the Christian worldview. In 200-250 words, respond to the following: Should the
physician allow Mike to continue making decisions that seem to him
to be irrational and harmful to James, or would that mean a
disrespect of a patient’s autonomy? Explain your rationale.
In 400-500 words, respond to the following: How ought the
Christian think about sickness and health? How should a Christian
think about medical intervention? What should Mike as a Christian
do? How should he reason about trusting God and treating James in
relation to what is truly honoring the principles of beneficence and
nonmaleficence in James’s care? In 200-250 words, respond
to the following: How would a spiritual needs assessment help the
physician assist Mike determine appropriate interventions for James
and for his family or others involved in his care?While APA style is not required for the body of this assignment,
solid academic writing is expected, and documentation of sources
should be presented using APA formatting.This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the expectations for
successful completion.

attachment_1

attachment_2

attachment_3

Unformatted Attachment Preview

Case Study:
Healing
and Autonomy
Mike and Joanne are theparents of James
and Samuel, identical
twins born 8 years ago. James
is
currently suffering
from
acute glomerulonephritis, kidney failure. James was originally
brought
into the hospital
for
complications associated with a strep throat
infection. The spread of the A
streptococcus infection led to the subsequent
kidney failure. James’s condition
was
acute
enough
to warrant immediate treatment. Usually cases of acute glomerulonephritis caused
by strep
infection tend to improve on their
own or with an antibiotic. However,
James
also had
elevated
blood pressure and enough fluid buildup that required temporary dialysis to relieve.
The attending physician suggested immediate dialysis.
After
some time of discussion with
Joanne, Mike informs the physician that they
are
going to forego
the
dialysis and
place
their
faith
in God. Mike and
Joanne had been moved by a sermon their pastor
had given a week ago,
and
also had witnessed
a close
friend regain
mobility when she was prayed over at a healing service
after a serious
stroke. They thought it more
prudent to take James immediately to a faith
healing
service instead of
putting
James through multiple rounds of dialysis. Yet, Mike
and Joanne
agreed to return to the hospital after the
faith healing
services later in the
week,
and in hopes that
James would
be healed
by
then.
Two days later the family returned and was forced to place
James
on dialysis, as his condition
had deteriorated. Mike felt perplexed and tormented
by
his decision to
not
treat James earlier.
Had he not enough faith? Was God punishing him or James? To make
matters
worse,
James’s
kidneys had
deteriorated such that his dialysis was now not a
temporary
matter and
was in
need
of a kidney
transplant. Crushed and
desperate,
Mike and Joanne
immediately offered to donate
one of their
own kidneys to James, but they were not compatible
donors.
Over the next few
weeks, amidst daily
rounds of dialysis, some of their close friends and church members also
offered to donate a kidney
to James.
However,
none
of them
were tissue
matches.
James’s nephrologist called to schedule a private appointment with Mike
and Joanne.
James was
stable,
given the regular dialysis, but would require a
kidney transplant
within the year. Given
the desperate situation, the nephrologist informed
Mike and Joanne
of a donor that was
an ideal
tissue match, but as of yet had not been considered—James’s brother Samuel.
Mike vacillates and
struggles to decide whether
he should
have his other son Samuel lose a
kidney or perhaps wait for God to do a
miracle this time around. Perhaps this is where the real
testing of
his faith will come in? Mike reasons, “This time around it is a
matter of life and
death.
What could require greater faith than that?”
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
Patient Preferences
Beneficence and Nonmaleficence
Autonomy
➢ James, an 8-year-old twin brother is suffering from acute
glomerulonephritis, kidney failure.
➢ Normally the condition does not require medication but
James condition was very acute and required immediate
treatment. The goal of the treatment is to relieve elevated
blood pressure and require temporary dialysis.
➢ There is usually a 90% chances of success in treatment.
➢ Medical and nursing care is important since it helps a
specialist to monitor to condition and perform dialysis
when necessary.
➢ The patient is only 8 years old and not in a position to
understand what he’s going through.
➢ However, his parents Mike and Joanne understands the
benefits and risks, they have also understood all the
information provided to them and have given consent
(Werth & Blevins, 2017).
➢ The patient is not mentally capable and legally
competent enough because of his age.
➢ The patient does not have any preferences but his parents
at first preferred to take him to a healing service at their
local church.
➢ Much of the decisions related to treatment is made by the
patient’s parents.
Quality of Life
Contextual Features
Beneficence, Nonmaleficence, Autonomy
Justice and Fairness
➢ This is a serious condition that requires urgent treatment.
➢ A patient has a 4% chances of survival without
treatment, but with treatment the patient has an 85%
chances of returning to his normal life.
➢ Even when treatment succeeds, it’s not possible for the
patient to get back fully to their normal lives.
➢ More than 10% of patients who succeed in treatment end
up experiencing serious mental issues and more than
➢ There are professional, business, and interprofessional
interests might in any way create a conflict of interest in
the clinical treatment of the patient.
➢ It’s more likely that the facility would prefer James to
remain in the hospital until a compatible donor is found
so that the facility might make money.
➢ The patient’s parents have so much interest in the entire
treatment program and they are actually the sole decision
makers in this case.
©2019. Grand Canyon University. All Rights Reserved.






