Ethical principles to follow when ever treating

Doctor Patient Romance, Blood, Physician Assisted Suicide, Ethical Decision Making

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Ectopic Pregnancy as well as the Jehovah’s Witness

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It is important to be aware of cultural and religious morals within a community, especially as a health care provider, since when dealing with patients from the inside that community there can be worries that arise if the treatment violates a principle with the cultural/religious community. This would be the situation were a part of Jehovah’s Witness community to come into the hospital together with the symptom described in the case research in which the woman has ectopic pregnancy. Because it is a tenant of the Jehovah’s Witness community to reject blood transfusion, it is important that a hospital have a backing up plan for these kinds of cases in order to be able to practice “bloodless medicine” in order to save the lives of patients like the 25-year-old girl in the case situation (Ratcliffe, 2004). This paper will go over the impact of treating Jehovah’s Witnesses if the treatment requires blood transfusion.

It is a perception of Jehovah’s Witnesses the particular one should not consume blood or perhaps allow bloodstream transfusions, based on their meaning of the Holy book. This opinion is based on paragraphs within the Holy book that relate with the blood and the sacredness of life. These passages consist of Genesis 9: 4 (“But you must not consume meat which has its lifeblood still in it”), Serves 15: twenty nine (“You are to abstain from food sacrificed to idols, coming from blood, in the meat of strangled pets or animals… “), and Leviticus 17: 10 (“I will set my confront against any kind of Israelite or any foreigner residing among them who also eats bloodstream, and I can cut these people off from the people”). Furthermore, the official newsletter of the Jehovah’s Witnesses, The Watchtower, elaborates on the concepts on this idea and the methods that should be discovered by every one of the faithful – such as, boycottage from the eating or transfusion of blood (even in medical emergency. Therefore , approval of a blood vessels transfusion with a Jehovah’s Witness who does not repent is liable to be omitted from his church and viewed as a pariah simply by former close friends and associates (Muramoto, 2001). Thus, the belief has equally “spiritual” and social outcome.

To understand the positioning of the Jehovah’s Witness and also to be able to provide a more honest standard of care to such a patient, it is helpful to have a feeling of the general beliefs as well. As an example, the general morals of the Jehovah’s Witness concerning birth happen to be that “life begins by conception, ” that life is sacred, that abortion is usually sinful and should never be practiced also to save the mother’s life (DuBose, 2002, p. 6). Moreover, birthdays are not situations of party for the Jehovah’s Observe as you cannot find any Bible basis for this kind of celebrations and it is their belief that the Holy bible recommends remembering only those times that are associated with the beauty of God because the rest has pagan roots (DuBose, 2002).

The typical beliefs associated with death stipulate that the last days of the planet earth are approaching, that Armageddon as portrayed in the Holy bible will soon always be here. However, their opinions about what occurs one dies are one of a kind: they believe that “death means only the termination of mindful existence. Hell is not really eternal anguish, ” but instead a separate presence apart from those who find themselves called to Jehovah. Fatality prior to Armageddon is simply just like a sleep. non-etheless, life is continue to deemed because precious, mainly because it is a present from The almighty, and therefore Witnesses do not support suicide, as this is a rejection of the gift idea of lifestyle, which no person has the right to refuse as God features obviously required it or maybe it would not really be. This can be reconciled to the idea of declining medical treatment such as blood transfusions that could potentially assist in saving lives for the reason that spiritual or perhaps Biblical rule upon which that rejection is located supersedes the principle of embracing your life, as it is assumed that it is preferable to die using a pure notion and soul than to die having defiled it through the disregarding of one of God’s tips. Thus, a lot more to be preserved so long as it could be preserved with out offending God.

Their basic beliefs associated with illness and disease happen to be that disease is mainly the effect of any “degenerative procedure that commenced with Adam’s fall coming from grace and would not end up being reversed right up until after Armageddon” – thus, there is a certain amount of fatalism intertwined within the Jehovah’s Observe belief system, which will serve to support an acceptance of degenerative health concerns as the information of the best reversal of such issues will simply come after Armageddon (Dubose, 2002, p. 2). Concurrently, the creator of the religious beliefs expressed his belief within a psychosomatic trend in moderns, asserting that “one half the people in the world are unwell because they presume they are” (Dubose, 2002, p. 2). For this reason, anybody can discern the main reason Jehovah’s Witnesses did not create their own medical facilities, as Christian denominations have throughout history. It is their opinion that operating health care facilities would be a waste of resources since Armageddon is fast approaching and time is way better spent talking and dispersing the word of Jehovah as compared to attempting to correct or heal physical diseases that will genuinely only be recovered by God post-Armageddon (DuBose, 2002).

Jehovah’s Witnesses aren’t averse to receiving medical treatment; they simply will not view it as being as important as living for Jehovah. Their view is that anybody can receive medical care so long as it will not violate any of their principle religious tenets or methods.

With this kind of knowledge at heart, the medical team may well consider answering after ability to hear the couple’s concerns (as presented in case study) by developing a conceptual framework that is certainly respectful in the couple’s spiritual beliefs. This can be a ethical standard of practice that has been used in similar cases (Tannsjo, 2015). Proper care should be considered, however , to measure alternative means of providing proper care – for example , “bloodless treatments, ” since noted inside the study simply by Ratcliffe (2004). As Ratcliffe (2004) remarks, “bloodless medication is quality medical care making use of alternative nonblood medical managing as well as reducing blood loss” and have been an established practiced since the 1980s, as a result of “organized efforts of Jehovah’s Witnesses” in Canada and after that in the U. S. (p. 405). A bloodless treatments care plan would need to be provided and practiced by health care crew or else the individual would need to find this – but as area of the care dotacion, this alternate procedure should be discussed and the couple needs to be educated about their options instead of pushed right into a decision that no one really wants to be forced to generate. This is the many ethical approach considering the patients, their morals, and the difficulty at hand.

To find out how this approach applies to this unique problem, you should understand what is causing the pain and suffering in the ectopic pregnancy. The most common sign that occurs is abdominal pain and bleeding, as a result of the ectopic being pregnant, which is the attachment with the fertilized egg attaches and develops outside the endometrial lining of the womb. As the embryo begins to grow, bleeding and hefty cramping can occur. There can even be lightness from the head, dizziness, fainting, depending on how the female’s body responds to the pressure.

The health of the lady, of course , is of primary concern, though ethical standards support the notion a “competent adult has a ‘paramount right’ to refuse” treatment that would break religious beliefs” (Mirza, Gyamfi, 2010, l. 42). In terms of whose a lot more more important, the mother’s or maybe the baby’s – this query is not just one that can or should be asked to the Jehovah’s Witness, while the Jehovah’s Witness thinks that all a lot more a gift from God which one should not really respect one particular life no more than another life. Moreover, it must be apparent that that can be done just to save a life should be done so long as that method does not disobey a tenet or principle of that individual’s belief system.

At the same time, it should be acknowledged that the ectopic motherhood is a deadly case for the mother, who also may die from blood loss if, for instance, her ovary, where société has occurred, should broken from becoming stretched beyond the boundary by the growing baby. The risk of proceeding with a great ectopic motherhood is well-known by researchers in the medical industry. But this does not mean that ectopic pregnancies can not be delivered by simply Caesarean – which has occurred before (though without knowledge of the doctor or perhaps the mother the fact that child was ectopic) (Ertelt, 2008). However, reactions to the news from the inside the medical field were that such circumstances have the likelihood of a million to 1 of actually ending without lack of life. Which means this is not really a common experience and should certainly not be trusted in order to instill hope in the patient.

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