Healing and Autonomy Case Study
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From the viewpoint of the Christian worldview, the physician's duty is to provide the best possible care to James while also respecting Mike and Joanne's religious beliefs and autonomy. However, it's important to note that this autonomy is shared with James, the patient, whose life and wellbeing are the primary concern. The physician has an ethical obligation, under the principle of beneficence, to intervene when a child's life is at risk, even if it conflicts with the parents' religious beliefs.
In this case, Mike's decisions, though guided by faith, could be detrimental to James's health. Herein lies the conflict: the physician respects Mike and Joanne's faith and their right to make decisions for their child, but he must also prioritize James's wellbeing.
This dilemma should be approached with compassionate communication. The physician should explain the medical implications and potential risks associated with delaying treatment, ensuring that Mike and Joanne are making fully informed decisions. Engaging a hospital chaplain who could bridge the gap between the medical perspective and the family's faith might also be beneficial (Hanson & Doukas, 2009).
Therefore, while Mike's faith-guided decisions should be respected, the physician has a professional responsibility to James, whose life is in immediate danger. It is not a question of disrespecting patient autonomy but a matter of safeguarding a child's life. Ultimately, the goal should be to integrate their faith into a medically sound treatment plan.
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A common Christian belief is that both health and sickness are aspects of life that can serve to bring individuals closer to God. Sickness is always uncomfortable, but through a Christian lens it can be viewed as a test or opportunity for spiritual growth, resilience, and reliance on God. The Book of Job is a classic case of one who undergoes sickness and loss but never loses faith in God. In the same light, health, on the other hand, is seen as a blessing from God and a reward for faithfulness.
Regarding medical intervention, many Christians believe that God works through...
…believes about God's intervention in the medical process.With this information, the physician could better tailor discussions and interventions to align with the family's spiritual beliefs. For example, the physician could affirm that seeking medical interventions, like dialysis or a kidney transplant, does not signify a lack of faith but could be viewed as one of the ways God provides healing. The physician could also encourage the family to engage their faith community in supportive roles, such as praying with them, providing emotional support, or helping them understand medical information within their religious context.
The spiritual needs assessment could also help the physician engage other members of the healthcare team, like chaplains or social workers, who could provide additional spiritual care and support. For instance, a chaplain could offer guidance on theological questions Mike might have, like the perception of illness and healing in the Christian worldview.
In this way, a spiritual needs assessment can foster a more holistic approach to care. If he considers the spiritual dimension, the physician can promote a deeper level of understanding,…
References
"Advance Directives," by Hanson and Doukas, from The Penn Center Guide to Bioethics (2009).
"Palliative Care," by Weigand, from The Penn Center Guide to Bioethics (2009).
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