The recommendations and decisions made by the nurse after consultation with the child’s parent should work to yield the highest benefits to the child’s health. In this case, the physician suggests immediate dialysis which is the seems to be the most beneficial decision for James but Mike believes that preceding the dialysis and let their faith in God play its role is the best decision. According to Meilaender (2013), the principle of autonomy prevails over the other three bioethics principles. The appraisal of the principle of autonomy allows the parents to have an overall say in the whole decision making and thus the physician cannot at this point make any decision. There is a tension between the physician’s recommendations and the decision made by Mike based on the Christian values and principles. The physician knows that James will only be better with a temporal dialysis but cannot change the course of action since the Mike has decided not to undergo the process. On the other hand, Mike and the other family believe that just as God worked a miracle on the other believer with a serious stroke, He would do the same for …show more content…
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