Abstract:
:There are approximately 8.5 million Jehovah's Witnesses and around 150,000 live in Great Britain and Ireland. Based on their beliefs and core values, Jehovah's Witnesses refuse blood component transfusion (including red cells, plasma and platelets). They regard non-consensual transfusion as a physical violation. Consent to treatment is at the heart of this guideline. Refusal of treatment by an adult with capacity is lawful. The reasons why a patient might refuse transfusion and the implications are examined. The processes and products that are deemed acceptable or unacceptable to Jehovah's Witnesses are described. When a team is faced with a patient who refuses transfusion, a thorough review of the clinical situation is advocated and all options for treatment should be explored. After discussion, a plan should then be made that is acceptable to the patient and appropriate consent obtained. When agreement cannot be reached between the doctor and the patient, referral for a second opinion should be considered. When the patient is a child, the same strategy should be used but on occasion the clinical team may have to obtain legal help.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Klein AA,Bailey CR,Charlton A,Lawson C,Nimmo AF,Payne S,Ruck Keene A,Shortland R,Smith J,Torella F,Wade Pdoi
10.1111/anae.14441subject
Has Abstractpub_date
2019-01-01 00:00:00pages
74-82issue
1eissn
0003-2409issn
1365-2044journal_volume
74pub_type
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