In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Case Study:

Healing

and Autonomy

Mike and Joanne are the

parents of James

and Samuel, identical

twins born 8 years ago. James

is

currently suffering

from

acute glomerulonephritis, kidney failure. James was originally

brought

into the hospital

for

complications associated with a strep throat

infection. The spread of the A

streptococcus infection led to the subsequent

kidney failure. James’s condition

was

acute

enough

to warrant immediate treatment. Usually cases of acute glomerulonephritis caused

by strep

infection tend to improve on their

own or with an antibiotic. However,

James

also had

elevated

blood pressure and enough fluid buildup that required temporary dialysis to relieve.

The attending physician suggested immediate dialysis.

After

some time of discussion with

Joanne, Mike informs the physician that they

are

going to forego

the

dialysis and

place

their

faith

in God. Mike and

Joanne had been moved by a sermon their pastor

had given a week ago,

and

also had witnessed

a close

friend regain

mobility when she was prayed over at a healing service

after a serious

stroke. They thought it more

prudent to take James immediately to a faith

healing

service instead of

putting

James through multiple rounds of dialysis. Yet, Mike

and Joanne

agreed to return to the hospital after the

faith healing

services later in the

week,

and in hopes that

James would

be healed

by

then.

Two days later the family returned and was forced to place

James

on dialysis, as his condition

had deteriorated. Mike felt perplexed and tormented

by

his decision to

not

treat James earlier.

Had he not enough faith? Was God punishing him or James? To make

matters

worse,

James’s

kidneys had

deteriorated such that his dialysis was now not a

temporary

matter and

was in

need

of a kidney

transplant. Crushed and

desperate,

Mike and Joanne

immediately offered to donate

one of their

own kidneys to James, but they were not compatible

donors.

Over the next few

weeks, amidst daily

rounds of dialysis, some of their close friends and church members also

offered to donate a kidney

to James.

However,

none

of them

were tissue

matches.

James’s nephrologist called to schedule a private appointment with Mike

and Joanne.

James was

stable,

given the regular dialysis, but would require a

kidney transplant

within the year. Given

the desperate situation, the nephrologist informed

Mike and Joanne

of a donor that was

an ideal

tissue match, but as of yet had not been considered—James’s brother Samuel.

Mike vacillates and

struggles to decide whether

he should

have his other son Samuel lose a

kidney or perhaps wait for God to do a

miracle this time around. Perhaps this is where the real

testing of

his faith will come in? Mike reasons, “This time around it is a

matter of life and

death.

What could require greater faith than that?”

PHI-413V Topic 5 Overview

Intervention and Ethical Decision-Making

Different models of ethical decision-making suggest

different steps and priorities, but

the important thing to note is that all models are

attempting to organize all of the

relevant information in a case so that nothing is l

eft out of consideration. Still, the way

in which all of the relevant details in a case are

considered will always take place within

the context of a worldview. As such, the most impor

tant determinant of a bioethical

decision is not a methodology but the worldview con

text in which the methodology is

functioning.

Consider, then, how the Christian biblical narrativ

e determines the values that are

deemed relevant or important in a case and how diff

erent worldviews would impact the

decision-making in different cases. In addition, th

e clinical encounter with patients will

require one to at least be familiar with what a pat

ient would need in terms of spiritual

care. It is not always expected that health care pr

oviders be experts in regards to

spiritual care.

However, it is important that they at least be faci

litators capable of recognizing a

patient’s worldview, as well as the persons and res

ources that would meet a patient’s

spiritual needs. Examine carefully the methods and

goals of a spiritual needs assessment

in helping to determine a patient’s spiritual needs

.

As has been clearly seen in previous topic overview

s, the Christian worldview revolves

around Jesus Christ and one’s relationship with God

through him. The spiritual needs of

Christians will be met by the persons and resources

that enable one to see oneself as a

child of God, and which bring hope, peace, and joy

in

the midst of suffering and

uncertainty.

Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics (2005).

URL:

https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05

Read the “Medical Record – Spiritual Assessment” located on The Joint Commission website (2018).

URL:

https://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=1492&ProgramId=46

View Rubrics Download Topic 5 Rubric: Benchmark – Patient’s Spiritual Needs: Case Analysis No of Criteria: 5 Achievement Levels: 5 Criteria Achievement Levels Description Percentage Unsatisfactory 0.00 % Less Than Satisfactory 65.00 % Satisfactory 75.00 % Good 85.00 % Excellent 100.00 % Content 90.0 Decision-Making and Principle of Autonomy 30.0 Decisions that need to be made by the physician and the father are not analyzed according to the principle of autonomy. Decisions that need to be made by the physician and the father are analyzed from both perspectives, but the analysis according to the principle of autonomy is unclear. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses. Decisions that need to be made by the physician and the father are clearly analyzed from both perspectives, but the analysis according to the principle of autonomy lack details. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses. Decisions that need to be made by the physician and the father are clearly analyzed from both perspectives with details according to the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. Decision-Making, Christian Perspective, and the Principles of Beneficence and Nonmaleficence 30.0 Decisions that need to be made by the physician and the father are not analyzed according to the Christian perspective and the principles of beneficence and nonmaleficence. Decisions that need to be made by the physician and the father are analyzed according to the Christian perspective and the principles of beneficence and nonmaleficence, but the analysis is unclear. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses. Decisions that need to be made by the physician and the father are clearly analyzed according to the Christian perspective and the principles of beneficence and nonmaleficence but lacks details. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses. Decisions that need to be made by the physician and the father are clearly analyzed with details according to the Christian perspective and the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. Spiritual Needs Assessment and Intervention (C1.2, 5.2) 30.0 How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is not analyzed. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is analyzed, but unclear. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed but lacks details. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with details. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. Organization, Effectiveness, and Format 10.0 Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0 Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0 Sources are not documented. Documentation of sources is inconsistent and/or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Total Percentage 100