Posted: December 6th, 2022
Patient’s Spiritual Needs.
Patient’s spiritual needs
James suffers from a medical condition that presents the need for surgical intervention that can be challenging. However, he is opposed to the surgery. It appears that his decision is influenced by multiple factors that include the effects of the medical condition on his body, the risk of surgery on his twin brother as well as the stark realization that the ailment limits his life. Patient’s Spiritual Needs.
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Not only do this factors influence his decisions, but also the desire to make the autonomous decisions that best fit him. Also included in the patient’s decision-making process is the medical personnel. That is because although the patient’s autonomy remains a major principles that guides decisions concerning treatment, the physician’s autonomy must also be considered. The physician determines if a possible intervention exists and the intervention to use, applying elements of paternalism through the use of professional expertise to influence the decision-making process. Included in the physician’s decision is the impact of care outcomes on medical personnel, and inherent drive to serve the patient in the best way possible and achieve good care outcomes. The implication is that both the patient and physician have autonomies that interact in a dynamic interface. The main objective should always be to give the patient’s preferences, values and goals primary consideration. In addition, regardless of whatever decision the patient makes, the physician will always have the responsibility of supporting that decision throughout the care process (Butts & Karen, 2018). As such, the James should be allowed to continue exercising his autonomy and making care decisions, with the physician trying to influence the decision making process and supporting the decision made. Patient’s Spiritual Needs.
Christianity views sickness as a fulfilment of the scriptures when God cast Adam and Eve from the Garden of Eden and prophesied that they would experience suffering for having denied him and sinned (Genesis 3, NIV). The implication is that sickness is to be expected as a fulfilment of the Bible scriptures, and should not be seen as punishment to any one person. In addition, sickness can be viewed as a trial of faith (Job 2:7, NIV). Still, Christianity allows for healing. This is seen in the Healing Ministry of Jesus Christ where he healed various ailments, allowing the blind to see, lame to walk, lepers to be cleansed, and deaf to hear (Luke 7:22, NIV). The healing ministry of Jesus particularly supports medical intervention, calling for compassion (John 9:1-2, NIV) and addressing the existing need (Mark 7:24-30, NIV) when handling sick persons since the ill health is not resultant of any fault of their own. As a Christian, Mike should accept that medical intervention is a continuation of the Healing Ministry of Jesus Christ in which medical personnel exhibit compassion and address his health care needs. This implies that he should be ready to support them without endangering his life.
Medical intervention is grounded on the notion that life is sacred and every person has dignity that is paramount. In this case, it applies the ethical principles of beneficence and nonmaleficence. Beneficence is concerned with acting as good Samaritans and helping others through the provision of compassionate care(Sang &Dearholt, 2018). Patient’s Spiritual Needs. Through performing acts of mercy, kindness and charity, the physician comes to the aid of the patient to relieve suffering and pain (Luke 10:29-37, NIV). The principle of nonmaleficence warns against doing any harm. It requires that the physical evaluate whether the patient requires any clinically indicated procedure or treatment, and whether the treatment will unduly burden or benefit the patient. The two principles identify that the physician has an inherent duty to provide medical care to the patient(Sang &Dearholt, 2018). While trusting in God and faithful prayer for healing (Exodus 15:26, James, 5:15, Mark 5:34, NIV), James should also trust that God can heal him through the intervention of medical personnel. In essence, the medical personnel can act as agents of God so that God heals him by directing the physicians on how to provide the appropriate care. In fact, the Bible recognizes the value of medical personnel and physicians as seen in Colossians 4:14 when Luke is described as the beloved physician. Mark 2:17 states that those who are well do not have a need for a physicians, thereby implying that those who are sick have a need for a physician. As a result, James should allow the medical personnel to treat hum while still trusting in God to direct their care and cure him.
