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Healing and Autonomy”

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Medical Indications Beneficence and Non-maleficence Patient Preferences Autonomy, Quality of Life Beneficence, Non-maleficence, Autonomy Contextual Features Justice and Fairness

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Case Study: Applying the Four Principles

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This study source was downloaded by 100000806758261 from CourseHero.com on 07-17-2022 18:04:31 GMT -05:00


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Case Study: Applying the Four Principles

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 Non-maleficence Autonomy
In order to alleviate James from potential In this case, the doctor uphold the concept of
further complications such as blood pressure autonomy by outlining the options that the
and fluid build-up, it is essential for him to parent can consider for caring for James
undergo immediate temporary dialysis taking into account his condition. As a minor,
considering that he is experiencing kidney James is not in a position to make informed
failure and strep throat complications. The decisions on the treatment he requires; thus,
father opts to rely on a traditional or faith this responsibility is left to the parents. In
healer to cure him. However, this option is James’ case, his parent decide to rely on faith
unsuccessful necessitating them to consider healer as their overlook the option for
hospital treatment. At this point, the temporary dialysis offered by the doctor.
condition has worsened resulting in James When the faith healer fails in improving the
needing a kidney transplant with his twin health of James, his parents return to the
brother, Samuel, being the only suitable hospital. All this time, James’ opinion is not
donor. Using Samuel as a donor can help considered because he is a minor.
save the life of James. However, it can leave
Samuel in danger.
Quality of Life Contextual Features
Beneficence, Non-maleficence, Autonomy Justice and Fairness
The medical recommendation suggested by The principles of fairness and justice in
the doctor would have been effective in James’ case manifest in the decision that
improving the health of James as it will help Mike and Joan are facing. Mike and Joan, as
to restore the function of his kidney although parent, are struggling with the decision of
it would be slightly uncomfortable for him. asking one child to donate an organ to save
However, he did not receive any treatment the life of his brother. The parents are
because the principle of autonomy upheld by conflicted whether it is fair for them to make
the medical practitioner gave the parents the Samuel risk his life by removing one of his
freedom to choose the next course of action, kidney to give to James without involving
which they opted to go for a faith healer, a Samuel or even considering his opinion on
decision that led to further deterioration of the issue.
James’ condition to an extent of requiring a
kidney transplant. The need to undergo
kidney dialysis while they wait for a perfect
match for kidney donor will lower the quality
of life for James. However, a successful
transplant is likely to improve his quality of
life. This option, however, risks decreasing
the quality of life of Samuel because he is the
only perfect match. This scenario brings
about the aspect of non-maleficence due to
the potential of decreasing the life of one
child to save the other.


This study source was downloaded by 100000806758261 from CourseHero.com on 07-17-2022 18:04:31 GMT -05:00


https://www.coursehero.com/file/98258322/Case-Study-Applying-the-Four-Principlesdocx/

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