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religious considerations in healthcare
religious considerations in healthcare
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"You shall not eat the blood of any creature, for the life of every creature is its blood" (Lev. 17:14). This is just one of the several scriptures found in the bible from which the Jehovah Witnesses base their beliefs. To summarize the above excerpt, Jehovah Witnesses strongly believe that contributing to the health of their bodies by way of any type of blood material is not intended by God’s will. However in dire cases, ethical questions need to be raised regarding the patient’s mental capacity and legal competence. In particular cases concerning minor patients, where mental capacity is accounted for, parents should not have the dominant opinion about how their child wants to receive surgery based on their own personal beliefs.
The hospital was presented with a difficult decision to make concerning a particular case involving a minor Jehovah Witness. A fifteen year old girl was brought in to the emergency room after being the subject of an automobile accident. There are four options the doctor can consider: refusal of the surgery, perform the surgery without blood considering the parent’s wishes, perform the surgery with blood respecting the decision of the patient, or complete the surgery with blood and do not inform the parents.
When asking whether or not parents should make the decision for the child in this case, concerns could be raised as to if the patient is endangered by their own parents. When a parent is basing a lifesaving decision on religious beliefs that the patient might not even reciprocate, is the parent looking out for the child or their religious reputation? In this particular case, the patient’s surgery would be a low-risk and high-benefit procedure and the patient expresses her wishes in favor o...
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...usion? Remember, Jehovah requires that we abstain from blood. This means that we must not take into our bodies in any way at all other people's blood or even our own blood that has been stored. (Acts 21:25) So true Christians will not accept a blood transfusion. They will accept other kinds of medical treatment, such as transfusion of nonblood products. They want to live, but they will not try to save their life by breaking God's laws.—Matthew 16:25.
Justice is the fourth and last principle of medical ethics. On all legal points, any of the situations the doctor can choose are perfectly legal, however, there is a conflict of interest in this case concerning the religious beliefs of the patient versus the religious beliefs of the parents and church. Is it admissible to perform the surgery knowing the legal guardians do not approve of the patient’s wishes?
...t’s family should be able decide for the patient whether or not prolonging their life is moral.
...s driven by non-maleficence, or the intent to “do no harm”. They know that withholding treatment for religious beliefs will potentially be fatal to both. While Maria is acting out of loyalty to her religious beliefs, the medical staff is acting out of loyalty to the patient’s well being and that of her unborn child. It would be unfair if no party were acting on behalf of that child. In conclusion, providers in this case must pursue every option in delivering life saving treatment for this child. This may involve legal action. If it were just Maria providers may attempt to influence her decision, but ultimately it would be up to her to refuse suggested treatment. Since her decision affects the life of the baby providers are called upon to save that child .
Furthermore, when the patient's daughter arrived and asked that the transfusion be stopped, the physician did not comply. The physician argued that there was no way of knowing before the car accident and thus he was duty bound to save her life. The patient and family took matter to court as they felt not respected and violated. The court announced the physician guilty of battery. This case illustrates that such incidents can occur and with cultural experts involved at hospitals, the number of these case incidents can reduce as physicians can be explained and taught to respect patient's autonomy and preferences for their own bodies (Panico, 2017). Therefore, cultural experts should be employed in hospitals as an official policy as the population is growing and many religions need to be fully understood to avoid any privacy or religious invasion. Cultural experts will be able to provide a better patient-doctor relationship as they will be considering the patients emotions and religious beliefs with medical intervention, representing both the patient and medical
We all can agree that blood is the most precious liquid that a human being possesses, and without it, life and existence would be diminished. Up to this date, Jehovah’s Witness have refused blood transfusion procedures due to their religion, but this issues becomes more of a predicament when it jeopardize somebody else’s life; a life of fetus in a pregnant woman. Based on Jehovah’s Witness’s Old Testament and New Testament, “It seem good to the Holy Spirit and to us not to burden you with anything beyond the following requirements: You are to abstain from food scarified to idols, from blood, from the meat of strangled animals and from sexual immortally. You will avoid these things Farewell.” (Acts 15:28-29).
Nurses are faced with ethical dilemmas in their practices often. Respecting a patient’s belief or choice, whether we think it is right or wrong, is a must. Jehovah Witness (JW) patients refuse blood transfusions and their life can be in danger, but that is their right to choose and nurses must respect that. Patients decide not to have a lifesaving surgery or chemotherapy, which is their personal decisions. We, as nurses, can educate and inform, but eventually it is the patient’s right to refuse or accept treatment. This writer feels that when good morals and character are in place, the best possible ethical decisions can be made. These decisions are not necessarily right or wrong, but the best choices for the patient and their care based on the patient’s right to
How would you resolve this ethical conflict? List three separate steps you could take to address this issue. These must be separate steps, e.g. educating the family about 3 topics counts as only one step—that is patient education. Be specific about what you would do, e.g., if you choose patient education as one step, explain what information you would cover and how you think it will address the issue. (2 points/step x 3=6 points for this question)
Jehovah's witnesses’ faith allows them to seek medical help; however, they do not accept blood transfusions. This belief arises from a biblical passage that states "Only flesh with its soul- its blood-you must not eat (Genesis 9:3-4), "You must not eat the blood of any sort of flesh, because the soul of every sort of flesh is its blood. I will set my face against that person who eats blood...Anyone eating it will be cut off” (Leviticus 17:10, 13-14). These passages are interpreted by Jehovah's witnesses as forbidding the transfusion of any blood products. The following presentation will address legal and ethical issues that can arise from this scenario.