23% are in one or another affected and cannot perform
some tasks as they used to (Sperry, 2017).
The patient is required to be kept under constant care and
placed under a special diet depending on his condition.
This is the criteria for judging the quality of care but
there are biases that might prejudice the provider’s
evaluation of care such as family medical history.
Some kidney conditions are hereditary and providers’
might solely consider that factor.
There are some issues that might arise in improving the
patient’s quality of life such as lack of a compatible
kidney donor during transplant and patient’s age.
The need to sacrifice a kidney so as to help one patient is
very a serious ethical issue and is likely to affect the
patient’s life-sustaining program (Werth & Blevins,
2017).
A kidney transplant is the only plan that can guarantee a
patient a life-sustaining program.
➢ There are confidentiality limits on how much
information the parents can access considering that the
parents is still a minor.
➢ Buying a kidney from another person is very expensive
and this is a financial factor that the parents are
considering, this is why a donor is more appropriate.
➢ There is also a concern on who will donate the kidney
and the health issues or complications that might arise
after the donation.
➢ There are no religious issues that might in whichever
way affect the clinical decisions.
©2019. Grand Canyon University. All Rights Reserved.
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)
Ethical choices, whether major or minor is something that confronts us each day. The
principle of respect for autonomy according to the Christian worldview is the most pressing
in this case. This is a principle that advocates for moral decision-making with patients being
required to make informed and voluntary decisions. A patient should be allowed to make
decisions that they feel are appropriate and good to them and under no circumstance should a
decision should be made against the patient’s consent (Maville & Huerta, 2018). In health
care decisions, this principle implies that a patient has the capacity to act intentionally and
with an understanding of what they are about to give into. This is a principle that promotes
the concept of informed consent. The physician should provide the patient and any other
relevant third part with all relevant information so that they can make the right decision.
In this case, James is a minor of only 8 years and so it’s most probably that has no
capacity to understand the information provided to him but his parents Mike and Joanne can
help in making critical decisions. The patients and his parents need to be told all relevant
information including the risks of a kidney transplant as well as the probable outcome of the
operations. There is also a donor and the patient should know what might happen to the
donor and the risks of donating a kidney. Both the donor and the patient also need to be
informed of their chances of survival after the transplant and the expected mental and social
implications thereafter.
©2019. Grand Canyon University. All Rights Reserved.
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)
The four principles are non-hierarchical and, therefore, none of the principles can
trump another. This is a general principle governing the four principles but in reality,
Christians believe that there is the concept of a lesser evil. In this sense, some principle
carries more weight than the other and are likely to be considered first or prioritized in the
event a decision need to be made (Sperry, 2017). When two or more principles conflict with
each other, it is more likely that Christians will apply their common knowledge based on
Christian teachings to decide which principle should trump over the other. The principle of
justice is the most important principle according to the Christian worldview. This is a
principle that requires all patients who are equal to get equal opportunity for treatment. No
patient should be considered more special than the other and no one should be denied the
opportunity to qualify for equal treatment. This is the most important principle because it
rhymes with Christian teachings that all people are equal before the eyes of the lord.
The principle of nonmaleficence is the second most important principle according to
the Christian view, this principle requires us not to intentionally harm or injure a patient
