Principlism

This case involves a five-year-old girl who has progressive renal failure and is not responding well to hemodialysis. The medical staff is considering a transplant, but its effectiveness is considered questionable at this time. However, the transplanted kidney might do very well in her case. The tissue typing indicates that she will be a difficult match. Her mother and two siblings aged 2 and 4 are not a match. The father is a match and has adequate circulatory function for the transplant.

Meeting alone with the father the nephrologist gives him the information and emphasizes that the daughter’s prognosis is uncertain with or without the kidney. The father decides not to donate the kidney because he is afraid of surgery and “lacks the courage” to undergo the procedure. He is concerned about the uncertain prognosis for his daughter even with the transplant and is hoping for a cadaver donor to become available.

The father request that the nephrologist not tell the family that he is a match because this would destroy his family. He is afraid that they will resent him for not saving his daughter. The nephrologist is uncomfortable with the request to lie to the mother and agrees to tell her that the father should not donate the kidney due to medical reasons.

Assignment:
Review the You Tube video on Principlism
1.Analyze the following case using the four principles: Beneficence, Non-maleficence, Autonomy, and Justice.
2. In what ways were the principles helpful in the ethical analysis of this case?
3.Where did the principles conflict?

This assignment doesn’t need to be in an essay format, just answer the questions related to the case study and explain the answers thoroughly. Please use one source of reference no older than 5 years.

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