Applying Ethical Analysis in Clinical Practice- Utilizing the Four Principles and Four Boxes Approach Part 1: Chart
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
Beneficence and Nonmaleficence |
Patient Preferences
Autonomy |
| The attending physician suggested immediate dialysis upon realizing that James’ presenting complaint was complicated and could not resolve on its own. Additionally, the physician respected James’ parent’s decision to forgo the dialysis and place faith in God for the healing of their son.
James’ physician was able to tend to him upon their return despite James’ parents having undermined his decision for immediate dialysis. |
James’ parents decided to forgo the dialysis recommended by their son’s physician and instead seek healing from God. The physician respected this decision and allowed them to do just as they wanted.
Mike also has to decide on whether his second son Samuel will donate a kidney for their son or whether his son will receive God’s healing. |
| Quality of Life
Beneficence, Nonmaleficence, Autonomy |
Contextual Features
Justice and Fairness |
| James’ life is now dependent on dialysis and will require a kidney transplant within a year. His parents now have to decide whether James’ twin, Samuel has to lose a kidney or whether God’s miracle will manifest on their son.
James’ nephrologists recommend Samuel as the perfect kidney donor for James upon realizing that no match could be found from persons allied to James’ parents. This action, upon being successful, will greatly improve James’ quality of life. |
The physicians and the nephrologists treated the case with all fairness despite James’ parents having beliefs that are likely to impede the process of care.
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