PHI 413V Benchmark-Patient Spiritual Needs Analysis Essay

PHI 413V Benchmark-Patient Spiritual Needs Analysis Essay

Benchmark-Patient’s Spiritual Needs Analysis

Nurses focus on holistic healing of individuals based on their healthcare needs. Spirituality and religion are essential aspects of attaining a holistic approach to care for nurses in different settings dealing with a host of cases and care interventions. A spiritual needs analysis allows nurses and other healthcare professionals like physicians to help navigate patient’s treatment journey and attain quality outcomes (Coverstone, 2018). The purpose of this paper is to analyze a case study concerning Mike and Joanne and the decisions that make regarding their son’s treatment intervention based on religious beliefs and biomedical principles.

Allowing Mike to Continue Making Irrational Decisions

The case study describes a situation that presents a dilemma to the physician based on biomedical principles of autonomy and beneficence. The parent’s initial decision of taking James for prayer session led to poor outcomes as it exacerbated his condition leading to immediate dialysis. The physician respected their choice based on patient’s autonomy exercised by Mike and Joanne as James’ parents since he is a minor. However, James needs immediate care and allowing Mike to make decisions that jeopardize his life is unethical. The physician cannot only provide sufficient information and ensure that there is a shared decision making moment between the team and the parents.

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Health professional have a duty to protect susceptible patients, especially minors, from medical negligence by their parents and guardians (Franco et al., 2021).The existing legal parameters may allow physicians to provide emergency care interventions without necessarily seeking consent from parents. However, the present case only demonstrates the need for parents to get sufficient information and make rational decisions on behalf of their children. While the physician can restrict Mike from making irrational decisions that are harmful to his son, the physician cannot restrict or stop him because of the principle of autonomy. Healthcare providers have a duty to offer beneficial care to pediatric patients and need to convince the parents that such decisions are the best for the child in question. The physician should demonstrate best interest for the child, offer information and hope that Mike and Joanne will heed his medical advice and not make poor decisions.

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Christian Thinking on Sickness & Health, Medical Intervention & Honoring Beneficence & Non-maleficence

The role of religion, illness, and healing is a key influence on the healthcare behaviors and individual beliefs for both practitioners and patients. The Christian worldview has a host of beliefs and perspectives on sickness and health, medical interventions and trust in God. Most Christian denominations believe that sickness and health all emanate from one’s actions and their relationship with God. Christians perceive sickness as a sign of sin and punishment for disobedience and not following God’s commandments. Some view sickness as God’s test of their faith, like Mike in this case. Some perceive sickness as an outcome of evil and forces beyond one’s control. However, health is compensation and a sign of God’s blessings (Timmin & Caldeira, 2017). Health shields Christians from evil and allows them to enjoy the good life that comes with believing in God. Conversely, Christians should not view sickness and health in these prisms but consider them as natural part of living well. Those sick should seek medical intervention while those in good health should not think that it is compensation from God only but efforts to follow medical and health advice and information.

Christians should know that medical intervention is a way of respecting God’s command to people to get medical treatment when sick and does not demonstrate a lack of faith. Jesus told His disciples to seek medical intervention by asserting that people in good health do not need a physician but the sick. The physician attends to the sick and not the healthy (Singsuriya, 2018). Therefore, Christians ought to think about medical intervention as critical to their overall health since God gives humans the medical knowledge to benefit people and praise his glory. Christians have an obligation to seek medical care since their bodies are God’s temple and should respect them by ensuring that they are soundly healthy.

Mike is a string Christian with robust faith as demonstrated when he took James for prayer session. The members of his church are also willing and ready to donate a kidney. Therefore, Mike should allow James to undergo the requisite medical intervention with the belief that God will intervene by using health care professionals to offer healing. By permitting his son to receive treatment, Mike will show that God will heal his son through prayers (Owoc et al., 2018). God can heal and cure the sick as long as they use the provisions he has offers to attain these goals. Mike should believe that the physician and his team will get favor from God and through the medical intervention treat James while He shall heal and cure him from glomerulonephritis.

Honoring the principles of beneficence and non-maleficence is critical for Mike’s attainment of holistic healing. Mike can honor beneficence by allowing his son to undergo the kidney transplant procedure to save his life (Franco et al., 2021). Mike should also allow Samuel, James’ twin brother, to donate the required kidney. Mike needs to view Samuel and the procedure recommended by the physician as the Good Samaritan who comes to the rescue of his son. Non-maleficence implores on Mike to accept the kidney transplant for James as it will not cause any harm than what he is experiencing now. The procedure will enable him to heal well. Mike should uphold his trust in God through the intervention.