intentionally. Patients should be exposed to minimal risk at all time, this principle is
important to Christians because the Bible requires us to treat each other as we would want to
be treated. The principle of respect for autonomy is the third most important principle and
lastly, the principle of beneficence is the least important according to the Christian view.
©2019. Grand Canyon University. All Rights Reserved.
References:
Maville, J. A., & Huerta, C. G. (2018). Health promotion in nursing. Clifton Park, NY: Thomson
Delmar Learning.
Sperry, L. (2017). The ethical and professional practice of counseling and psychotherapy.
Boston: Pearson/Allyn and Bacon.
Werth, J. L., & Blevins, D. (2017). Decision making near the end of life: Issues, developments,
and future directions. New York: Routledge.
©2019. Grand Canyon University. All Rights Reserved.
Course Code
PHI-413V
Class Code
PHI-413V-O501
Criteria
Content
Percentage
70.0%
Decision-Making and Principle of Autonomy
20.0%
Decision-Making, Christian Perspective, and the
Principles of Beneficence and Nonmaleficence
20.0%
Spiritual Needs Assessment and Intervention
(CoNHCP 5.2)
30.0%
Organization, Effectiveness, and Format
30.0%
Thesis Development and Purpose
7.0%
Argument Logic and Construction
8.0%
Mechanics of Writing (includes spelling,
punctuation, grammar, language use)
5.0%
Paper Format (use of appropriate style for the
major and assignment)
5.0%
Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to
assignment and style)
5.0%
Total Weightage
100%
Assignment Title
Benchmark – Patient’s Spiritual Needs: Case Analysis
Unsatisfactory (0.00%)
Decisions that need to be made by the physician and the
father are not analyzed according to the principle of
autonomy.
Decisions that need to be made by the physician and the
father are not analyzed according to the Christian perspective
and the principles of beneficence and nonmaleficence.
How a spiritual needs assessment would help the physician
assist the father determine appropriate interventions for his
son, his family, or others involved in the care of his son is not
analyzed.
Paper lacks any discernible overall purpose or organizing
claim.
Statement of purpose is not justified by the conclusion. The
conclusion does not support the claim made. Argument is
incoherent and uses noncredible sources.
Surface errors are pervasive enough that they impede
communication of meaning. Inappropriate word choice or
sentence construction is used.
Template is not used appropriately, or documentation format
is rarely followed correctly.
Sources are not documented.
Total Points
200.0
Less than Satisfactory (65.00%)
Decisions that need to be made by the physician and the
father are analyzed from both perspectives, but the analysis
according to the principle of autonomy is unclear. Analysis is
not supported by the case study, topic study materials, or
Topic 3 assignment responses.
Decisions that need to be made by the physician and the
father are analyzed according to the Christian perspective
and the principles of beneficence and nonmaleficence, but
the analysis is unclear. Analysis is not supported by the case
study, topic study materials, or Topic 3 assignment responses.
How a spiritual needs assessment would help the physician
assist the father determine appropriate interventions for his
son, his family, or others involved in the care of his son is
analyzed, but unclear. Analysis is not supported by the case
study, topic study materials, or Topic 3 assignment responses.
Thesis is insufficiently developed or vague. Purpose is not
clear.
Sufficient justification of claims is lacking. Argument lacks
consistent unity. There are obvious flaws in the logic. Some
sources have questionable credibility.
Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register) or word
choice are present. Sentence structure is correct but not
varied.
Appropriate template is used, but some elements are missing
or mistaken. A lack of control with formatting is apparent.
Documentation of sources is inconsistent and/or incorrect, as
appropriate to assignment and style, with numerous
formatting errors.
Satisfactory (75.00%)
Decisions that need to be made by the physician and the
father are clearly analyzed from both perspectives, but the
analysis according to the principle of autonomy lack details.
Analysis is not supported by the case study, topic study
