Topic 5: Intervention And Ethical Decision-Making
Objective
1. Analyze a health care situation with an ethical dilemma for an individual patient and his or her caregivers.
2. Utilize ethical theories, principles, and a decision-making framework to propose a resolution to ethical dilemmas faced by individual clients and their caregivers.
Assignment 1
What is your definition of spiritual care? How does it differ or accord with the description given in the topic readings? Explain.
Assignment 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?
Assignment 3
Benchmark – Patient’s Spiritual Needs: Case Analysis
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. 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 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.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need 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.
Attachments
PHI-413V-RS-T3T5CaseStudyHealingAndAutonomy.docxCase 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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image1.jpegRubric Criteria
Collapse All Rubric
Decision-Making and Principle of Autonomy
60 points
Criteria Description
Decision-Making and Principle of Autonomy
5. Excellent
60 points
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
60 points
Criteria Description
Decision-Making, Christian Perspective, and the Principles of Beneficence and Nonmaleficence
5. Excellent
60 points
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 (B)
60 points
Criteria Description
Spiritual Needs Assessment and Intervention (C1.2, 5.2)
5. Excellent
60 points
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.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
10 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. Excellent
10 points
Writer is clearly in command of standard, written, academic English.
Documentation of Sources
10 points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5. Excellent
10 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Intervention, Ethical Decision-Making, and Spiritual CareBy Keith A. Evans
Spirituality is a dynamic and intrinsic aspect of humanity through which persons seek ultimate meaning, purpose, and transcendence, and experience relationship to self, family, others, community, society, nature, and the significant or sacred. Spirituality is expressed through beliefs, values, traditions, and practices. (Puchalski, Vitillo, Hull, & Reller, 2014, p. 646)
Essential Questions
· How does spirituality affect advance care planning?
· What are the similarities and differences between hospice and palliative care?
· How would a nurse explain the Christian principle(s) for administering spiritual care to patients? Why is this worldview important to the nurse and patient?
· How would a nurse complete a spiritual care intervention with a patient? What type of open-ended questions should be asked?
Introduction
All human beings seem to be born with an intrinsic desire for meaning, transcendence, purpose, and belonging. This desire is what drives all of human life from beginning to end. Any and every worldview is essentially an attempt to decipher and live out one’s ultimate meaning and purpose. Four fundamental points follow from this observation. First, all human beings desire to discover what their ultimate meaning and purpose might be. An easy way of beginning to decipher where one derives his or her ultimate purpose is to simply notice the things that one considers to be priorities in everyday life. For some, it is to make as much money as possible or to further one’s career at the cost of all else. For others, it may be family or the pursuit of comfort. Ultimate purpose is linked to what a person considers to be the most valuable and to be sought after above all else. The term
worship, often relegated to only describe religious practices, can actually describe all of human behavior because
worth-ship, the root word from which the term
worship comes, refers to ascribing ultimate value and meaning to something or someone. In short, whether religious or not, people can view that human beings are worshipers by nature.
Secondly, every person has a spiritual nature, whether he or she realizes it or not. Spirituality is informed and developed within the context of a person’s worldview. A person’s spirituality is reliant upon his or her faith, lack of faith, theological interpretations, and even how they view the origins of creation and humanity. What they value above all else is once again dependent upon what is truly real and what it means to live fully as a human being. A person’s worldview shapes his or her inner life and character, such that it is not purely an academic or intellectual question but will involve his or her emotions, thoughts, feelings, desires, and will. In the same way that all people have a worldview, all people will have or express a particular kind of spirituality, even if it is not alwayIntervention, Ethical Decision-Making, and Spiritual CareBy Keith A. Evans
Spirituality is a dynamic and intrinsic aspect of humanity through which persons seek ultimate meaning, purpose, and transcendence, and experience relationship to self, family, others, community, society, nature, and the significant or sacred. Spirituality is expressed through beliefs, values, traditions, and practices. (Puchalski, Vitillo, Hull, & Reller, 2014, p. 646)
Essential Questions
· How does spirituality affect advance care planning?
· What are the similarities and differences between hospice and palliative care?
· How would a nurse explain the Christian principle(s) for administering spiritual care to patients? Why is this worldview important to the nurse and patient?
· How would a nurse complete a spiritual care intervention with a patient? What type of open-ended questions should be asked?
Introduction
All human beings seem to be born with an intrinsic desire for meaning, transcendence, purpose, and belonging. This desire is what drives all of human life from beginning to end. Any and every worldview is essentially an attempt to decipher and live out one’s ultimate meaning and purpose. Four fundamental points follow from this observation. First, all human beings desire to discover what their ultimate meaning and purpose might be. An easy way of beginning to decipher where one derives his or her ultimate purpose is to simply notice the things that one considers to be priorities in everyday life. For some, it is to make as much money as possible or to further one’s career at the cost of all else. For others, it may be family or the pursuit of comfort. Ultimate purpose is linked to what a person considers to be the most valuable and to be sought after above all else. The term
worship, often relegated to only describe religious practices, can actually describe all of human behavior because
worth-ship, the root word from which the term
worship comes, refers to ascribing ultimate value and meaning to something or someone. In short, whether religious or not, people can view that human beings are worshipers by nature.
Secondly, every person has a spiritual nature, whether he or she realizes it or not. Spirituality is informed and developed within the context of a person’s worldview. A person’s spirituality is reliant upon his or her faith, lack of faith, theological interpretations, and even how they view the origins of creation and humanity. What they value above all else is once again dependent upon what is truly real and what it means to live fully as a human being. A person’s worldview shapes his or her inner life and character, such that it is not purely an academic or intellectual question but will involve his or her emotions, thoughts, feelings, desires, and will. In the same way that all people have a worldview, all people will have or express a particular kind of spirituality, even if it is not alwayResources
1. Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions
Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anan
… Read More
https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05
2. End of Life and Sanctity of Life, Commentary 1
Read “End of Life and Sanctity of Life,, Commentary 1,” by Reichman, from
American Medical Association Journal of Ethics
… Read More
https://journalofethics.ama-assn.org/article/end-life-and-sanctity-life-commentary-1/2005-05
3. Assessing the Spiritual Needs of Patients
Read ” Assessing the Spiritual Needs of Patients” by Timmins and Caldeira, from Nursing Standard (2017).
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