(Solution) Applying the Four Principles: Case Study Assignment

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart 

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.


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 Nonmaleficence

Patient Preferences


The physician attending to James suggested immediate dialysis due to fluid buildup. From this point, it can be seen that the physician applied the principle of beneficence, which upholds that procedures need to be provided with the intention of doing good to the patient involved.  This is also in line with the principle of non-maleficence, which stipulates that medical procedures should not do any harm to the patients or the members of the society (Cunha & Garrafa, 2016). The principle of autonomy typically requires that patient have the autonomy of intention, thought, as well as action when it comes to making decisions related to healthcare procedures. As such, in this case, when Mike informs the physician that they will forego the dialysis, the physician does not coerce him.  This means that the physician respects the decision of mike.

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