A 16-year-old involved in a motor vehicle accident is brought via ambulance to the emergency room you work at. She needs an emergency blood transfusion. Her mother, a devout Jehovah’s Witness, refuses to give permission for her daughter to receive blood products because it goes against her faith.
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As a culturally and religiously sensitive nurse, how might you explain to this mother why her daughter needs blood?
What are the ethical issues raised by the mother refusing blood products for her daughter?
If the mother continued to refuse to allow her daughter to receive blood products, as a provider, what would you do?
MODEL ANSWER
Ethical Dilemmas related to Blood Transfusion
As a religiously and culturally sensitive nurse, it is critical to develop an awareness of one’s sensations, existence, nursing environment, and thoughts without creating undue impact or influence on others, especially the patients and their families (Baptista et al., 2008). In this case, I would explain to the 16-year-old’s mother the importance of blood transfusion by, first, showing respect to her religion, including the significance of their spiritual and religious beliefs before informing her that blood transfusion was important to facilitate her daughter’s healing process. I would also explain to her that blood was necessary because her daughter had lost a lot of blood following the accident and …
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By excluding it in the consent form, it is unlawful to facilitate the transfusion of blood products for a patient who has refused it. The mother of the 16-year-old refused blood transfusion for her daughter citing several ethical issues. By refusing a blood transfusion, the mother raised varying ethical issues such as the safeguarding of patient autonomy and religious freedom, which conflicted with the commitment by the nurse/physician to provide the necessary…
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A refusal by the mother to proceed with blood transfusion for a daughter results in a clear conflict between informed consent and autonomy (freedom), and medical aims (beneficence) (Petrini, 2014). In such a scenario, what I would do (as a medical provider) is to provide available options like other components of blood products other than actual blood. For instance, I would do this when there is a realistic chance that the life of the 16-year-old …
References
Baptista, R. S., Brito, V. R. S., & França, I. S. X. (2008). Ethical dilemmas in blood transfusion in Jehovah’s Witnesses: A legal-bioethical analysis. Acta Paulista De Enfermagem, 21(3), 498-503.
Petrini, C. (2014). Ethical and legal aspects of refusal of blood transfusions by Jehovah’s Witnesses, with particular reference to Italy. Blood Transfusion, 12. Doi: 10.2450/2013.0017-13
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