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 Apply the 4 principles to the following case scenarios – Autonomy, Beneficence, Nonmaleficence, and Justice

A couple has three children, aged 17, 14, and 12. The 17-year-old has leukemia that has failed all attempts to date. The oncologist notes that if the next chemotherapy also fails the only hope is a bone marrow transplant. They learn that the patient has a rare tissue type no appropriate donor can be found. The parents recognize that if they had another child, this new child might have the same tissue type their oldest (the 14and 12-year olds do not have it). If so, this child could then be the needed bone marrow donor. They are referred to a fertility specialist for help in becoming pregnant (they are in their mid-forties and need in vitro fertilization due to an earlier tubal ligation) and for any help that can be given in having a child with the “right” tissue type. A new technique that has been developed which allows the physician to genetically screen embryos. After in vitro fertilization a cell is removed from each embryo and tested to see if it is the genetic match the couple is looking for. If it is, that embryo will be used for an attempt at implantation. If it is not, it is destroyed. Is this an appropriate reason to become pregnant? Is the attempt to select a compatible embryo ethically appropriate?

SCIENCE
HEALTH SCIENCE
NURSING

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