1CASE STUDY: HEALING AND AUTONOMY Question no 1. The physician should not give permission to Mike to make such a decision which is illogical and injurious for the James. The physician is aware about the health situation of James and all the complication. He was knowing that the child suffers from kidney failure and requires kidney transplantation within one year. As the health care professional he must be knowing about the adverse condition that can caused in him if any immediate action is not taken. Although it the fact that God is the one who heals however, Mike and Joanne did not understood the expression that God will help those who helps himself. It means that god will help those who seek medical interference or any other type of help. Hence, it was the sole responsibility of the physician to stop the couple form making such decision which can cause lethal effect to his son. It would not mean disrespect of the patient’s autonomy as it is beneficial for their own son’s health. Autonomy is the ethical principle in which physician cannot go beyond but they are also ethically bounded to pose no harm to their patients which is regarded as non-maleficence (). Mike and Joanne has made informed decision for spiritual intervention for their child and does not rely on clinical treatment. Physician should not pose any argument for the decision but he was supposed to make rationale choice based on scientific concept for the better health outcome of his patient James and following the principle of non-maleficence on priority basis. Question no 2. Christian regards health and sickness in different manner than the physician view them. From the case study it can be said that Mike and Joanne is dependable on the matters which is connected with the Christianity. Instead of going to medical intervention, they have opted for spiritual intervention for their son James. Therefore, it is easily concluded that they see sickness
2CASE STUDY: HEALING AND AUTONOMY from the view of Christianity. Different set of value forms the faith of Christian and each of the value has their own meaning of sickness and health. According to Sulmasy (2016) it is known that Christian view sickness as the temptation of god and good health as reward by god. God punish the people for their sin by making them sick. Sickness and health is the test of faith by God. However, Kaldjian (2019) in his study has stated that some Christian belief that God send doctors to the help the people from sickness. Christians have positive thinking about the medical intervention but the belief that it will only work when it’s God will. It is good to have faith in God and they should think that it is through medical intervention by which God will send their healing power to the people. As God cannot directly to the people, he always approach by some sort of medium. If the sickness is send by God, medical intervention will help to improve the health of people. As per the study of Ferngren (2016) it is known that most of the Christian treat medical intervention as the action of God. Mike as a Christian, is aware and vigilant about their faith to God. He have strong belief to God that he is the only one who has the healing power. However, leaving his son without giving any effort to save his life is the wrong action done by him. As a Christian he should have allowed the physician to apply medical intervention such as dialysis which can help in faster healing and improving the health of his son. He would have prayed to God for the miracle by giving effective medical intervention to his son. Mike should concentrate on the saying of Sidney that “God will helps those who helps others”. The phrase simply means that God will come to rescue to those who apply some sort of intervention (Dever, 2017).God will help people by the mean of such intervention. The action of Mike as seen in the case study of leaving his son without any medical help for the miracle of
3CASE STUDY: HEALING AND AUTONOMY God has deteriorated the health of his son. Mike must have trusted God and prayed for faster recovery for his son by allowing the physician to do their work. Therefore, by intensive praying and trusting God for their action that he will not do anything wrong, would have given medical help to his Son and followed the principle of beneficence and non-maleficence in the care of James. Question no 3. Physician should have assisted Miketo determine the right interference for James for his care in the terminology of spiritual needs. Spiritual need assessment will allow the physician to support the family of patient Mike and Joanna by mean of empathic listening, encouraging the familyforspiritualtraditionsandreportingthespiritualneed(Stevens&Raferty, 2018).Physician would have made Mike understand that God will help everyone in their need spiritual choice. He would have a good communication with Mike expanding that God will help their followers when they help themselves. It is important for his son to go for medical intervention and regard it as the medium which is send by God to help them. It is good to have faith in God but having blind faith is something that God does not allow. Physician must explained that he should allow James to go for the dialysis and pray to God for the miracle to happen. He should advise them that leaving son doing nothing and waiting for the miracle to happen will heal his son health. Instead of leaving his son without any interventions, it is good give him both medical help and spiritual help by intensive praying to the God. Apart from such actions, physician must keep the James’s family view and needs as the primary focus. Therefore, the actions of the physician in ground which is related to both medical and spiritual assessment will help Mike to determine the correct intervention for James and for his parents for his effective care.
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5CASE STUDY: HEALING AND AUTONOMY Reference Dever, M. (2017).A display of God's glory. 9Marks International Ministries. Ferngren, G. B. (2016).Medicine and health care in early Christianity. JHU Press. Kaldjian, L. C. (2019). Purpose and Providence: An Outline for Christian Practical Wisdom in Health Care.Christian bioethics: Non-Ecumenical Studies in Medical Morality,25(2), 169-191. Stevens, A., & Raferty, J. (2018).Health Care Needs Assessment: The Epidemiologically Based Needs Assessment Review. CRC Press. Sulmasy, D. P. (2016). Christian witness in health care.Christian Bioethics,22(1), 45-61.