The principle of Non maleficence is one of the biomedical ethics that apply in this case. According to this principle, physicians are required not to act intentionally in a way that has the capability of creating injury or harm to the patient. This may either happen through actions of omission or commission. In the common language, physicians as well as all other people involved should be considered negligent in the case where they or one of them imposes an unreasonable or careless risk that could end up bringing in harm to the patient (Beauchamp & James 10). In respect to this, physicians are required to be professional and careful in whatever they do, and be ready to bear the responsibility in the case where a certain procedure they have prescribed backfires. Provision of a standard and high quality level of care that reduces or avoids any incidents of harm or risk to the patient is something that is supported by our normal moral convictions, and the laws that apply to our societies as well. This is the principle that calls for competence in the field of healthcare. Medical mistakes occur and this is a very common thing in the field of healthcare (Pera 17). Even after taking into consideration the fact that medical mistakes are common, the principle urges physicians to be committed to their profession since their professional ethics requires them to give protection to the patients.
In relation to this case prompt, there is uncertainty of the medical procedure that will be taken. This is confirmed by the healthcare professional who tells the father that he is not sure whether the procedure will be successful in addressing the problem that the 5-year-old girl has been undergoing. Even though compatibility between the father and his daughter has been proved through some tests, there is no assurance on the success of this procedure. Looking at this case in this manner, proceeding to carry out the kidney transplant is in a way risking the life of both the father and his daughter. In order to avoid this kind of a confusion, the doctors should have made sure that the medical procedure they are suggesting is something that has been tested and are sure about its success.
Respect for autonomy is another key principle that applies in this case. This principle applies in the case of decision making and makes an assumption that agents who are rational are involved in voluntary and in the process of making decisions in general (Lawrence 38). In healthcare settings, decisions are made on behalf of the patient in cases where the patient in not in a position to make the decision on his/her own. This happens in cases where the patient in a state where he/she is not able to make the decision on his/her own, or the age of that patient does not give him/her the freedom of making decisions (Beauchamp & James 17). In this case, the girl is very young and the reason as to why her parents were to be involved in the decision making process. The principle as well as privacy in the case of donors is a reason as to why the healthcare professional took the father of the young girl in privacy after knowing that the two are compatible. He wanted to give him an environment where he is free to make his decision about transplantation of his kidney. Determinant for whether the procedure will proceed lies in the hands of the father who has the freedom of either accepting to or refusing to donate his kidney. In the case of this prompt, the father is not willing to donate his kidney to her daughter. He goes ahead to request the physician not to break the news to his family since he does not want them to accuse him for being responsible for the death of her daughter.
Lastly, the principle of beneficence as well applies into this case prompt. The actual meaning of this is that providers of healthcare have a responsibility of being beneficial to a patient. In addition, they have a duty of making positive steps in order to remove or prevent harm from the affected patient (Beauchamp 273). This is a biomedical principle that the healthcare professional is struggling with in this case. He is determined to do all he can in order to ensure that the young girl has fully recovered from the problem she has been struggling with for 3 years. In attempts to achieve this, the healthcare professionals recommend that the girl should go for kidney transplant as they see it as the only possible way through which the problem will be addressed.
In this case, the biomedical principles I have discussed are in a conflict with certain moral and ethical issues that apply in the field of healthcare. Truth telling is one of the ethical issues that are in conflict with the biomedical principles applying to this case (Beauchamp 271). Truth telling requires healthcare professional to always make sure that they have remained professional and tell the truth always no matter how demanding the situation is. Truth telling as well requires healthcare professionals to be open to their patients or the ones close to the patient and keep him updated about the condition the patient is in. Looking into this case prompt, the father requires the nephrologist not to tell his family to avoid conflicting them. Even though the nephrologist wishes to make the decision made by the father a secret, ethics require him to be open and tell his family members about the truth.
Truth telling as well conflicts with confidentiality in the field of healthcare. The issue of confidentially in this case applies to the nephrologist who is in a dilemma of whether to keep the decision made by the father confidential to him alone or to use the principle of truth telling and tell the other family members about it. Due to the fact that a decision to donate an organ is voluntary and is determined by the donor, it is wise for the nephrologist to keep the information confidential since the father wishes for this. Even though ethics requires him to be of benefit to the patient and do all that he can to save him, there is nothing he can do in a case like this one (Lawrence 37). A physician cannot force the father to give out his organ to her daughter since this is a decision determined by the donor depending on the care he/she has towards the patient. Lastly, paternalism is an ethical issue that brings in a conflict into this case. From the past, clinicians have been making decisions for the patients as there have been a very strong belief that they are professionals, experienced and hence are the best when it comes to the choice on the type of medication a patient will be given (Beauchamp 5). In the modern field of healthcare however, application for this is not that much and currently patients are being allowed to determine the course of action taken on matters concerning their health. In this case, kidney transplant has been suggested by the healthcare professional. However, choice for the decision to be taken lies to the patient and he/she should be the one determining the type of medication to be taken.
After considering the ethical issues raised by the above conflicting ethical and moral principles, the best way to address this problem is for the healthcare professional to look for an alternate way of addressing this problem. He should forget about the choice for organ transplant due to fact that the only compatible person is not willing to become a donor. This is done in order to create a balance in the various principles applying into this case because each one has a very strong basis that require it to be considered for such a case. Applying one results into a conflict with another one that has a very strong argument as well. I consider looking for another option rather than organ transplant as the best way to address this dilemma since the only possible donor has already refused to donate his organ. Even if we conflict the principles by applying one of them, it will be of no benefit as it will not solve the case. Taking moral theory into consideration, such a decision is justifiable.
Beauchamp, Tom L. “Methods and principles in biomedical ethics.” Journal of Medical ethics 29.5 (2003): 269-274.
Beauchamp, Tom L. “The ‘four principles’ approach to health care ethics.” Principles of health care ethics (2007): 3-10.
Beauchamp, Tom L., and James F. Childress. Principles of biomedical ethics. Oxford University Press, USA, 2001.
Lawrence, Dana J. “The four principles of biomedical ethics: a foundation for current bioethical debate.” Journal of Chiropractic Humanities 14 (2007): 34-40.
Pera, Silvia Angelina. Ethics in healthcare. Juta and Company Ltd, 2011.