Refusing Treatment

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Your response should be 3-5 pages in length, not counting a cover page, abstract, and references, in APA format. Thank you

Case Study: Refusing Treatment
A 35-year-old woman with chronic disease is admitted to your LTC facility. She
has developed a problem requiring a transfusion, and if she does not receive
one, she will die. Her religious beliefs preclude her from receiving blood
products. After a thorough explanation by the physician, she understands that
she is likely to suffer permanent physical injury and possibly die if she refuses
to accept the transfusion. Her family, which shares the same religious
affiliation, supports her decision. The physician refers to the matter to the
healthcare ethics committee on which you sit as the healthcare administrator.
The committee members all agree that the law permits a competent adult to
refuse medical care.
Case Study Questions
1. Is it ethical to speak to this patient in private, away from her family, and
offer her the option of a secret transfusion so that nobody knows of it, or
is this coercion into sinful behavior?
2. Is it ethical to meet with the family and patient to attempt to convince
them to change their minds regarding the transfusion? What can and
should be said to them? What should not be said?
3. How does this discussion change if the patient is a child or a ward of the
4. What are the legal facts of which the healthcare administrator must be
aware in such a case?
King, E.L. in McSweney-Feld, M.H., & Oetien, R., (eds.) (2012). Dimensions of
Long-Term Care Management – An Introduction. Chicago: Health
Administration Press. pp. 230-231.

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