A case of a Jehovah’s Witness teenager was brought about in the pediatric news through blogs and news outlets. It was here that I heard of the case first. The teenager was involved in a car accident suffering numerous injuries in the crash. It was told that the boy got hit while preaching to people in his community. The parents rushed him to hospital where he was announced in critical state for he had suffered leg and abdominal injuries that needed immediate attention. The teenager needed blood transfusion as well. Being Jehovah Witnesses, he refused the blood transfusion. This is because according to the religion, blood transfusion was banned in the 1940s and was not allowed among them. Being a minor, the decision whether or not to have the blood transfusion lay in the hands of the parents. They both supported their child in the decision to refuse the blood transfusion. The nurses had to adhere because according to the law nurses cannot perform such an act for it may be considered unlawful which could lead to civil charges. The teenager died later in the day at around 5:30pm that same day.Relevant Principles from the ANA Code of Ethics in this ScenarioSome of the ANA codes of ethics principles in this situation include Provision 1, Provision 2, Provision 3, Provision 4 and Provision 8. In provision 1, the nurse considers practice with respect and compassion. The nurse maintains worth and dignity for every patient. In 2, the nurse is committed to the patient or patients. In 3, protection of human rights, safety and health of the patient is prioritized by the nurse.In 4, the nurse takes actions, and makes decisions that are in order with promotion of health and maximum care. In 8, in association with other health officers, the nurse promotes health diplomacy, human rights, and reduces well-being inequalities.Relationship Between the ANA Code of Ethics and the Case ScenarioIn provision 1, as in the case scenario, the nurse makes sure that the teenage boy is treated right, is comfortable in hospital and lacks nothing that he requires. It is prudent of the nurse to offer this provision according to the ANA Code of Ethics. Throughout the admission of the patient, the nurse did a wonderful job by taking care of the boy. The boy was catered for as in provision 2. The nurse made sure to make him his/her commitment from the moment he was brought in the hospital to the moment of his last breath. According to the ANA Code of Ethics, it calls for nurses to be committed to their patients. In this case it was well demonstrated that truly and surely the nurse was committed to the teenage boy. By acting on Questionable Practice: i.e., consistently involving the patient in questionnaires on how they feel and what they need, the nurse was able to meet provision 3 of the ethic codes. Through involvements of the patient in his own well-being, the nurse was able to gauge what condition the boy was in. The nurse was also involved in providing an environment or culture of safety, which was seen in the case study. The patient did not have any complains about feeling insecure or unsafe while in the hands of the nurse. The nurse made sure that the patient received the utmost health attention he could by preaching health as a universal right as in provision 8. The nurse collaborated with other medical professionals especially in this case where the boy needed blood transfusion. Even though the boy and parents refused, the collaboration between nurses and other practitioners was well maintained and carried out.The End ResultDuring the time of care and handling, due to the boys’ critical state after the accident, his condition got worse. It went from one needing care to an emergency. With his situation deteriorating, blood transfusion was necessary for he had lost a lot of blood. With the denial of this, which was unexpected from the medical professions, came the death of the patient. It was expected that the boy and his family would accept the blood transfusion increasing the chances of survival for the boy. The proper precautions and measures would have been easier taken from that point.Best Ways for Addressing Ethical DilemmasLearning how to identify and recognize situations of dilemma efficiently is not a challenge any more in the practice. This has become the new normal in the practice. Supporting of the ANA Code of Ethics can be helpful to nurses. If all nurses and hospitals or institutions hold these ethics firm and stable, then performance in nurses will remain consistent. This should be reviewed consistently and improved on. On-going education can be helpful in a lot of ways. The ethics ought to be learned and practiced consistently. This means consistent reminders, correction and implementation. This way, by incorporating learning into every-day practices, performance as per ethics can be maintained. By bringing disciplines that go through the same dilemmas together to brain storm on solutions and discussions, helpful support and ideas can be grown among those different disciplines. In the patient’s situation, the nurse was called to go against his/her ethics by not offering the blood transfusion. It was in her obligation to conduct it but without the patient’s consent then she was not able to. There were ethic experts not used in this situation. With such a decision in the hands of the involved, an expert would have shed light on the consequences of the actions. This was not the case. The code of ethics, even if available was not utilized to the maximum. This thus led to the end result; death.


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