J.B. is a 27 year-old Caucasian female, who is married and has had one child previous to this pregnancy. J.B. and her husband identify as Jehovah Witness’s and plan to raise their children under that same religious ideology. Being a Jehovah Witness has a large impact on the type of medical care that can be provided for J.B. and her baby. For example, under no circumstance would my patient accept a blood transfusion or eat any food prepared with blood products. In addition, J.B. requested that she did not want any pharmaceutical interventions during labor including Pitocin, analgesics, or an epidural. On Monday the 2nd, J.B. had reached her 41st week mark into her pregnancy but has requested to not be induced. Due to that decision, the provider …show more content…
Goodner did was tell the nurses to get 10 mL of Pit ready. Following orders, Jen drew up the Pitocin and brought it over to J.B. Without asking if she wanted the medication, Jen began telling the patient what Pitocin was, it’s benefits, and where she was going to inject it. While J.B. was trying to bond with her new baby boy, she had to quickly tell the nurse that she did not want the Pitocin. Immediately, Dr. Goodner advised J.B. to take the medication because it would help stop bleeding quicker. J.B. acknowledged what he was saying, but wanted to stick with her plan of a natural birth. After things calmed down, the provider assessed her bleeding and reported a 1st degree laceration. Dr. Goodner also suggested that J.B. have a stitch or two in order for her tear to heal quicker and straighter. The patient said that if she would be fine medically, she would not like the stitches. The doctor respected her decision and did not repair the laceration. Overall, J.B. was very patient and nicely rejected all the medical interventions offered; however, I could tell that she was getting frustrated with continually being advised to accept different interventions. I believe that if J.B.’s primary OB provider had been in town, the delivery would have gone a different way, the way J.B. initially
...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 .
Lastly, in spite of significant advances in the diagnosis and treatment of illnesses, quality of patient care is affected when the hospital's treatment team confronts a variety of ethical and medical dilemmas when treating patients with different religions do not accept all types of medical interventions. For example, the population of Jehovah’s Witnesses is approximately eight million worldwide, hence as diversity increases, hospitals will need to understand this religion to provide satisfactory health outcomes. Hospitals need to recognize and understand that Jehovah’s Witnesses refuse blood transfusions based on the bible commandment to “abstain from blood”, where people of this religion do not ingest blood (eating meat with blood in it)
As physicians’, they should have secured an adequate level of care for the child. Melissa Rowland has a diagnoses of ODD, in which the symptoms and causations are quite clear in her case. As my own moral compass, raising a child with nothing but respect, grace and love is vital. On both physicians’ and government officials’ hands, they two failed to observe the consequences and neglect twin B would receive. Melissa received no options, as they held her strictly accountable of her actions. Her patient autonomy was eventually disrespected after three hospital visits. However, for all the right reasons because the children she produced were suffering internally. In my own views, it is ultimately wrong to force another individual, unborn or born, to face crucial circumstances due to selfishness. Melissa demonstrated pure selfishness through her history of mothering, lack of concern for her well being and others, and her criminal record. Though, she had the right to refuse care but eventually sought treatment, all in all her freedom was somewhat granted back to her. Melissa does indeed have a right to privacy, and the right to refuse care. Despite that, the well-being of another human being was placed into the hands of an individual who expressed no regards for justice, equality, and
Jehovah Witnesses is believed to have started by Charles Taze Russell, back in 1872. Russell was told Jesus would be coming back soon and so he started to focus on the Bible. Russell had different ideas of the doctrine and decided to start a class to teach his beliefs and ideas.
patients to know that I have a license to heal and not a license to
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Jehovah’s Witnesses, a sect of the Adventist movement, founded in 1872 by Charles Taze Russell are one of the most unusually strict biblical literalist groups in the world. They are strict to their interpretation of scripture to a fault, as intentional communities go this, as most religion based groups, is one which depends upon the charisma of the biblical character Jesus while looking almost yearningly forward to the “end of days” a time during which the supposedly wicked will be cast into purgatory and the chosen will ascend to heaven, and the righteous will inherit the earth to live in paradise for eternity.
Step 1: patient education. The information that is given to the patients should be accurate, thorough, and easy to understand. We need to discuss the options with Gwen and Nicole. Apparently, they have the choice of termination or continuation of the pregnancy. If they choose to continue the pregnancy, they have the option of keeping the baby or putting it up for adoption once it’s born. In order to make an informed decision of whether to keep the baby or not, the couple need to have a comprehensive understanding of the medical conditions that the baby may have if it’s born, the responsibilities that they will face to take care of the baby, and the possible impacts of those responsibilities on their relationship and family life. The doctors and nurses have the responsibilities to deliver the information, help the couple to understand the situation, and answer any questions that they have. As nurses, we need to be unbiased and non-judgmental. Support the couples’ decision anyway we can. Ideally, information should be delivered
...dical emergency where there is not time to wait for court overruling, the staff is not legally obligated to obtain parental permission; in this case two consultants should make an entry in the patient’s chart that procedure or transfusion was necessary to save the patient’s life. As a consequence and overruling from the court system, the state withdraws parental decision in order to protect and promote health of the child (Effa-Heap, 2009).
For my field experience activity I choose to go and visit the Jehovah’s Witness Kingdom Hall in Cumming, Georgia. I choose this particular location because not only did it represent a religious sector that I was very uninformed of, but this specific building is one that has been there for almost 15 years now and I would say I have driven by it without paying it any mind just about 5-6 times a week for several years. The Kingdom Hall is made entirely out of red brick. The Kingdom Hall building is a simple setup. They have a general meeting area with about 150 seats inside and a podium for speaking purposes. They have a couple of additional rooms for storage purposes and multipurpose areas like a kitchen and other open areas for different things.
In my previous role as a Licensed vocational nurse, I worked in the outpatient setting, Perinatology, where there are high-risk pregnant patients. The patient I helped take care of, was early in her pregnancy, approximately 29 weeks, and was a patient who had been seen in this clinical office
"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.
Josie’s story was painful to watch as a mother. I can only try to imagine the pain and anger her family has had to endure. It saddens and angers me personally to know a mother’s concerns were dismissed without a second thought when she knows her daughter better than anyone else. I cannot understand why the nurses and doctors would not address her concerns, no harm comes from taking a few moments to re-analyze the situation. I do not think I could partner with the same people that caused the untimely death of my child. I understand Josie’s family did so to implement a safety protocol to prevent other families from the same fate, and I admire their bravery in doing so. No one should be in a situation where their wellbeing is at risk due to a medical error.
...e no harm inflicted on the mother and there would be no need to go the hospital in the first place. However, Doctors have many years of experience to know what a woman needs when it comes to medical procedures.
In the Covenant House, The general principle of Fidelity and Responsibility means that the agency will depend on their staff to lead in the proper way of showing others how to work together. The ethical general principle of Fidelity and Responsibility is not met because of the way the staff conducts themselves