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Faith and healthcare reflection paper essay
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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.
Keywords: Jehovah’s Witness, blood transfusion, blood, faith.
Administration of Blood Products to Jehovah’s Witnesses
Nurses are faced with harsh realities everyday; but what happens when young lives are at stake and decisions are being handled by the parents. This paper will explore the ethical dilemmas that come with Jehovah’s Witnesses and pediatric patients. “Jehovah’s Witnesses are a Christian denomination with many beliefs that stand out from mainstream Christianity. They are known for their potent evangelism and their unique translation of the Bible called the New World Translation of the Holy Scriptures” (Beliefnet, 2014). Some of the beliefs that Jehovah’s witnesses have involve many contemporary issues; they stand strongly against abortion, homosexuality, divorce and blood transfusions.
Blood transfusions and ingesting blood is prohibited and considered wrong. Bone marrow are left to the individual and his principles to decide; other types of medical treatment are permitted. (Beliefnet, 2014). Jehovah’s Witnesses do not allow blood transfusions base...
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...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).
According to Florida Statute 381.0041, donation and transfer of human tissue requires informed consent. Patients or legal representatives are to be informed of any procedure or transfusion and are legally required to give consent (2011); when the case involves a child whose life is in danger, the hospital may ask the court system to void the parent’s approval in order for the child to receive the treatment or blood products.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Ethical issues are present in every aspect of healthcare. Ethical dilemmas in the Neonatal intensive care unit (NICU) are especially difficult because the patient cannot express him/herself. It is therefore the responsibility of the parents to make the decisions regarding treatment. It is the nurse’s job to advocate for the patient to ensure that they are receiving the best possible care. The cost of care, termination of treatment, and the nurses’ role in the termination of treatment are all factors that are included in the care of patients that are suffering in the NICU.
Competent adults have the legal right to make decisions about their own health care without being challenged by a physician. However, in some instances, those same competent adults cannot make medical decisions for their children without the courts stepping in and overriding the parents’ legal rights. One of the most challenging and complicated task as a parent is to make a medical decision about their child that could mean life or death (The Canadian Bar Association, 2012).
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).
In the medical profession, doctors and nurses run into ethical dilemmas every day whether it be a mother who wants to abort her baby or a patient who has decided they want to stop cancer treatment. It is important for the nurse to know where they stand with their own moral code, but to make sure they are not being biased when educating the patient. Nurses are patient advocates, it is in the job description, so although the nurse may not agree with the patient on their decisions, the nurse to needs to advocate for the patient regardless.
Harmening, D. M. (2005). Modern Blood Banking & Transfusion Practices. Philidelphia, PA: F.A. Davis Company.
“A man who has had sex with another man within the last five years, whether oral or anal sex, with or without a condom or other form of protection, is not permitted to donate blood and must please not do so.”
In the past there has not been an incredible amount of research done on the moral distress of neonatal nurses, but as Kain (2006) pointed out, the research that has been done has been conducted in the form of qualitative studies including surveys and interviews (p. 247). It could be assumed that the everyday obligations a N...
For those of us who work in an acute care setting nursing is more about vital signs, electrolyte imbalances, arrhythmias, respiratory status and mental status changes just to mention a few of the things that demand our attention on a day to day basis. However, at times we are faced with issues that call into play ethical decision and hence it is important to understand ethical concepts that can influence such decisions. Concepts such as scientism, relativism, post modernism have been recognized as playing a key role in the conflict between science and religion. A conflict that has hindered an important healthcare goal of holistic patient care (Grand Canyon University, 2015).
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
The ethical situation in question is a culmination of intolerance, ignorance, cultural insensitivity, and failure to follow hospital protocols and procedures. The location of the facility in which the ethical dilemma took place is a small, rural hospital in the Midwest of the United States of America. A new male patient has been admitted and he is currently a practicing Muslim. The facility does not have a large Muslim population and does not have any cultural protocols in place to accommodate the Muslim religion.
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.
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
Neonatal resuscitation is intervention after a baby is born to strengthen it’s breathe or to boost its heartbeat. Approximately 10% of neonates require some assistance to begin breathing at birth, but only 1% require serious resuscitative measures. Informed consent regarding neonatal resuscitation is a constant ethical debate. This discourse ordinarily occurs between doctors and parents; parents often feel that the decision has been made for them, believing that they were not fully informed of any consequences that may occur before making their final action plan, or thinking that their opinion was not taken seriously; however, doctors see the procedure in a different light, that the parents can’t choose the best option for the child regardless of counseling, or performing as the parents wished but believing that the result could have differed if the parents had known all the effects that it will have further down the line, or convinced that they would have made a better
The question arises whether a person’s claim to determine what transpires to their bodies afore and postmortem should be respected. Traditional medical ethics lean toward preserving the rights of the person. This translates into the act of not harvesting organs from the living or deceased unless valid consent has been obtained. The basis of this ethical policy lies in the deontological theories that were established by our philosophical forefathers, such as, John Locke and John Stuart Mill. Refusing to acknowledge the individual rights of a potential donor; the doctor, or medical facility is committing an act of ethical betrayal of the donor, the family, the institution of medicine and the law. Thus, the individual rights of the donor must be upheld to the highest ethical degree.