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| The case study presents a dilemma to James’ parents as to whether they should follow and maintain their Christian beliefs or follow guidance from medical experts. The four principles described in principlism offer theoretical frameworks on which clinical decision-making is based. Divine healing through faith in God has been documented but remains probabilistic. A balance in the application of these principles is therefore necessary. The principles of beneficence and nonmaleficence aim to ensure optimal outcomes for the patients. Their safeguard is, therefore, critical and should not be compromised. In this case, Mike should make a decision that enables the realization of optimal outcomes for his son. He, in equal measure, should try to avoid interventions that maintain a higher level of probability. Mike also maintains autonomy over the treatment interventions for his son and whether his other son can be presented as a kidney donor.
Kidney transplants have significantly enhanced the quality of life for many patients with kidney diseases requiring a transplant. Renal transplants have also been implicated in significant reductions in morbidity and mortality in these patients (Rosselli et al., 2018). Kidney transplants are scientifically proven to be effective and remain the best option for this patient. Mike may have to compromise on his Christian belief and allow his son to undergo the scheduled transplant. He may also facilitate both interventions by allowing his son to undergo the transplant and still seek God’s healing and intervention during and after the transplant. |
Coyle, J. (2017). Spirituality and health: towards a framework for exploring the relationship between spirituality and health. Journal Of Advanced Nursing, 37(6), 589-597. https://doi.org/10.1046/j.1365-2648.2002.02133.x
Jahn, W. (2017). The 4 basic ethical principles that apply to forensic activities are respect for autonomy, beneficence, nonmaleficence, and justice. Journal Of Chiropractic Medicine, 10(3), 225-226. https://doi.org/10.1016/j.jcm.2011.08.004
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