PHI 413 Benchmark – Patient’s Spiritual Needs: Case Analysis

Sample Answer for PHI 413 Benchmark – Patient’s Spiritual Needs: Case Analysis Included After Question

Assessment Description

For this final assignment, you will be tasked to review your work in the Topic 3 case study and continue to analyze the case to best determine spiritual care interventions throughout their plan of care. In particular, the focus will be on the Christian application of the four principles, as well as appropriate options in providing a patient with spiritual care.

Based on the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” and reading the topic Resources, complete the “Patient’s Spiritual Needs: Case Analysis” document in a maximum of 1,500 words, in which you will analyze the case study in relation to the following:

  • Patient autonomy
  • Christian perspective and actions related to sickness and health, principles of beneficence, and nonmaleficence
  • Spiritual needs assessment and appropriate interventions for all involved in providing care
  • Accountability that would demonstrate an ethical manner that reflects professional standards of practice and person-centered care and participatory approach to care

Note: Participatory approach to care calls for involving stakeholders, particularly the participants in a program or those affected by a given policy, in specific aspects of the evaluation process. The approach covers a wide range of different types of participation, and stakeholders can be involved at any stage of the impact evaluation process, including its design, data collection, analysis, reporting, and managing a study.

Also, person-centered care is “empowering people to take charge of their own health rather than being passive recipients of services” (WHO, 2021). This care strategy is based on the belief that patient views, input, and experiences can help improve overall health outcomes.

Support your response using only the following Topic 5 Resources:

  • Chapter 5 from the textbook Practicing Dignity: An Introduction to Christian Values and Decision-Making in Health Care
  • “Assessing Spiritual Health Through the Use of Spiritual Health Assessment Tools: Indications for End-of-Life Care”
  • “Faith-Sensitive End-of-Life Care for Children, Young People, and Their Families”

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 Health Sciences

1.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

BS Nursing (RN to BSN)

9.1: Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.

9.2: Employ participatory approach to nursing care.

9.3: Demonstrate accountability to the individual, society, and the profession.

9.5: Demonstrate the professional identity of nursing.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns with AACN Core Competencies: 2.8, 9.1, 9.2, 9.3, 9.5

A Sample Answer For the Assignment: PHI 413 Benchmark – Patient’s Spiritual Needs: Case Analysis

Title: PHI 413 Benchmark – Patient’s Spiritual Needs: Case Analysis

Issues of spiritual beliefs can affect a patient’s healthcare encounter, and patients often wish to discuss spirituality with their providers. Healthcare professionals should reflect on their faith, spiritual beliefs and practices, attitudes on faith and healing, and positive and negative spiritual experiences before assessing patients’ spiritual needs. The purpose of this assignment is to analyze the case study about Mike and Joanne with regard to patient autonomy, Christian perspective about sickness and health, and spiritual needs assessment.

Decision-Making and Principle of Autonomy

The physician initially respected Mike’s decision to visit a faith healing service rather than have James undergo the recommended immediate dialysis. Delaying dialysis led to James’ condition worsening, and now needed a kidney transplant. Parents and guardians have the responsibility and authority to make treatment decisions for their children. The decisions include declining or discontinuing treatments, including life-sustaining therapies. Nonetheless, parents’ decisions should be based on the child’s best interests (White, 2020). Healthcare professionals have a right to challenge parental decisions that are evidently not in the child’s best interest. Thus, the physician has the right to challenge Mike’s decisions regarding James’ treatment if they are irrational or likely to harm the child.

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

The Christian perception of sickness is that God did not create sickness or suffering and did not wish sickness to exist. A Christian may consider sickness and suffering as illusions that can be stopped, healed, or fixed through prayer. Sickness reminds Christians of the fall of man and its consequences on human beings’ spiritual and physical lives. According to Camara and Rosengarten (2021), Christians believe that sickness occurs to remind them of their weakness and that good health is attained by the Lord’s grace and not by a person’s strength or ingenuity. Sickness prevents spiritual pride from dwelling in Christians’ hearts. Besides, it enables Christians to shift their priorities from earthly focus to heavenly focus.

