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1. When it comes to facilitating spiritual care for patients with  worldviews different from your own, what are your strengths and  weaknesses? If you were the patient, who would have the final say in  terms of ethical decision-making and intervention in the event of a  difficult situation?
2. What is your definition of “spiritual care?” How does it differ or  accord with the description given in the topic readings? Explain.
3. Reflect on the analysis of the sin of suicide and thus, euthanasia from  the topic readings. Do you agree? Why or why not? Refer to the lecture  and topic readings in your response.
4. How often do you engage with or witness death in  your work? How has this experience or the lack of it shaped your view of  death? Has it gotten easier or harder for you to accept the fact of  death? As you explain, include your clinical specialty.
5. What do the four parts of the Christian Biblical  Narrative (i.e., creation, fall, redemption, and restoration) say about  the nature of God and of reality in relation to the reality of sickness  and disease? From where would one find comfort and hope in the light of  illness according to this narrative? Explain in detail each part of the  narrative above and analyze the implications.
6. Principalism, especially in the context of bioethics in the United  States, has often been critiqued for raising the principle of autonomy  to the highest place, such that it trumps all other principles or  values. How would you rank the importance of each of the four  principles? How do you believe they would be ordered in the context of  the Christian biblical narrative? Refer to the lecture and topic  readings in your respons
7. As you reflect on Meilaender’s readings, what is his distinction between  procreation and reproduction, as well as that of being begotten versus  being made? Do you agree with his description? Why or why not?
8. What is the Christian concept of the imago dei? How might it be important to healthcare, and why is it relevant?
9. What aspects of the topic readings do you find the most interesting?  What is your view of the analysis of disease and healing in the  readings? Explain.
10. The ethos of scientism and postmodernism has exacerbated the perceived philosophical and cultural tension between science and religion. What is your perception of this tension? Use the lecture and the topic readings to support your response.
11. Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg. Past medical history includes: myocardial infarction (MI) x 2, peripheral vascular disease (PVD) with bilateral iliac stents, non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative joint disease. Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin. After reviewing the above scenario please answer the following questions.

• Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response.
• Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery?
• Should surgery to repair his right femur be required; what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?
• What are some special precautions that should be taken with older adults when performing a physical assessment of the musculoskeletal system?
• Fred underwent an open reduction, internal fixation (ORIF) of his right femur and is now being prepared for discharge to his home with physical therapy. Please describe the education and resources that you will include in his discharge plan to help ensure that he and his wife Margaret are prepared to resume his care at home.