FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2013801134> ?p ?o ?g. }

• W2013801134 endingPage "14" @default.
• W2013801134 startingPage "13" @default.
• W2013801134 abstract "A Case of Deception? PB, a middle-aged man, has suffered from Crohn's proctitis, an autoimmune disorder, for most of his life. To treat it, he undergoes a nonemergent colostomy and proctectomy; he had also undergone several bowel resections at other hospitals prior to this with no complications. Before surgery, he meets twice with the surgeon to discuss surgical risks such as heavy bleeding. Preoperatively, his hemoglobin is 10.2 g/dL. However, twenty-four hours after surgery, his hemoglobin drops to 5.1 g/dL, prompting the doctor to recommend transfusion. PB refuses, saying he is a Jehovah's Witness. Jehovah's Witnesses typically refuse blood transfusion based on their interpretation of the Bible verse, You are to abstain from . . . blood (Acts 15:9). Up until PB's refusal, neither the surgeon nor the anesthesiologist was aware that he was a Jehovah's Witness. Based on this surprising revelation, the surgeon requests a bioethics consult to find out how to proceed. The bioethicist reviews PB's chart and finds that the hospital admitting clerk had noted his religion as Jehovah's Witness on the registration form. The bioethicist then interviews PB and his wife. They provide the bioethicist with a copy of PB's advance directive. This document states that PB will refuse blood transfusions in all situations, but PB did not give it to the surgeon or preoperative staff before surgery. Did PB have a responsibility to provide information about his religious beliefs that would be relevant to his treatment to all hospital staff and make sure it was understood? commentary Katrina A. Bramstedt (bio) According to the American Medical Association, the practice of medicine is fundamentally a moral activity. Informed consent and therapeutic doctor-patient relationships rely on honesty between both parties. Lack of honesty on behalf of either party can create the potential for devastating consequences, yet often, discourse on this topic focuses on how the doctor communicates with the patient, not the patient with the doctor. In this case, even though the surgeon had multiple conversations with PB before surgery, PB never mentioned that he was a Jehovah's Witness and would refuse transfusion. Knowing these risks, it is somewhat surprising that PB did not choose a bloodless surgery center for his operation; however, he may have intentionally deceived the surgeon in order to be sure the surgeon would not decline to operate. Because the surgeon and anesthesiologist were unaware of PB's faith, they might have given him a blood transfusion during surgery. Was PB gambling with his faith, denying the risk because of the improved quality of life that the surgery would give him? Could his failure to disclose his faith to the surgeon be a way of passively creating an opportunity to receive an intraoperative transfusion that might save his life? Jehovah's Witnesses believe transfusions inadvertently received are not battery, and the patients receiving them are not subject to spiritual retribution. Considering PB's history of multiple surgeries without transfusion, he might have believed his risk of bleeding was low. The ethical problem with all these scenarios is that the surgeon is removed from the equation. That is, in nonemergency situations (as in this case), the surgeon retains the right to choose which operations he will perform, even if the patient has sought him out. Surgeons and anesthesiologists may elect to withdraw from cases in which a patient's religion constrains their personal practice of medicine. In the case described, the surgeon was shielded from information that was pertinent to PB's health care values and treatment planning. That planning could potentially benefit PB's surgical outcome and quality of life and prevent possibly catastrophic consequences should something go wrong. The preoperative consultations between PB and his surgeon could also have presented an opportunity to discuss bloodless surgery centers, and for the surgeon to possibly provide referrals. By not disclosing his religious beliefs to the surgeon during their two conversations, PB was not being truthful about his medical concerns and failed to build a trusting relationship with his doctor. The surgeon is responsible for obtaining informed consent from the patient; however, this is only possible when the patient is truthful..." @default.
• W2013801134 created "2016-06-24" @default.
• W2013801134 creator A5004708870 @default.
• W2013801134 creator A5021888819 @default.
• W2013801134 date "2005-01-01" @default.
• W2013801134 modified "2023-09-25" @default.
• W2013801134 title "A Case of Deception?" @default.
• W2013801134 doi "https://doi.org/10.1353/hcr.2005.0103" @default.
• W2013801134 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16396198" @default.
• W2013801134 hasPublicationYear "2005" @default.
• W2013801134 type Work @default.
• W2013801134 sameAs 2013801134 @default.
• W2013801134 citedByCount "0" @default.
• W2013801134 crossrefType "journal-article" @default.
• W2013801134 hasAuthorship W2013801134A5004708870 @default.
• W2013801134 hasAuthorship W2013801134A5021888819 @default.
• W2013801134 hasConcept C117438556 @default.
• W2013801134 hasConcept C141071460 @default.
• W2013801134 hasConcept C17744445 @default.
• W2013801134 hasConcept C188084074 @default.
• W2013801134 hasConcept C199539241 @default.
• W2013801134 hasConcept C2779267917 @default.
• W2013801134 hasConcept C2780014101 @default.
• W2013801134 hasConcept C61434518 @default.
• W2013801134 hasConcept C65414064 @default.
• W2013801134 hasConcept C71924100 @default.
• W2013801134 hasConceptScore W2013801134C117438556 @default.
• W2013801134 hasConceptScore W2013801134C141071460 @default.
• W2013801134 hasConceptScore W2013801134C17744445 @default.
• W2013801134 hasConceptScore W2013801134C188084074 @default.
• W2013801134 hasConceptScore W2013801134C199539241 @default.
• W2013801134 hasConceptScore W2013801134C2779267917 @default.
• W2013801134 hasConceptScore W2013801134C2780014101 @default.
• W2013801134 hasConceptScore W2013801134C61434518 @default.
• W2013801134 hasConceptScore W2013801134C65414064 @default.
• W2013801134 hasConceptScore W2013801134C71924100 @default.
• W2013801134 hasIssue "6" @default.
• W2013801134 hasLocation W20138011341 @default.
• W2013801134 hasLocation W20138011342 @default.
• W2013801134 hasOpenAccess W2013801134 @default.
• W2013801134 hasPrimaryLocation W20138011341 @default.
• W2013801134 hasRelatedWork W1921033403 @default.
• W2013801134 hasRelatedWork W1972747836 @default.
• W2013801134 hasRelatedWork W2003938723 @default.
• W2013801134 hasRelatedWork W2022213102 @default.
• W2013801134 hasRelatedWork W2047967234 @default.
• W2013801134 hasRelatedWork W2185693936 @default.
• W2013801134 hasRelatedWork W23784916 @default.
• W2013801134 hasRelatedWork W2439875401 @default.
• W2013801134 hasRelatedWork W2475267027 @default.
• W2013801134 hasRelatedWork W4212959408 @default.
• W2013801134 hasVolume "35" @default.
• W2013801134 isParatext "false" @default.
• W2013801134 isRetracted "false" @default.
• W2013801134 magId "2013801134" @default.
• W2013801134 workType "article" @default.