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please can I have discussion post 1 today
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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?”
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Discussion post 1
What is your definition of spiritual care? How does it differ or accord with the description given
in the topic readings? Explain.
Respond to three classmates.
Discussion post 2
When it comes to facilitating spiritual care for patients with worldviews different from your own,
what are your strengths and weaknesses? If you were the patient, who would have the final say in
terms of ethical decision-making and intervention in the event of a difficult situation?
Respond to three classmates.
Patient spiritual need’s case study
In addition to the topic Resources, 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.
2.
3.
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.
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?
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 Resources.
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.
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