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Biomedical Ethics In The Christian Narrative DQ

Biomedical Ethics In The Christian Narrative DQ

Part 1: Chart

Medical Indications

Beneficence and Nonmaleficence

In order to make a diagnosis and determine treatment options, there is a need to assess medical indications exhibited by a patient. Beneficence refers to a health professional acting with best intentions to provide care to patients whereas non-beneficence encourages care providers not to do harm (Gillon, 2018). As per the case study, the surrogates of James acted in the best interest of the patient even the medical condition of James would still be worse even when treated.

Patient Preferences


Autonomy refers to the right of patients to express their choice or make a decision of care yet to be administered to them (Gillon, 2018). Even though James is an underage child, his right to autonomy must be upheld. The parents ought to have consulted the patient before making a decision on care.  The physician had limited influence to alter the decisions made by the parents.

Quality of Life

Beneficence, Nonmaleficence, Autonomy

In the healthcare setting, quality of life entail the medical features of a patient after a therapy has been administered (Gillon, 2018). As per the case study, the health condition of James was worst but improved significantly after dialysis. Conversely, the patient needs a renal replacement therapy involving a kidney transplant to improve the quality of his life. His brother can donate to him his kidney but his father has an opinion to rely on faith regarding the health status of James. The parents, however, should consult James regarding the issue because the last time they relied on faith his condition worsened (Gillon, 2018). The parents should act in the best interest so that the brother can donate the kidney to optimize the quality of health for James.

Contextual Feature

Justice and Fairness

Medical decision can greatly be influenced by familial and social factors as well as legal considerations. In the case study, James’ parents relied on faith when making decision for the health status of their son (Gillon, 2018). They focused more on religious beliefs for healing rather than receiving kidney from his bother. However, the conflict of interest arose when there was a mismatch of cells between James and his brother meaning that the latter could not donate his kidney. This made the parents were therefore willing to donate the kidney and even appealed for the goodwill of well-wishers to offer this vital organ.



Part 2: Evaluation

Four Principles most Pressing according to Christian worldview

In the Christian perspectives, beneficence emerge as the principle with the most pressing issue pertaining to the health of a patient. The argument is guided by the premise that James’ parents made decision in the interest of their ailing son. They blindly believed that James would be healed with the support from their daily prayers (SSorajjakool et al., 2017). In this context, the parents relied more on prayers rather than providing kidney to support the life of James. Other than medical support, the parents had faith that prayers also work. No one can criticize their approach and perception in life considering that they made attempts to address the health of their son despite his deteriorating health (Hubbell, Kauschinger & Oermann, 2017). They were also against the idea about the brother donating one of his kidneys to the ailing James. All these actions affirm that the parents cared for the health status of their children. In fact, when the health status of James deteriorated while receiving homecare, they took him back to the care facility for further examination. With this, the parents aimed at addressing the health of their son despite wrong decisions that they sometimes made with regard to his care.

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How a Christian might rank the Priority of the Four Principles

In an approach of health, a Christian can give priority to the four principles by starting with beneficence as it is based on one’s

Biomedical Ethics In The Christian Narrative DQ

Biomedical Ethics In The Christian Narrative DQ

goodwill regarding the health of others. According to Christian teachings, parents need to provide love to their children and this is consistent with the principle of beneficence (SSorajjakool et al., 2017). The second priority goes to nonmaleficence which points as doing no harm to patients. Christian parents should not intend or initiate activities that harm their children. The principle is based on the Christian teaching that human life is sacred and that it should be protected by everyone. Justice and fairness are ranked the third as they ensure that health service delivery is provided without preferential treatment to anyone. In Christian teaching, every human being is equal before God and this should be demonstrated during provision of care. The last ranking on the list will be autonomy which ensures that patients make decisions on medical services provided to them. Christians need to allow their patients to choose their option of care and this decision must be respected (Hubbell, Kauschinger & Oermann, 2017). The premise ensures that the dignity of every person is upheld so that one receives quality service to improve on their well-being.


Gillon, R. (2018). Principlism, virtuism, and the spirit of oneness. In Healthcare Ethics, Law and Professionalism (pp. 45-59). Routledge.

Hubbell, S. L., Kauschinger, E., & Oermann, M. (2017). Development and Implementation of an Educational Module to Increase Nurses’ Comfort With Spiritual Care in an Inpatient Setting. The Journal of Continuing Education in Nursing48(8), 358-364.

SSorajjakool, S., Carr, M. F., Nam, J. J., Sorajjakool, S., & Bursey, E. (2017). World religions for healthcare professionals. Routledge.


Good post. Bioethics is a subfield of ethics that concerns the ethics of medicine and ethical issues in the life sciences raised by the advance of technology. The issues dealt with tend to be complex and controversial (i.e., abortion, stem cell research, euthanasia, etc.). In addition, bieothics usually also involves questions of public policy and social justice. As such, the complexities of bioethical discussion in a pluralistic society are compounded. There have been several different approaches to bioethical questions put forth that have to do with the theory behind ethical decision making (Fathallah et al., 2020). Three positions have been prominent in the discussion principalism (also known as the four principle approach), virtue ethics, and casuistry. For this lecture, it will be useful to outline principalism and to describe the general contours of a Christian approach to bioethical issues


Fathallah, R., Sidani, Y., & Khalil, S. (2020). How religion shapes family business ethical behaviors: An institutional logics perspective. Journal of Business Ethics163(4), 647-659.


Every day, as we provide healthcare for people with different values living in a pluralistic and multicultural society, we are faced with ethical decisions, both little and significant.

Autonomy, beneficence, nonmaleficence, and justice are the four guiding principles. I must first clarify each of the four guiding principles:

Autonomy is the acceptance of another person’s right to choose their own path of action and the encouragement of independent judgment.

Beneficence-being compassionate, and having a strong desire to do good are all pillars of our patient advocacy.


Nonmaleficence-Core values of the medical oath and nursing ethics. Avoiding harm or hurt.


Justice -is the equitable allocation of resources after consideration of the advantages and disadvantages of various options. Justice implies that all persons, regardless of what they have contributed or who they are, have an equal entitlement to the goods provided.


I believe that nonmaleficence is essential because no one should harm another person. Then I would advise beneficence because it is imperative to avoid hurting others. Because society should divide risks and benefits equally, justice would come in third. Autonomy would be the last item to lose, because if the other three were gone, nobody would respect anyone’s autonomy. They would be placed in order of importance in the Christian narrative as beneficence, nonmaleficence, autonomy, and justice. All actions are good because they aid others. Nonmaleficence places a high importance on doing no damage .


Depending on their convictions, each person has the freedom to make their own decisions. Justice must be administered honestly, whether it be distributive, restorative, or punitive. Each person has a different viewpoint on how people should be classified but everyone needs to live in a society that is secure and safe.


Hoehner, P. J. (2020). Biomedical Ethics in the Christian Narrative. 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/#/chapter/3

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