Case Study - Healing and Autonomy

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Medical Indication Patient Preferences

Beneficence and Nonmaleficence Autonomy


Beneficence:- James is suffering from acute Autonomy:- Mike witnessed a close friend
glomerulonephritis accompanied with elevated regain mobility when prayed from healing
blood pressure. He required emergence dialysis services after a serious stroke. That’s why mike
for stabalizing his conditons. James condition and joanne decide to forego the dialysis and put
was critical so his parents were forced for their faith and believed in the god’s hand. But
allowing dialysis but within a year due to kidney within a week they joined hospital with a hope
failure, a transplant of kidney is required. that james heals faster after praying in healing
Nonmaleficence:- Mike vacillates and struggles services.
to decide to let his other son donate one kidney
to his brother or let have a faith to god for
happening miracle like in fantasy. This is the
real test of life and death.
Quality of Life Contextual factors
Beneficence, Nonmaleficence, Autonomy Justice and Fairness
Beneficence:-Physician after observing the Justice:- James condition was critical so james
condition of james, suggested immediate need immediate dialysis and it was james right
dialysis of diseases . For a kidney transplant to get dialysis. After a week by he got dialysis.
they found their own twin son matching Physician also don’t force and respect the james
perfectly for a kidney donor. parents’ decision forego the dialysis for the first
Nonmaleficence:- Mike was in dilemma for time they visited.
decision for allowing his other twin son as a Fairness:- James need a kidney donor and
donor of kidney or leave it into a gods hand. james twin brother Samuel was the perfect
Autonomy:- Mike saw a miracle while match for donating a kidney. is it fair for
witnessed himself regaining his close friend donating the kidney or any rights will be
when hit by stroke when prayed from a healing violated if Samuel donate a kidney? Or it is
services. So he cant take his decision for kidney right to put all those situation to handle in gods
transplant process or again to believe in god for hand?
one more time.
Introduction
There are just four main ideas or techniques that are aimed at the patients' well-being while ensuring
that no harm is done. These practices, including as swearing an oath, were utilized to ensure that
patients were safe and protected.
Evaluation
According to a Christian overview
The principle of beneficence, out of these four basic approaches or principles, is the one that most
closely matches the Christian world view viewpoint in this case study. Patients' health is deteriorating,
and they require emergency dialysis. It was the patients' right to have dialysis in order to improve his
health. Physicians also insisted on dialysis right away, adding that if the patient's kidneys failed after a
year, the patient's kidneys would need to be replaced. They only found their twin son to be a perfect
match, leaving parents in a state of confusion. God made humans in his imagination, according to the
practicing dignity, thus human dignity must be recognized and executed properly. If Samuels donates
a kidney, his parents are more concerned about whether or not anything bad may happen in the future.
The principles approach of Beauchamp and Childrens (2013) has examined the ethics between
dominants to achieve the greatest results in biomedical ethics. Samuel as a donor appears to be the
best option for his brother to regain his health, but their parents are torn between Samuel as a donor
and confidence in God's miracle, as they witnessed with their close friend who suffered a stroke after
attending healing services. Parents were also torn between putting their son's health at jeopardy after
donating to his brother.

Balance of the four principles


According on one's importance of faiths, these four principles or approaches can be ranked in a
different order.
To begin, we must consider autonomy, justice, beneficence, and nonmaleficence. According to Kant
and John, autonomy can be acknowledged as an ethical ideal if the person has rational power to make
decisions and is involved in a worthwhile relationship. In this article, the physician explains the
genuine situation of the patients and offers the best urgent solution for the parents to enhance their
children's health. Philosopher Beauchamp also discusses the autonomy of a person who is able to act
in accordance with his ethics (Beauchamp & childress,2013).
Second, justice refers to a person's fundamental right to receive all medical resources or an instant
health remedy in order to enhance their health. Justice, according to Beauchamp and Childress, also
means respecting other moral rights. Acceptable legislation must be taken into account. The
physician's primary responsibility is to improve the health of patients by providing them with the
necessary resources to improve their health.
Finally, beneficence is a vital principle for any healthcare provider that wants to deliver the greatest
and most dependable services to their patients. According to Thomas Cormick(2013), there was a
criterion that was put forward: the action taken must be correct, only good consequences should be
intended, negative effects should be avoided, and good effects must outweigh bad effects.

Conclusion
These four principles are still considering most importance one in medical fields and its practices in
these fields can brought moral changes and established intention of principalism as a moral theory
status.

References
Beauchamp T,Childress(2013).Principles of biomedical ethics. New York: Oxford University Press
Retrieved from https://doi.org/10.1159/000509119
Thomas R.Mc Cormick & D.min(2013). Principles of bioethics. Principles of bioethics.
Grand Canyon University(2020). Practising Dignity. An Introduction to Christian Values and
Decision Making in Health Care. Retrieved from Practicing Dignity: An Introduction to Christian
Values and Decision Making in Health Care (gcumedia.com)

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