Shaner D Malcolm, Prema Jateen
Narrat Inq Bioeth. 2014 Winter;4(3):253-61. doi: 10.1353/nib.2014.0071.
Religious belief can complicate the usual management of seriously ill patients when the patient is a Jehovah's Witness and the treatment is a blood transfusion. This narrative highlights critical points in a discussion of two cases wherein the process to promote an exercise of free will also becomes an exercise for the ethics consultant and healthcare team. Despite a medical care program's carefully considered additions to an electronic healthcare record, additional conversation, investigation, preparation, and an open mind are required. Helping conflicted family members and considering whether and in what context to contact the Jehovah's Witness Hospital Liaison Committee complicates the approach.
当患者是耶和华见证会成员且治疗需要输血时,宗教信仰会使重症患者的常规治疗变得复杂。本叙述突出了在讨论两个案例时的关键点,其中促进自由意志行使的过程也成为伦理顾问和医疗团队的一项工作。尽管医疗保健计划已在电子健康记录中仔细添加了相关内容,但仍需要进行额外的沟通、调查、准备,并保持开放的心态。帮助陷入冲突的家庭成员以及考虑是否以及在何种情况下联系耶和华见证会医院联络委员会,使处理方法变得更加复杂。