Nursing
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.
| Medical IndicationsBeneficence and Nonmaleficence | Patient PreferencesAutonomy |
| In healthcare provision, medical indication refers to the clinical information which is needed to help in the diagnosis of the patient. A medical indication is also helping in revealing the severity of the health problem experienced by the patient and this is helping in determining the type of treatment that should be provided to the patient. Based on Beneficence, it is necessary to act with the best intention while caring for the patient. With regard to non-maleficence, it is a requirement for the healthcare providers to prevent harm from occurring to the patients. Based on the case study, it is clear that the action of James’ parents is as per the interest of the patient even though the medical indication shows that his condition might be worse in case he is not treated. It is also evident that these parents had no intention of harming their son and made a decision of reporting back to ensure that his condition is improved. | Patient preference is the expression of patient choice. The main goal of autonomy is to focus on the right of an individual towards making a personal choice. Based on the case study, it is evident that the patient is underage and it is impossible to exercise his autonomy. Despite the above facts, it was important for James’ parents to consult with him prior to making a decision on whether is at ease with their choice. The clinician should also have helped in the situation to communicate with the parents concerning James’ right of preferences in terms of his autonomy. |
| Quality of LifeBeneficence, Nonmaleficence, Autonomy | Contextual FeaturesJustice and Fairness |
| It is the responsibility of the healthcare providers to ensure that patients are provided with important medical features of life prior to and after treatment. According to the case study, the condition of the patient appeared to be worse. However, after the dialysis process, there was a positive adjustment in terms of healthcare outcome. The condition can also be made better through kidney transplant which has been proposed to ensure that he regain his condition, James’ father is having a thought that his son i.e. brother to James should be allowed to give his kidney or have in faith with regard to the recovery of the patient. According to the first incidence, it is important for these parents to have a consultation with the patient so that his opinion can be considered in these suggestions. Depending on the faith seems to be making the situation to be worse, therefore, it is necessary to act immediately based on the interest of the patient and allow James to get a kidney transplant from the brother as suggested by his father. | Contextual features are important in determining the legal, familial, and the social setting which is greatly influencing the individuals’ decision making in terms of medication. According to the case study, it is clear that it is the faith of James’ parent that made them believe that their son will be healed. This faith is also making them believe that James will heal for the second time even though they are likely to consider kidney transplant option. Usually, justice and fairness are focusing on the quality and according to this case study, there is a conflict of interest especially when the ideal tissue which matches with that of the patient was identified from James’ brother. Therefore, James’ parents were prepared to support the idea of a kidney transplant but they are not ready to allow James’ brother to be involved in the donation. |
NAME: , DATE: JULY 11 2019
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