A spiritual needs assessment identifies the specific spiritual needs of the patient while guiding the formulation of an appropriate care plan. In fact, it is fundamental to offering effective health care. In this case, the assessment helps in addressing spirituality thereby helping in the creation of a comprehensive treatment plan. After conducting a spiritual needs assessment for the patient and his family, the medical personnel will be better able to incorporate the results of the assessment into patient care. At the least, the assessment will enable the medical personnel to listen compassionately to the patient and his family. Regardless of whether they are devout in their religion and spiritual traditions, their beliefs are important to them. Through listening, medical personnel create the perception that they care for the patient and his family, and recognize spirituality as an important dimension of their lives. It is not uncommon for empathetic listening to be all that they require. Besides that, the assessment helps in documenting their openness to discussing health care topics, stated impact on medical care, background, and spiritual perspective, all information that helps in redressing the subject or spirituality in future interactions or when facing crisis and sources of meaning and comfort are required (Sang &Dearholt, 2018). Overall, the results of the spiritual needs assessment are useful in preventing a situation in which the patient and family members experience substantial psychological duress because medical personnel have unknowingly transgressed against their beliefs. Patient’s Spiritual Needs.
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.
Beneficence and Nonmaleficence Patient Preferences
When James go through dialysis, the will help decrease his high blood pressure and fluid buildup. Due to the worsening of James condition dialysis is the main thing he needs to go through for improvement. James currently needs a kidney transplant and his twin brother Samuel would be his perfect match as the ideal tissue donor. The kidney transplant will sustain James’s life put his twin brother at risk by undergoing major surgery.
Medical indications are sign or circumstance that points to or shows the cause, treatment, or some other aspect of a disease. It is also the actualities, elucidations, and suppositions about the patient’s physical and mental condition that give a sensible premise to demonstrative and helpful exercises meaning to understand the general objectives and overall goals of medication. As registered nurses, we promise to think about our patients without causing them unnecessary pain. For autonomy, Mike and Joanne needed to hold up after the recuperating administration to attempt dialysis. Even though their decision didn’t assist their child with feeling better, yet we should regard their decisions. Concerning self-sufficiency is esteemed. Healthcare practices can influence self-governance by ideals of their impacts on patients’ treatment inclinations and decisions, yet in addition on their self-characters, self-assessments and abilities for self-sufficiency (Entwistle et al, 2010). Patient’s Spiritual Needs.
The physician gave respect for the parent’s autonomy in allowing them to use their faith in God as well as faith that a healing religious service will restore their son’s health and kidney function. The doctor was respectful in allowing them to utilize their confidence and faith in God believing their child’s health and kidney function will be improved.
The father Mike who is the dad of the patient, a minor, presently is looked with the conceivably of having his other child Samuel give a kidney to his twin sibling. Mike is battling with this possibility, and feels that maybe a supernatural occurrence will occur, because he believes his faith is being tested. Patient’s Spiritual Needs.
Little is said about how the mother Joanne, feels, which raises some questions as to how freely she feels she can voice her opinion. Nothing is said about what is the choice of James or his brother Samuel, and shouldn’t they have a say so too, since this affects both?
Quality of Life
Beneficence, Nonmaleficence, Autonomy Contextual Features
Justice and Fairness
When speaking of quality and personal satisfaction, one sees the physical, mental, and for the most part otherworldly wellbeing. It is the standard of health, comfort, and satisfaction that somebody experience or a gathering of the feelings of an individual. At the point when James illness was exacerbating or getting worst, his parents returned him to the emergency clinic to get care. When he got dialysis, he felt much improved. When the health care provider told his parents that he is going to require a kidney and the main match they had right now was his sibling, the parents will ask and converse with both their children to perceive their opinion of the circumstance.
The advantages of the therapeutic treatment, dialysis, is that it will reestablish James kidney capacity, and spare his life, although there will be some transitory inconvenience with temporary dialyses. James renal capacity should come back to normal but since James and his parents utilize autonomy by choosing to rely on faith for healing, James condition has now worsened and will presently require a kidney transplant. James will undergo dialysis 3 times a week to extend his life which will be physically draining but within a year he will need a kidney transplant.
If James gets a kidney transplant from his sibling, he will have a better quality of life; his brother on the hand will have a transitory decrease after the medical procedure is done due to the recovery process. His twin brother will end up with one kidney; if something happens to that one kidney or it becomes unhealthy, his life will be in danger and would also require a kidney transplant. By Samuel giving his kidney to his twin brother, he will be sparing his brother’s life. Non-maleficence is demonstrated as Mike struggles with the idea of why he should put his other son Samuel through the ordeal of surgery, as well as the risk that come with having only one kidney. Patient’s Spiritual Needs.
