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put reference right below the respond not at the end of the paper
If you were caring for a child who could be cured if given blood transfusions, but whose parents refused permission to give the transfusions due to religious beliefs, what would you do?
REPLY TO DISCUSSION
I would reiterate the option of a blood transfusion to save their child’s life. If they still refuse, I need to do my best to try to be sensitive to their beliefs. Even though this may be extremely hard and against everything I believe, I need to keep in mind that this in not my child and is not my decision to make. I would try to be as comforting and helpful as possible to the family and patient in this time of tragedy.
This is a very difficult question. I know that if it is an adult, there is no question, I would respect the requests of the patient/patient’s family. However, it is a very different situation for children. According to Chand et. al. (2014), the physician’s legal and ethical obligation rests with the patient (child) and not the parent’s wishes. However, the article also cautions healthcare professionals to try and respect the parents’ wishes, when possible, to prevent “unnecessary polarization.” If at all possible, other options should be evaluated. At the end of the day, I would search my heart, consult legal, and care for my patient in the best way I could. I feel it is also important that case management be involved, and all avenues are explored-keeping open communication between healthcare and parents. According to a practicioner that I spoke with about this, if absolutely necessary to save the child’s life, they have the power to claim emergent child protection and treat.
Chand, N. K., Subramanya, H. B., & Rao, G. V. (2014). Management of patients who refuse blood transfusion. Indian journal of anaesthesia, 58(5), 658–664. https://doi.org/10.4103/0019-5049.144680.
I would educate the parents on why the transfusion was necessary and invite them to share their concerns and reasoning for refusal. This is an ethical issue in my opinion and would warrant child protective services if the parents were unwilling to sign for life-saving measures. While I fully believe in freedom of choice, a situation such as this requires outside resources to ensure the interest of the child is protected. According to Conti et al., (2018) “when the patient is a minor, consent must be given by both parents or legal guardian. If parents are not in agreement or refuse the blood transfusion, consent must be requested at the probate judge; taking into account the degree of maturity of the minor, it is advisable to obtain his/ her assent.”
Conti, A., Capasso, E., Casella, C., Fedeli, P., Salzano, F. A., Policino, F., Terracciano, L., & Delbon, P. (2018). Blood Transfusion in Children: The Refusal of Jehovah’s Witness Parents’. Open medicine (Warsaw, Poland), 13, 101–104. https://doi.org/10.1515/med-2018-0016
question 2 needs a answer itself
Some parents are refraining from giving certain immunizations to their children. How will this affect diseases in the United States in the future? How as medical professionals can we embrace these nontraditional practices?
This has been a hot topic recently-especially with the Covid vaccine. Prior to Covid, many anti vaccers used a study that was redacted due to ethical, financial and methodological impropriety surrounding the MMR vaccine saying that it led to autism (Omer, 2020). It has since been debunked. This has led to outbreaks of measles and according to the CDC (n.d.), there were 1282 cases in 31 states in the US in 2019. So I think that many parents want to do what’s right for their kids, but a quick google search has all kinds of things come up and it’s not all true/trustworthy. As a healthcare professional, I think the most important thing that we can do when faced with a parent that is hesitant about vaccinating their child is education-what the vaccine is, what the disease is, what can happen if the child isn’t vaccinated, pros of vaccination. In the end, it is their choice. If we have children that are not vaccinated, we need to be considering these diseases when a child comes in sick.
Measles cases. (n.d.). CDC. Retrieved May 23, 2022, from https://www.cdc.gov/measles/cases-outbreaks.html.
Omer, Saad. (2020). The discredited doctor hailed by the anti-vaccine movement. Nature. Retrieved May 23, 2022, from https://www.nature.com/articles/d41586-020-02989-9.
Immunizations in history have eradicated diseases that were potentially fatal and highly contagious. The rise in anti-vaccinations has caused the U.S. to see outbreaks of viruses we thought had been eliminated. If these viruses are not kept under control, hospitals and staff will have to be prepared for outbreaks in certain areas causing overflow into their facilities. This will be especially scary for parents with children too young to vaccinate as this puts them at an increased risk for contracting the viruses.
As much as this goes against my personal beliefs for myself and my family, I need to remember that this is not my child and I have no right to make decisions for them or push my beliefs on them. Even if we do not embrace these practices it is our job to treat every patient with care and respect.
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