Applying the Four Principles: Case Study

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications Beneficence and NonmaleficencePatient Preferences Autonomy
Beneficence: A state in which the healthcare practitioner ensures that they prevent causing harm against other individuals. The healthcare practitioner considers James’s twin brother as more likely to match; therefore, the screen and test his brother. Nonmaleficence:  this principle ensures that the health care professional performs their duty diligently by not inflicting harm to their patient or any individual reason. The reason for performing screening and tests on James’s twin brother is to ensure that he is a compatible donor. Before any medical procedure is done on him, that can endanger his life.Regarding the case study, James is still young due to his age. Therefore, he is not in a position to make a rational decision concerning his life and health. James’s parents take the responsibility of ensuring that they make a good decision concerning their son’s health and future life. Their decision is that James should be put on dialysis as apparent they know what is good for their son and it is willing to take any risk that will see their son get better.
Quality of Life Beneficence, Nonmaleficence, AutonomyContextual Features Justice and Fairness
Even though the parent has the right to make the decision(autonomy) on behalf of the patient James of taking him to the religious healer, the need to consider the principle of Nonmaleficence refers not to inflict harm. According to the case study, the healthcare practitioner decided to screen and test the twin brother for organ transplant to ensure that he matches that of James before they begin conducting the transplant (Fried, & Fisher, 2018).  The purpose of testing and screen the twin is to ensure that they prevent any harm at all costs to both James and his twin brother. Therefore, making the medical procedure to be successful. The healthcare professional has a responsibility of following the principle of beneficence by overruling the parent decision and beginning dialysis to James so that they can be able to boot his healthJustice refers to the behavior of an act of being quality. James’s father is struggling with making a good decision regarding the doctor’s suggestion of letting James’s brother be the organ donor. In this scenario, the doctor has an obligation to provide James enough information while asking the twin brother if he can consider saving his brother’s life by being an organ donor through participating in the procedure.    

Part 2: Evaluation

Answer each of the following questions about how the four principles and four boxes approach would be applied:

  1. In 200-250 words, answer the following: According to the Christian worldview, how would each of the principles be specified and weighted in this case? Explain why. (45 points)
Christians regard four principles to be important in solving different healthcare-related problems. While on the verge of deciding the best way action possible. In the Christian health care profession, there is a need to evaluate every medical situation properly since some entail more consideration as compared to others. According to the case study, the principle of beneficence has more weight compared to the other principle.  Even though the condition of James is stable, if he won’t get an organ transplant, he is more likely to lose his life in one year.  Therefore, the situation entails James’s parents looking on how they can save their son’s life by calling upon the twin brother to be the organ donor.  According to the Christian teaching, human life is sacred. Therefore, Christians have an obligation to ensure that they preserve life. Both the parent and the medical practitioner have the obligation of saving James’s life. Besides saving James’s life, there is a need to ensure that James’ life is boosted. This must be done according to the principle of beneficence. Therefore, the healthcare profession and James parents are required to partner to see that James is required to serve the best health care service for his health to improve instead  
  • In 200-250 words, answer the following: According to the Christian worldview, how might a Christian balance each of the four principles in this case? Explain why. (45 points)
According to Christianity, it is important to consider that life is sacred, and therefore everything in this world happens according to the plan and will of God. Based on this principle, Christian individuals can be in apposition to balance the four principles: Beneficence, Nonmaleficence, Autonomy, and justice, by considering which among the four is considered apriority. For example, while anatomy plays a vital role in helping to promote freedom of choice among the patient. Christians are required to consider the value of beneficence and autonomy of the patient since it relates to making good decisions (Hoehner, 2018).  Through the autonomy, the parent decided to take James to the faith healer for prayers. In this case, the parent might have had an understudying of autonomy but ignored the principle of the beneficence of their son. In this case, the parament might decide to take James to the faith health, but the health care profession can overrule their decision and put James on dialysis in order to save his life. the decision of the doctor can incorporate non-maleficence and justice through providing a clear explanation to the parent such as delaying of treatment could worsen James’s condition, and it could lead to his death    



Fried, A. L., & Fisher, C. B. (2018). Emerging ethical and legal issues in clinical child and adolescent psychology. In The Oxford Handbook of Clinical Child and Adolescent Psychology.

Hoehner, P., J. (2018). Practicing dignity: An introduction to Christian values and decision making in health care. Biomedical ethics in the Christian narrative. Retrieved from

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