Medical Indications, Patient Preferences, Quality of Life, and Contextual Features

Applying the Four Principles
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Part 1: Chart
Healing and Autonomy
Medical Indications
Nonmaleficence and Beneficence

Patient Preferences
Autonomy

A patient's health condition is the first determinant of medical interventions. This determines the type of treatment administered to help patients cope and recover from specific ailments. Given the case of James, glomerulonephritis is believed to heal kidney issues. James is battling kidney failure, which renders him unable to pass urine easily. James is recommended to undergo dialysis after multiple examinations by his physician. According to their beneficence status, the physician's suggestion is based on best interests (Ghaly, 2016). Hence, the physician is more focused on protecting James against harm without maleficence nursing standards.

Patient autonomy is vital in the establishment of serious decisions regarding their medical condition. The patient is informed promptly of all medical interventions that the professions will administer and their side effects. Further, the patient us notified of types of ideal medication and possible consequences. In contrast, the patient's autonomy might be neglected when an individual is under critical condition or age. In this case study, Joanne and Mike are the ones who are making vital decisions regarding James because he is young. However, this does not render James's decisions unreasonable, especially when his parents' decision seems irrational. (Ghaly, 2016). In this case, the patient's autonomy appears contravened because James is not involved in decision making.

Quality of Life
Beneficence, Autonomy, and Nonmaleficence

Contextual Features
Fairness and Justice

Based on the health care dimension, life sustainability is patients' ability to live better lives accomplishing their daily routines. In accordance with patients' quality of life, healthcare professionals examine their medical condition and recommend the best treatment that better suits their lifestyle. The physician advises James to undergo kidney dialysis or transplant in accordance with nonmaleficence and beneficence principles. Quality of life is evident where Mike instructs Samuel to donate a kidney to James. Further, Mike pursues religious intervention to ensure his sons lead a good life. In contrast, the quality of life is distorted where Mike seeks spiritual intervention for his son to get better, only for the situation to worsen.

In the medical field, a patient's immediate environment refers to contextual factors. The contextual factors are believed to influence and determine patient's health decisions. In James' case, these include financial elements, family, and religion. The family counters James' rights when Joanne and Mike believe that his condition needs speculative religious intervention. Faith is the crucial hindrance of James Justice when his parents pursue religious help only for his condition to worsen. Regarding this case, it is wise to become aware that religious healing is useful during speedy recovering and not in such a situation that recusals step by step recovery. In short, James's parents' religious interventions acts against his fairn...