Spiritual Needs Assessment

Patients’ spiritual needs are critical and have influence on their decision-making abilities. Spiritual needs assessment allows patients to understand that suffering is an inevitable part of life and should be endured and eased where possible. Different tools help patients to understand their spiritual positions through evaluation. Patients and their families seek sources of meaning in life, hope when faced with detrimental medical conditions. Spirituality has substantial influence on medical treatment and patients seek ways to handle their medical conditions through reassurances, hope, faith, and meaning that come from such sources (Timmins & Caldeira, 2017). Therefore, a spiritual needs assessment will suffice in this case to help Mike make better decisions. A spiritual needs assessment provides a context for those involved to discuss patient experiences and how to cope with the diseases and beliefs that may contravene medical decisions and actions.

Spiritual assessment tools like HOPE help physicians to evaluate patients to get broader perspectives about their perspectives on the nature of treatment interventions and how they align with their beliefs. Unmet spiritual needs are associated with decreased patient’s quality of care, satisfaction and quality of life (Franco et al., 2021). Therefore, spiritual needs assessment will provide the physician with the right information and perspective of Mike and Joanne concerning their stand on medical interventions like the recommended dialysis. The needs assessment cannot be conducted by the physician but requires the intervention of a chaplain to help evaluate Mike and the decisions that he is making about James’ treatment. The implication is that Mike requires spiritual assessment to help him understand and appreciate God’s role in the treatment of his son and permit necessary medical interventions.

Conclusion

Patients have different spiritual needs based on their religions. Christianity implores its believers to trust in God for all the medical processes and He has gifted them with knowledge to undertake critical procedures like kidney transplants and dialysis. Medical interventions are essential for better healing and cure from diseases. Mike and Joanne should make decisions that support the physician and his team to offer best care for James and enable get quality care.

References

Coverstone, S. (2018). Medicine and Health Care in Early Christianity. The National Catholic

            Bioethics Quarterly, 18(4), 751-752.https://doi.org/10.5840/ncbq201818476

Franco, H., Caldeira, S., & Nunes, L. (2021). Dignity in nursing: A synthesis review of concept

analysis studies. Nursing ethics, 28(5), 734-749. https://doi.org/10.1177/0969733020961822

Owoc, M. S., Kozin, E. D., Riemenschneider, A., Duarte, M. J., Hight, A. E., Clay, M., … &

Briggs, S. (2018). Medical and bioethical considerations in elective cochlear implant

array removal. Journal of medical ethics, 44(3), 174-179.

Timmins, F., & Caldeira, S. (2017). Assessing the spiritual needs of patients. Nursing Standard,

31(29), 47. https://doi.org/10.7748/ns. 2017.e10312.

Singsuriya, P. (2018). Ethics of Caring Conversation and Dialectic of Love and Justice. Nursing

Ethics, 25(4), 436-443. https://doi.org/10.1177/0969733016654313.

Assessment Description
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.

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.

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Rubric

All Rubric

Decision-Making and Principle of Autonomy assessment

Decision-Making and Principle of Autonomy

60 points

Criteria Description

Decision-Making and Principle of Autonomy

  1. 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.

  1. Good

51 points

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.

  1. Satisfactory

45 points

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.

  1. Less Than Satisfactory

39 points

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.

  1. Unsatisfactory

0 points

Decisions that need to be made by the physician and the father are not analyzed according to the principle of autonomy.

Decision-Making, Christian Perspective, and the Principles of Beneficence and Nonmaleficence assessment

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

  1. 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.

  1. Good

51 points

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.

  1. Satisfactory

45 points

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.

  1. Less Than Satisfactory

39 points

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.

  1. Unsatisfactory

0 points

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.

Spiritual Needs Assessment and Intervention (B) assessment

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Spiritual Needs Assessment and Intervention (B)

60 points

Criteria Description

Spiritual Needs Assessment and Intervention (C1.2, 5.2)

  1. 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.

  1. Good

51 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 details. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses.

  1. Satisfactory

45 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 but lacks details. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.

  1. Less Than Satisfactory

39 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 analyzed, but unclear. Analysis is not supported by the case study, topic study materials, or Topic 3 assignment responses.

  1. Unsatisfactory

0 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 not analyzed.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) assessment

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

10 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

  1. Excellent

10 points

Writer is clearly in command of standard, written, academic English.

  1. Good

8.5 points

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.

  1. Satisfactory

7.5 points

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.

  1. Less Than Satisfactory

6.5 points

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.

  1. Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Documentation of Sources assessment

Documentation of Sources

10 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

  1. Excellent

10 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

  1. Good

8.5 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

  1. Satisfactory

7.5 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

  1. Less Than Satisfactory

6.5 points

Documentation of sources is inconsistent and/or incorrect, as appropriate to assignment and style, with numerous formatting errors.

  1. Unsatisfactory

0 points

Sources are not documented.

 

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