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Old 06-20-2012
tyagee's Avatar
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Default ethics dilemma...jehovahs witness need BT but brother is health power of attorney

A man is admitted for the management of neutropenia and fever frmn aplastic anemia.
His anemia is severe and his medical care requires blood in addition to antibiotics.
He is suffering from a profound delirium from the fever and has lost capacity
to understand his problems. His brother is his health-care proxy. The patient is a
Jehovah's Witness and is adamantly opposed to transfusion even if he dies, and the
brother is not opposed. The patient has clearly told both you and the brother this in
the past. The patient's brother believes that the proscription against transfusions is
"barbaric and stupid."
What should the patient's brother do?
a. Arrange a Jehovah's Witness meeting to discuss the situation.
b. Ask their parents to make the decision.
c. Ask the doctor to make the decision.
d. He should not give consent for the transfusion.
e. He should give consent for transfusion.


i have one more q to it, what will brother actual do ? if he says GIVE BT, will physician abide to and give BT ?
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  #2  
Old 06-20-2012
XpaezX's Avatar
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Quote:
Originally Posted by tyagee View Post
A man is admitted for the management of neutropenia and fever frmn aplastic anemia.
His anemia is severe and his medical care requires blood in addition to antibiotics.
He is suffering from a profound delirium from the fever and has lost capacity
to understand his problems. His brother is his health-care proxy. The patient is a
Jehovah's Witness and is adamantly opposed to transfusion even if he dies, and the
brother is not opposed. The patient has clearly told both you and the brother this in
the past. The patient's brother believes that the proscription against transfusions is
"barbaric and stupid."
What should the patient's brother do?
a. Arrange a Jehovah's Witness meeting to discuss the situation.
b. Ask their parents to make the decision.
c. Ask the doctor to make the decision.
d. He should not give consent for the transfusion.
e. He should give consent for transfusion.


i have one more q to it, what will brother actual do ? if he says GIVE BT, will physician abide to and give BT ?
According to Fischer ethical cases, you should not give the transfusion, the patient clearly stated this before hand EVENTHO he lost conciousness right now, even if his brother says thats stupid you should abide to what the patient told you.. a health care proxy is suppossed to carry on the wishes of the patient if he/she stated them in the past but right now has lost decision capacity, even if the brother opposses that decision, the transfusion should not be given.
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patelMD (06-21-2012)
  #3  
Old 06-21-2012
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I agree, D is the answer
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