Lawry K, Slomka J, Goldfarb J
Cleveland Clinic Foundation, Department of Pediatrics, OH 44195, USA.
Clin Pediatr (Phila). 1996 Jun;35(6):317-21. doi: 10.1177/000992289603500605.
Persons with religious beliefs that conflict with mainstream medical practice create a tension for clinicians between honoring the different religious perspectives of the individual or carrying out what they believe to be their professional obligation. This is a patient presentation of an adolescent Jehovah's Witness who refuses blood transfusions. The major issue in this patient is the conflict among three values (1) respect for religious beliefs, (2) respect for a competent person's right to refuse treatment, and (3) the ability of an adolescent to make good decisions for himself. Other dilemmas presented by this patient are the lack of a coordinated plan of care, the lack of communication with the patient and family, and the lack of attention to social factors that influence the patient's situation and his resulting care.
宗教信仰与主流医疗实践相冲突的患者，给临床医生带来了一种两难境地：是尊重个人不同的宗教观点，还是履行他们认为的职业义务。这是一位拒绝输血的青少年耶和华见证人的病例报告。该患者面临的主要问题是三种价值观之间的冲突：（1）尊重宗教信仰；（2）尊重有行为能力的人拒绝治疗的权利；（3）青少年为自己做出明智决定的能力。该患者还存在其他困境，包括缺乏协调的护理计划、与患者及其家人缺乏沟通，以及忽视影响患者状况及其后续护理的社会因素。