On the other hand, a Christian may view health as a reflection of God’s love. The Christian perception of health does not refute that some individuals are facing sickness and will need treatment and care (Camara & Rosengarten, 2021). Instead, a Christian considers that health requires that the community acknowledges sickness so that the persons who are sick may be restored to health and that the person who is sick remains part of the community even when their health is not restored. Moreover, Christians believe that they should take care of their health to avoid getting sick through preventive measures.

A Christian may think about a medical intervention as a way to alleviate sickness and healing and restore their health. A Christian must have faith in recommended medical interventions to be healed of sickness and suffering and must understand the nature of God and God’s laws. Declining treatment is regarded as neglecting one’s health. In the Scripture, Jesus acknowledged that sick persons need physicians and did not condemn using them (Camara & Rosengarten, 2021). Similarly, Christians should recognize that they need treatment when facing illness since God gave human beings the intelligence to develop medicines and treat ailing bodies. 

Mike should acknowledge the importance of medical treatments in improving his son’s condition. He should consent to his son undergoing treatment, given that the physician and nephrologist have been trained and have the knowledge and expertise to manage his son’s condition. Mike should understand that delaying James’ treatment further may deteriorate his condition and put him at risk of adverse outcomes, including death. Mike should continue having faith that God will heal his son, but this will only happen if he allows James to undergo treatment (Green, 2021). He should understand that the treatments are in the best interest of his son and should thus prioritize them when still praying for him. This upholds the principles of beneficence and nonmaleficence since it will promote better health outcomes for James and prevent adverse outcomes.

Spiritual Needs Assessment and Intervention

Understanding a patient’s spiritual needs is fundamental to providing effective and holistic care. Conducting a spiritual need assessment can help the physician build trust and rapport with Mike, strengthen the provider-patient relationship, and increase the effectiveness of the relationship. Green (2021) explains that practical outcomes associated with a spiritual needs assessment include increased adherence to the recommended lifestyle changes and compliance with therapeutic recommendations. Besides, the spiritual needs assessment enables patients to identify spiritual and emotional challenges affecting their physical and mental health (Green, 2021). Thus, the assessment helps to identify and address the spiritual issues that enable patients to identify an effective healing or coping mechanism.

A spiritual needs assessment can enable the physician to support Mike in making treatment decisions for his son. This is because it emphasizes empathetic listening, documenting a patient’s spiritual preferences for future reference, and integrating the principles of a patient’s faith beliefs into treatment plans (Camara & Rosengarten, 2021). The spiritual needs assessment can enable the physician to encourage Mike to utilize the resources of his spiritual beliefs for overall wellness. When Mike identifies the spiritual challenges he is facing from the assessment, he can identify ways to address them. Addressing the spiritual challenges will help him make rational decisions about James’ treatment and act in his son’s best interest.

Professional Standards of Practice

The physician should keep in mind that the last time he respected Mike’s right to autonomy, the patient’s condition deteriorated, necessitating more complex treatment. The physician has an ethical and legal duty to advocate for the child’s best interests when the parents’ decisions are potentially harmful to the child’s health or are imprudent. As a general rule, the physician should challenge parental decisions if they place the child at significant risk of severe harm (White, 2020). If the physician and James’ parents cannot reach a satisfactory resolution through respectful discussions and consultation on ethics, the physician can involve the State child protection agency or get a court order to proceed with the required treatment.

Conclusion

The physician has the right to challenge Mike’s decisions regarding James’ treatment if they are unreasonable or are not in the child’s best interest. This would mean overlooking his right to patient autonomy but would be upholding beneficence and nonmaleficence. Christians view health as a gift from God and sickness as a consequence of the fall of man. However, they believe in taking necessary measures to alleviate sickness, like seeking medical care and adhering to medical interventions. Mike should consent to the recommended treatment to treat James’ condition while at the same time having faith that God will heal his son.

References

Camara, C., & Rosengarten, L. (2021). Faith-sensitive end-of-life care for children, young people and their families. British Journal of Nursing30(5), 276-279.

Green, C. A. (2021). Assessing Spiritual Health through the Use of Spiritual Health Assessment Tools: Indications for End-of-Life Care. The International Journal of Health, Wellness and Society11(1), 189.

White, N. (2020). Practicing dignity: An introduction to Christian values and decision making in health care. Retrieved from https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/home