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

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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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