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.

  1. 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.
  2. 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?
  3. 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?

Remember to support your responses with the topic study materials.

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 guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Utilize the case study and the “applying four principles” assignment that I uploaded to answer the above questions. 

Please use this reading material I have provided below as support to answer the above questions.

Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics (2005).

URL:https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05

https://search-credoreference-com.lopes.idm.oclc.org/content/entry/sppbioeth/advance_directives/0?institutionId=5865

https://journalofethics.ama-assn.org/article/end-life-and-sanctity-life-commentary-1/2005-05

https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/5

Please follow all directions given when writing this paper. Thank you. 

Case Study: Healing and Autonomy

Mike and Joanne are the parents 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?”

Case Study on Biomedical Ethics in the Christian Narrative



Courtney Taylor



Grand Canyon University



Ethics and Spiritual decision Making in Healthcare



PHI-413



Owen Smiley



June 7, 2020

Running head: CASE STUDY ON BIOMEDICAL ETHICS

CASE STUDY ON BIOMEDICAL ETHICS


Case Study on Biomedical Ethics in the Christian Narrative

Applying the Four Principles: Case Study

Part 1: Chart

Medical Indications Beneficence and Nonmaleficence

Patient Preferences Autonomy

Beneficence implies a behavior attributed to the best intent in a person’s mind, as non-beneficence stresses on trying not acting to cause suffering or injury (Beever, 2016). Mike and Joanne served on the best intents regardless of the medical implications that James’s health status would worsen if it remained untreated. They proved their intentions of not injuring their son by bringing back James to receive treatment despite their initial stand.

The expression of the patient’s choice is called patient preferences. Autonomy focuses on a person’s right to making a decision. James is an underage, eight years old, and he cannot exercise autonomy rights (Gillon, 2018). However, his parents need to consult him before making their decision. This consultation will determine whether James is okay with their decision. The physician has the power to influence this decision, but should talk to James’ parents.

Quality of Life Beneficence, Nonmaleficence, Autonomy

Contextual Features Justice and Fairness

Health status of Mike’s son before receiving medical treatment was worse. After consistent dialysis, the health status (condit