Mrs. Jones is a 43 yr old mother of three children, ages 8, 10, and 13. She has been married for 16 years, is employed at a salesclerk at a local department store, and is active at her local church. The family members are Jehovah witnesses. Mrs. Jones health have been deteriorating over the past few months, and she has now been admitted for surgery for her aortic value insufficiency. She and her husband discuss the upcoming surgery with the surgeon; both she and her husband relate to the surgeon that she will not accept blood or blood byproducts from other individuals. They are fully receptive to the use of cell-saver and auto-transfussion of her own blood, but will not sign the form for other blood transfusion. The informed consent is signed, noting that non-acceptance of any blood products other than the patient's own blood. Following the surgery, Mrs. Jones hematocrit and hemoglobin values continue to decline, and it becomes apparent that she will not survive without additional blood transfusion. Using the principle of beneficence, autonomy, and fidelity, determine if the institution should continue to respect her wishes or the surgeon and the hospital administrator should seek a court order to force Mrs. Jones to accept blood transfusions.
Mrs. Jones is a 43 yr old mother of three children, ages 8, 10, and 13. She has been married for 16 years, is employed at a salesclerk at a local department store, and is active at her local church. The family members are Jehovah witnesses.
Mrs. Jones health have been deteriorating over the past few months, and she has now been admitted for surgery for her aortic value insufficiency. She and her husband discuss the upcoming surgery with the surgeon; both she and her husband relate to the surgeon that she will not accept blood or blood byproducts from other individuals. They are fully receptive to the use of cell-saver and auto-transfussion of her own blood, but will not sign the form for other blood transfusion. The informed consent is signed, noting that non-acceptance of any blood products other than the patient's own blood.
Following the surgery, Mrs. Jones hematocrit and hemoglobin values continue to decline, and it becomes apparent that she will not survive without additional blood transfusion. Using the principle of beneficence, autonomy, and fidelity, determine if the institution should continue to respect her wishes or the surgeon and the hospital administrator should seek a court order to force Mrs. Jones to accept blood transfusions.
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