PHI_413V: Ethical and Spiritual Decision Making in Health Care.

PHI_413V: Ethical and Spiritual Decision Making in Health Care. Ethical and Spiritual Decision Making in Health Care Details This course introduces a Christian foundation for spiritual assessment and care with specific emphasis on biomedical ethical principles and ethical decision making within nursing practice. Students practice assessment and propose holistic interventions that take into account the dignity of the human person. These assessments and interventions contribute to the physical and spiritual well-being of individuals across the life span and the health-illness continuum. Credit Hours 3.0 PreRequisit es None coRequisite s None Course AddOns Additional Material Textbook Called to Care: A Christian Worldview for Nursing Shelly, J. A., & Miller, A. B. (2006). Called to care: A Christian worldview for nursing (2nd ed.). Downers Grove, IL: IVP Academic. ISBN-13: 7657 Textbook Bioethics: A Primer for Christians Meilaender, G. (2013). Bioethics: A primer for Christians (3rd ed.). Grand Rapids, MI: Wm. B. Eerdmans Publishing Co. ISBN-13: 7704 Electronic Resource American Nurses' Association Code of Ethics Refer to the American Nurses Association Code of Ethics for this course. id=1220&sid=13 Electronic Resource The Nuremberg Code Refer to "The Nuremberg Code" found on the U.S. Department of Health and Human Services website. Electronic Resource World Medical Association Declaration of Helsinki Refer to the World Medical Association Declaration of Helsinki for this course. Electronic Resource Philosophical Writing View the "Introduction to Philosophical Writing" video to help inform your philosophical writing assignments throughout the course. Then read, "A Brief Guide to Philosophical Writing," located by the folder icon below the video. These resources will help guide your writing process for philosophical writing. v1.1/ Topics Topic 1: Worldview Foundations of Duration: 7 days Spirituality and Ethics Description: This topic introduces how the ethos of scientism and postmodernism has exacerbated the perceived philosophical and cultural tension between science and religion. To diminish that tension, the concepts of religious sensitivity and genuine care will be introduced to challenge the contemporary ethos to make room for genuine religious and ethical dialogue in the context of health care. Objectives: 1. Define the various meanings of "spirituality" and their relevance in the context of managed care. 2. Describe the cultural, sociological, philosophical, and religious context of modern health care and medicine (i.e., pluralism, scientism, and postmodernism). 3. Explain the concepts and elements that make up a worldview and their relation to religion and culture. 4. Distinguish among values, morals, and ethics. Topic Material: Lecture Note 1. PHI-413V Lecture 1 Read Lecture 1. Textbook 2. Called to Care: A Christian Worldview for Nursing Read Chapters 1-3 from Called to Care: A Christian Worldview for Nursing. Textbook 3. Bioethics: A Primer for Christians Read the Introduction and Chapter 1 from Bioethics: A Primer for Christians. Electronic Resource 4. The Role of Spirituality in Health Care Read "The Role of Spirituality in Health Care" by Puchalski from Proceedings (Baylor University Medical Center) (2001). Gradable Items Details Points Possible Assignment Personal Worldview Inventory 100.0 Write an 800-1,000 word essay on your personal worldview. Briefly discuss the various possible meanings of the term "spirituality," and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions: What is prime reality? What is the nature of the world around you? What is a human being? What happens to a person at death? Why is it possible to know anything at all? How do people know what is right or wrong? What is the meaning of human history? Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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 Turnitin. Please refer to the directions in the Student Success Center. Discussion Question Topic 1 DQ 2 5.0 What aspects of the topic readings do you find the most interesting? What is your view of the analysis of disease and healing in the readings? Explain. Discussion Question Topic 1 DQ 1 5.0 The ethos of scientism and postmodernism has exacerbated the Gradable Items Details Points Possible perceived philosophical and cultural tension between science and religion. What is your perception of this tension? Use the lecture and the topic readings to support your response. Participation 20.0 Topic 2: God, Humanity, and Human Duration: 7 days Dignity Description: While it has a been a perennial challenge for secularism to find a basis upon which to assign human beings' intrinsic worth and dignity, the concept of human "dignity" and intrinsic value (including its implied ethical principles such as respect for persons, etc.) is inherent biblical teaching and Christian tradition. This topic reinforces how an appreciation and grasp of the concept of intrinsic human dignity is fundamental for understanding the contemporary religious context and the goals and virtues of practicing health care. Objectives: 1. Analyze contemporary philosophical and theological views regarding the nature of persons and their relation to the normative concept of "dignity." 