materials, or Topic 3 assignment responses.
Decisions that need to be made by the physician and the
father are clearly analyzed according to the Christian
perspective and the principles of beneficence and
nonmaleficence but lacks details. Analysis is not supported by
the case study, topic study materials, or Topic 3 assignment
responses.
How a spiritual needs assessment would help the physician
assist the father determine appropriate interventions for his
son, his family, or others involved in the care of his son is
clearly analyzed but lacks details. Analysis is not supported by
the case study, topic study materials, or Topic 3 assignment
responses.
Thesis is apparent and appropriate to purpose.
Argument is orderly, but may have a few inconsistencies. The
argument presents minimal justification of claims. Argument
logically, but not thoroughly, supports the purpose. Sources
used are credible. Introduction and conclusion bracket the
thesis.
Some mechanical errors or typos are present, but they are
not overly distracting to the reader. Correct and varied
sentence structure and audience-appropriate language are
employed.
Appropriate template is used. Formatting is correct, although
some minor errors may be present.
Sources are documented, as appropriate to assignment and
style, although some formatting errors may be present.
Good (85.00%)
Decisions that need to be made by the physician and the
father are clearly analyzed from both perspectives with
details according to the principle of autonomy. Analysis is
supported by the case study, topic study materials, or Topic 3
assignment responses.
Decisions that need to be made by the physician and the
father are clearly analyzed with details according to the
Christian perspective and the principles of beneficence and
nonmaleficence. Analysis is supported by the case study,
topic study materials, or Topic 3 assignment responses.
How a spiritual needs assessment would help the physician
assist the father determine appropriate interventions for his
son, his family, or others involved in the care of his son is
clearly analyzed with details. Analysis is supported by the
case study, topic study materials, or Topic 3 assignment
responses.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and
appropriate to the purpose.
Argument shows logical progression. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.
Prose is largely free of mechanical errors, although a few may
be present. The writer uses a variety of effective sentence
structures and figures of speech.
Appropriate template is fully used. There are virtually no
errors in formatting style.
Sources are documented, as appropriate to assignment and
style, and format is mostly correct.
Excellent (100.00%)
Decisions that need to be made by the physician and the
father are analyzed from both perspectives with a deep
understanding of the complexity of the principle of
autonomy. Analysis is supported by the case study, topic
study materials, or Topic 3 assignment responses.
Decisions that need to be made by the physician and the
father are analyzed with deep understanding of the
complexity of the Christian perspective, as well as with the
principles of beneficence and nonmaleficence. Analysis is
supported by the case study, topic study materials, or Topic 3
assignment responses.
How a spiritual needs assessment would help the physician
assist the father determine appropriate interventions for his
son, his family, or others involved in the care of his son is
clearly analyzed with a deep understanding of the connection
between a spiritual needs assessment and providing
appropriate interventions. Analysis is supported by the case
Thesis is comprehensive and contains the essence of the
paper. Thesis statement makes the purpose of the paper
clear.
Clear and convincing argument presents a persuasive claim in
a distinctive and compelling manner. All sources are
authoritative.
Writer is clearly in command of standard, written, academic
English.
Comments
All format elements are correct.
Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of
error.
Points Earned

Purchase answer to see full
attachment

Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service.

Tags:
APA

nursing theories

nursing practice

Spirituality

Grand Canyon University

PHI413V

Healing and Autonomy

Leave a Reply

Your email address will not be published. Required fields are marked *