When a Patient Refuses Life-Saving Care: Issues Raised When Treating a Jehovah's Witness

被引:11
|
作者
Panico, Megan L.
Jenq, Grace Y. [2 ]
Brewster, Ursuia C. [1 ]
机构
[1] Yale Univ, Nephrol Sect, Sch Med, New Haven, CT 06520 USA
[2] Yale Univ, Sect Geriatr, Sch Med, New Haven, CT 06520 USA
关键词
Jehovah's Witnesses; chronic kidney disease; BLOOD SUBSTITUTES; CRITICALLY-ILL; DOUBLE-BLIND; TRANSFUSION; ERYTHROPOIETIN; ANEMIA; TRIAL; TRANSPLANTATION; EXPERIENCE; MANAGEMENT;
D O I
10.1053/j.ajkd.2011.05.030
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Patients who are Jehovah's Witnesses frequently cross the path of nephrologists when they are acutely ill in the intensive care unit and stable in the long-term setting. It is important that we as a group have a rudimentary understanding of their philosophy about blood transfusion so that we can be proactive in their management. We use a case as a launching point to discuss the origins of the faith and the decision to refuse blood, as well as potential therapeutic strategies that can be used to improve the care of these patients. Improvement in our understanding as physicians will facilitate a more productive conversation with our patients about a complex and emotional issue. Am J Kidney Dis. 58(4): 647-653. (C) 2011 by the National Kidney Foundation, Inc.
引用
收藏
页码:647 / 653
页数:7
相关论文
共 50 条
  • [1] Jehovah's witness, life-saving blood transfusion and law
    Pertek, JP
    Vagner, JC
    Pertek, J
    ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 1999, 18 (03): : 385 - 386
  • [2] ETHICAL DILEMMA: WHEN A PATIENT REFUSES LIFE SAVING THERAPY
    Coleman-Pieron, R.
    Kemp, N.
    Prabhakar, A.
    Engel, L. S.
    JOURNAL OF INVESTIGATIVE MEDICINE, 2013, 61 (02) : 474 - 474
  • [3] When a Thrombus Is Life-Saving
    Elagha, Abdalla
    Farrag, Azza
    CIRCULATION, 2015, 132 (16) : E199 - E201
  • [4] Managing severe anemia when the patient is a Jehovah's Witness
    Lynn, Shannon
    McDaniel, Janet
    JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS, 2013, 26 (04): : 24 - 29
  • [5] When life-saving devices terminate life
    Catanchin, Andrei
    Anderson, Lisa
    Jones, Sue
    Ward, David
    JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2008, 19 (03) : 316 - 318
  • [6] When Life-Saving Is Life-Threatening
    Larsson, Magnus
    Rayzman, Veronika
    Nolte, Marc W.
    Nickel, Katrin F.
    Bjoerkqvist, Jenny
    Jaemsae, Anne
    Hardy, Matthew P.
    Fries, Marion
    Schmidbauer, Stefan
    Hedenqvist, Patricia
    Broome, Michael
    Pragst, Ingo
    Dickneite, Gerhard
    Wilson, Michael J.
    Nash, Andrew D.
    Panousis, Con
    Renne, Thomas
    SCIENCE TRANSLATIONAL MEDICINE, 2014, 6 (222)
  • [7] Haematological care of the Jehovah's witness patient
    Marsh, JCW
    Bevan, DH
    BRITISH JOURNAL OF HAEMATOLOGY, 2002, 119 (01) : 25 - 37
  • [8] Peripartum Care of the Jehovah's Witness Patient
    Riveros-Perez, Efrain
    Kacmar, Rachel
    CLINICAL OBSTETRICS AND GYNECOLOGY, 2017, 60 (02): : 394 - 404
  • [9] When Medicine Meets Religion: Preparing for the Bloodless Needs of the Jehovah's Witness Patient
    Mikesell, Kael Vaun
    Dore, Darcy
    Binette, Leon
    TRANSFUSION, 2017, 57 : 222A - 223A
  • [10] Psychiatric Consultation When a Patient Refuses Medical Care
    Caravella, Rachel A.
    Skimming, Kathryn
    Bradley, Mark, V
    PSYCHIATRIC ANNALS, 2023, 53 (01) : 17 - 22