2. Describe the cultural, sociological, philosophical, and religious context of modern health care and medicine (i.e., pluralism, scientism, and postmodernism.) 3. Evaluate how the concept of intrinsic human dignity is applied in the process of ethical decision-making. Topic Material: Lecture Note 1. PHI-413V Lecture 2 Read Lecture 2. Textbook 2. Called to Care: A Christian Worldview for Nursing Read Chapters 4-6 from Called to Care: A Christian Worldview for Nursing. Textbook 3. Bioethics: A Primer for Christians Read Chapters 2-5 and 11 from Bioethics: A Primer for Christians. Electronic Resource 4. Case Study: Fetal Abnormality Read "Case Study: Fetal Abnormality" to complete the assignment for this topic. Gradable Items Details Points Possible Assignment Case Study on Moral Status 150.0 Write a 750-1000 word analysis of "Case Study: Fetal Abnormality." Be sure to address the following questions: Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain. How does the theory determine or influence each of their recommendation for action? What theory do you agree with? How would that theory determine or influence the recommendation for action? Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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 Turnitin. Please refer to the directions in the Student Success Center. Discussion Question Topic 2 DQ 1 5.0 What is the Christian concept of the imago dei? How might it be important to healthcare, and why is it relevant? Discussion Question Topic 2 DQ 2 5.0 As you reflect on Meilaender’s readings, what is his distinction between procreation and reproduction, as well as that of being begotten versus being made? Do you agree with his description? Why or why not? Participation 20.0 Topic 3: Biomedical Ethics in the Duration: 7 days Christian Narrative Description: This topic will introduce three main bioethical methodologies in light of the Judeo-Christian tradition, including principlism, virtue ethics and casuistry. The Biblical narrative is often summarized as the story of the Creation, Fall, Redemption, and Restoration of human beings (more accurately this includes the entire created order). Concepts such as "sin" and "righteousness" and "shalom" provide a framework by which to understand the axiology within which "health" and "disease" are placed. Concepts such as "grace" and "redemption" begin to describe the explicitly Christian practice and goals of healthcare. This narrative will answer fundamental worldview questions for Christianity and provide a framework for students from which to draw Christian bioethical principles and approaches. Objectives: 1. Describe the approach of principlism to biomedical ethics. 2. Describe the Christian biblical narrative that is the framework for all Christian reflection and practice. 3. Describe Christian religious practices and morality (e.g., prayer, worship, scripture), based upon biblical teaching and Christian axiology, in relation to health care. Topic Material: Lecture Note 1. PHI-413V Lecture 3 Read Lecture 3. Textbook 2. Called to Care: A Christian Worldview for Nursing Read Chapters 7-9 from Called to Care: A Christian Worldview for Nursing. Textbook 3. Bioethics: A Primer for Christians Read Chapters 7-10 from Bioethics: A Primer for Christians. Electronic Resource 4. Bioethics Read "Bioethics" found on the Internet Encyclopedia of Philosophy website. Electronic Resource 5. Case Study: Healing and Autonomy Read "Case Study: Healing and Autonomy" to complete the assignment for this topic. Electronic Resource 6. The Four Principles of Biomedical Ethics: A Foundation for Current Bioethical Debate Read "The Four Principles of Biomedical Ethics: A Foundation for Current Bioethical Debate" by Lawrence located in the Journal of Chiropractic Humanities (2007). Website 9. American Journal of Bioethics Explore the American Journal of Bioethics website. Website 10. Presidential Commission for the Study of Bioethical Issues Explore the Presidential Commission for the Study of Bioethical Issues website. Gradable Items Details Points Possible Assignment Case Study on Biomedical Ethics in the Christian Narrative Write a 1,200-1,500 word analysis of "Case Study: Healing and Autonomy." In light of the readings, be sure to address the following questions: Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study? Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James? According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case? According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James? Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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 Turnitin. Please refer to the directions in the Student Success Center. 200.0 Discussion Question Topic 3 DQ 2 5.0 What do the four parts of the Christian Biblical Narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in Gradable Items Details Points Possible the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications. Discussion Question Topic 3 DQ 1 5.0 Principalism, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the lecture and topic readings in your response. Participation 20.0