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-stru
...
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
• Group A Streptococcus infection/Strep
throat
• Acute glomerulonephritis/kidney failure caused by complications of strep throat
• High blood pressure
• Fluid retention
• Need for dialysis
Kidney replacement • James is a minor patient, the child of
Mike and Joanne.
• The physician discusses James’s condition and necessary treatment options with the parents, but they choose to decline.
• James’s parents decide to immediately take him to a faith healing service, placing their faith in God and hoping he will be healed by prayer, instead of beginning dialysis.
• James’s condition worsens over the next two days and his parents bring him back to the hospital.
• Due to his worsening health condition, he needs daily dialysis and a kidney transplant.
• With daily dialysis his condition stabilized but he still required a kidney donor within the year.
Quality of Life
Beneficence, Nonmaleficence, Autonomy Contextual Features
Justice and Fairness
• The physician strongly believed James
required immediate dialysis to prevent
further kidney damage but allowed the parents autonomy to make the health care decision on behalf of James.
• His parents opted to place their faith in God and a faith healing service.
Although the outcome wasn't fatal, James’s condition worsened placing his parents in fear and shaken faith, Contextual factors refer to immediate environment of the patient that could influence medical decisions.
• Family (James being a minor, allows his parents to make medical decisions on his behalf)
• Religion (James’s parents chose to wait for God to heal him)
• James’s parents’ religious and spiritual
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