Blood Transfusion

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Learning Objectives:-
  • Revision of Jehovah's witness' treatment requirements
  • Advance directives: when it is acceptable to implement them? Are there any situations where an advance directive can be negated (e.g. by a change in circumstance).
  • Proxy consent
  • Capacity decisions in an incapacitated patient

  Legal Aspects of the case

  Ethical Issues Raised

  In Clinical Practice

    • Mental Capacity Act 2005
    • Advanced Directive to Refuse Specified Medical Treatment - Hospital Information Services

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Vres says...
I presume that right of refusal applies to other religions as well right? Not just jehovah's witnesses?
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Whistler replied...
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newbie says...
I recently found out that different Jehovah's witnesses also have different views on blood products etc. Whilst most refuse transfusions, some also refuse their own salvaged blood if it has left the body - so in these cases even blood salvage machines do
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newbie replied...
not help, and alternative blood products/treatments need to be used
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Chrissy replied...
Thanks! Just read up on that. Yeah the 4 main blood products (WBC, RBCs, platelets, plasma) are definite no no for JWs, but say fractionated stuff (immunoglobulins) would be a personal choice
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almostadoctor says...
Just found some new information that peopel might find useful: Jehovah's Witness patients do a new advance directive every 4 eyars, but elderly JW do a new advance directive refusing blood every year (just so medical team prefer a contemporanous account
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Author: Salaj Masand

Editors: Philip Xiu, Jacky Wong

Voice actors: Tom Jones, Jacky Wong