According to Matthew 10:8 “Heal the sick, raise the dead, cleanse those who have leprosy, drive out demons. Freely you have received; freely give”.Most Christians will in general go directly to God for help before thinking about the medical view. Even though James’ sibling is an ideal match, regardless they need to implore and check whether God will send another decision or choice because of how young both children are. Once more, with the Autonomy and justice. It was fine for the parents and others to have the option to give their own kidney however now the parents are concerned that if the James’ sibling has a similar issue, who might have the option to support him. This is a circumstance that they should consider, and it is difficult for them to choose.
Mike and Joanne are currently in a predicament in choosing whether to allow his son Samuel to give a kidney to his twin sibling James. Some could contend and address is this choice truly Mike and Joanne’s or would it originate from Samuels? The twin siblings are incredibly close; it is only right and better for Samuel to give his kidney to his sibling as opposed to losing him. Is it not their decision to make? Apparently, Mike’s emotions and thoughts of this issue are becoming the overwhelming focus. Some may seat back and think; would it be a good idea for him to reserve the privilege to put Samuel’s life exclusively on faith? What are Joanne’s thoughts and feelings in this issue?
Mike wonders is it reasonable and fair to put Samuel through the difficulty of medical procedure, and the danger of having just a single kidney. Joanne’s emotions can be faulty or questionable. How are her emotions being communicated with respect to the gift of a kidney from one sibling to another? What part of decision making does she play a part of? Are her thoughts and feelings considered in this matter?
Part 2: Evaluation
Answer each of the following questions about how principlism would be applied:
1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)
According to the Christian worldview the principle of autonomy is the most pressing in this case. “Autonomy, or patient preference refers to the ability of patients to make choices in their health care and medical treatment according to their values, beliefs, and experiences. Patient autonomy is a major consideration in making healthcare decisions, and those receiving healthcare have a right to this autonomy, health care providers have an obligation to respect this and allow patients to make their own decisions in their medical care and treatment.”Autonomy plays a role, as the child’s father, Mike vacillates and struggles whether to have his son, Samuel, James, twin brother, and the only viable donor, go through the ordeal and risk of donating of kidney to his twin brother.
In the Bible, Gen. 2:16-17 states, “You are free to eat from any tree in the garden; but you must not eat from the tree of the knowledge of good and evil, for when you eat of it you will surely die.” Everyone has the right to make their own choices and decisions and stick with whatever consequences that may occur. It is only right for all healthcare workers to respect patient’s choicesand decisions. Patient’s Spiritual Needs.
2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)
In the Christian worldview, a Christian would rank the priorities of the four principles in this order: 1. Autonomy, 2. Beneficence, 3. Non-maleficence, and 4. Justice.
In the Christian world view, Autonomy would be ranked first. It is the “principle that mentions having respect for the decision-making capabilities of the autonomous person.” The most important point is for one’s decision to be respected and exercising of free will. The story of Adam and Eve is a perfect example of one’s free will. “God created us equal and made himself to respects free will, therefore no Christian would ever go against it.How one lives their moral code is their right’ it is their choice and should always be Respect on the person’s choices and how they live their moral code is their right and should always be acknowledged.”Therefore, autonomy is ranked first as a Christian.
Although it is a closely related for beneficence and Non-maleficence, “these principles are basically to act for the benefit of other or to do good unto others and the moral obligation to not to inflict or do no harm unto others respectively.” In respecting beneficence and non-maleficence, Christians ultimately follow the teaching as mentioned in the Bible, “Do unto others, what you want others do unto you”.
In conclusion, justice falls in fourth place. Everyone has the right to be treated equally with fairness. Everyone deserves the same level of respect and equality regardless of the situation, circumstances, social status, race, religion and gender. Patient’s Spiritual Needs.
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.
Remember to support your responses with the topic study materials.
Patient’s Spiritual Needs.
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