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 .
Jehovah's Witnesses. What is the first thing that comes to mind when you hear that name? Preachers? Church-dwellers? "The kingdom"? That's what many around the world first think of, however you may also have thought of: the bible. This may be because you know that every belief that Jehovah's Witnesses have stems from the bible. The bible is the foundation of the religion. Living the life of a Jehovah's Witness is one of the most fulfilling ways one can lead their life.
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).
Patient A.B. was a 26 year old female who had delivered her baby girl at 0502, approximately two hours before I assumed care of the patient with my preceptor. This was her third pregnancy and all were a cesarean delivery. Gestational age at time of delivery was forty weeks and one day. Mom was group B strep negative and required no antibiotics, blood loss was approximately 400ml and baby had Apgar score of eight and nine. The patient had a very detailed birth plan which included some details such as; staying with her baby, breastfeeding, and providing
Considering the cultural values of Joe, there are several factors which will influence how The Gospel is presented and revived. Joe is from a collectivist culture, so instead of presenting things as would generally be presented in an individualist culture I must focus more on the group benefit than the personal benefit. Joe will be more interested in how the group is affected, in this case I would focus on the benefit to his family and focus on the family aspects of Christianity. Joe clearly thinks in terms of group benefit, as he often uses the phrase “for the good of the facility” when addressing issues and proposed changes.
...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).
Once I took care of a Jehovah’s Witness patient that had hemorrhaged after having a vaginal birth. She had an estimated blood loss of 1200ml. The patient’s hemoglobin results reflected a decrease from 8.0 hemoglobin level to a 6.7 hemoglobin level. The patient’s pulse was
Inappropriate delivery treatment and services, posing serious health risks or causing death to the baby and/or mother
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
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.
...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.
...Bioethical aspects of the recent changes in the policy of refusal of blood by Jehovah’s Witnesses. British Medical Journal 322(7277), 37-39.
...the consequences of their actions. If the physician in Jane’s case feels that it is necessary, he/she is allowed to seek court intervention and request the right to perform a C-section in order to save the baby. However, it is clear in Case #2 there is an emergency and therefore, there is not any time to seek court intervention. There are currently no laws in effect that penalize physicians that fail to seek court intervention (Deshpande & Oxford, 2012). However, in some cases in which a physician performs a C-section on a woman who previously refused the surgery, there may be legal ramifications. The woman may choose to press charges or seek legal action resulting in a case against the physician. As a patient, Jane has a right to make an autonomous decision regarding her healthcare and as a medical professional, the physician has a duty to respect Jane’s autonomy.
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
This journal was useful for me because it gave me the background details on why women are opting for delayed motherhood by the age of 30 or 40. Accordingly, I was able to build up my points on how it will affect the health conditions of both baby and mother and also the risk of taking that challenge.