The pillars of principalism represent the four areas of consideration that must be weighed when faced with an ethical dilemma. I would rank the four ethical principles in the following order:
Comment 1
The pillars of principalism represent the four areas of consideration that must be weighed when faced with an ethical dilemma. I would rank the four ethical principles in the following order:
1.) Nonmaleficence
2.) Beneficence
3.) Respect for autonomy
4.) Justice
I believe that nonmaleficence, or the principle of not causing harm or purposeful wrongdoing onto others should be the highest ranking ethical principle (Grand Canyon University, 2015). Nonmaleficence is a core medical ethical standard but can also be applied on a broader spectrum throughout society. In a Christian, biblical narrative I believe nonmaleficence to be one of the strongest ethical pillars as well. Numerous biblical teachings and several the 10 commandments of Christian faith relate to the core concept of nonmaleficence (“Bible List Of The Ten Commandments,” 2017). Any consideration of nonmaleficence is likely to involve an examination of beneficence since they can often be considered inseparable. Beneficence is the principle of providing benefits to others. Respect for autonomy is the patient’s right to choose what happens to their body. Though this seems pretty straight forward, there is possibility for dilemma in cases where an individual is unable to make autonomous decisions. Autonomy can be seen as the limiter on how far a clinician can medically intervene for a patient. Justice is the principle of fair and equal benefits and treatment among all people. Justice may require an analyzed approach and comparison and is therefore in the lowest ranking but nonetheless a significant and crucial pillar.