Charlotte’s parents thought otherwise, the Ethics Advisory Committee had to get involved. The debate surrounded if the doctors were in the right to control the life of someone who were incapable of deciding themselves, or is it the parents right. The Ethics Advisory Committee, stated that the parents were superior to those of the hospital and the hospital should conduct with less painful test. Charlotte’s parents wanted the doctors to continue testing until it was determined that her life diffidently had no chance of remaining. Because, of Charlotte’s parents’ desires unfortunately caused Charlotte to die a painful death without her parents. If the patient is unable to speak for their selves, the family should be able to have some say in the medical treatment, however; if the doctors have tried everything they could do, the hospital should have final decisions whether or not the patient dies or treatment
1. Competent adults may reject even lifesaving care under the right of bodily integrity and intangibility and also, if applicable, under the constitutional right of free exercise of religion (e.g., a Jehovah's Witness refusing a blood transfusion because it is against his religious beliefs).
The nursing code of ethics highlights the need for nurses to ensure that they consider all appropriate options that would help to save the lives of their patients as well as ensure positive health outcomes. However, these nurses cannot ignore such cultural and religious beliefs thereby causing an ethical dilemma on the most favorable steps that the nurse may take in saving the life of the patient. The main question arising from this situation is whether the nurse has the mandate of supporting the patient’s right to the decision not to embark on blood transfusion or take all the necessary actions towards preventing death for the patient
A patient’s spouse or other family members have no right to override the patient’s decisions or their doctor’s understanding of them. Though, the patient’s doctor does have the right to overrule their living will. For example, if a patient’s doctor believes that going along with their wishes in spite of their living will, will harm someone else like an unborn child in a mother’s womb, he can overrule it. Circumstances defined in a person’s living will may not always concur some situations. When this happens, the patient’s medical care team will make a decision based on the “spirit” of the living will to be careful, and will contact anyone named in the patient’s living will along with their primary care doctor or clergy in attempt to spell out the patient’s desires since they are not able to overrule the living will. Clearly, when everyone involved are in agreement with the patient’s requests, the situation is made much easier. Legal and ethical dilemmas are possibly created if everyone involved is not supportive. A patient should review his or her living will every year due to advancements in science and medical treatments that may affect them in the future along with the possibility of their feelings changing, based on many factors and laws that may change over the years. There are three different types of living wills a person can make. One is a statement made by a person diagnosed with a terminal condition before any deterioration and after all medical measures have been exhausted. Another is a statement made by a person of good health and quality of life that is written prior to becoming ill. The third is a statement of issues surrounding a patient’s religious convictions which could include their spouse, stepchildren, adopted...
Faith Community Hospital, an organization who's mission statement is to promote health and well-being of the people in the communities. They serve through the extent of services provided in collaboration with the partners who share the same vision and values. Though the mission statement is the model that everyone should be following, everyone does not think the same about every issue. We all may face similar situation at one point in time but the end result may be different for each individual because we all have different values and beliefs. There are many differences between ethics, laws, beliefs, and oaths that all affect the decisions from patients to staff members. Some patients refuse to take medical services and there are staff members who refuse to provide certain services due to those value lines. Some of the staff members are caring so much for the patients that they sometimes take radical positions to respond to their well-beings. In these situations medical intervention can conflict with religious beliefs or personal moral convictions. Hospital pharmacists are even taking positions which they believe to be important such as filling uninsured prescriptions by accepting payments in installments. Staff members in ICU initiated Do Not Resuscitate procedures with out written orders. Doctors are putting patients first from various interpretations. In "right to die" situations the doctors seem to be getting too involved in compassion and passions with their patients. We need to stay focused on what our jobs are and what we are promoting which is to provide healthcare and its services to members of the communities. Counselors are also treating some of their clients with no authorization of the values and beliefs they have. On the other hand, there are some staff members within the hospital who refuse to serve patients unless they have confirmed insurance coverage. If a patient is to pass away because of unauthorized decisions, this can cause a stir with the media as well as with current or future patients in the community.
...Bioethical aspects of the recent changes in the policy of refusal of blood by Jehovah’s Witnesses. British Medical Journal 322(7277), 37-39.
VI. Some individuals requiring blood are surgical patients; burn victims; accident victims; anemics'; hemophiliacs; seriously ill babies; and persons suffering from leukemia, cancer, kidney disease and liver disease.
In view of the rising costs of blood, the hospital tried to have sensible discussions with Red Cross and their answer was quite simple and disappointing and that was, for the hospital to get other blood suppliers if it simply didn’t like their prices. Carolinas Healthcare System was not the first to get such a blatant answer and neither was it to be the last. The hospital understood that though the Red Cross had their headquarters in Charlotte, and a national blood testing lab, decisions were not made from within but from St Louis. Based on this, they would not be expecting any considerable action as St. Lois never showed any interest in solving Carolina’s