He needed a blood transfusion to live due to hemoglobin 5.4. Patient has belief that transfusions are unacceptable. Patient did not receive the transfusion and died three hours later. There is a clash of values here. The…
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the principle of nonmaleficence or harm to the patient (Caplan & Arp, 2013); if the healthcare provider in some way forces the patient to agree to undergo transfusion, s/he has defied the principle of autonomy or the right of the patient to decide for him/herself (Treas & Wilkinson, 2013). Hence the judgment that the healthcare provider should make is whether to agree to the patient’s wishes, look for legal means to administer transfusion without the consent of the patient, or look for the most appropriate middle ground or compromise. This essay will use the MORAL model to generate several options or choices for the resolution of the moral dilemma.
First is identifying and describing the aspects of the moral dilemma—(M) massage the dilemma. The values in conflict are respect for physical life and individual autonomy. The healthcare provider gives importance to both principles of nonmaleficence and autonomy. The healthcare provider completely understands the patient’s condition that is triggering the need for blood transfusion. However, s/he does not have sufficient time to decide because the situation was all too sudden. It seems that the patient is not aware of the full situation and does not know that it will be fatal if transfusion is not administered. Still, as stated in the core principles that healthcare professionals must take into consideration when making medical decisions with patients who refuse blood transfusions, a completely competent, fully informed adult patient is authorized to make a decision whether to agree to a medical treatment or not (Corey et al., 2014).
The healthcare provider should then outline the options. The healthcare provider has to provide a summary of the emergency condition of the patient and specify some of the medical options available. First are non-blood medical options. The patient may agree to non-blood volume expanders like Dextran, Saline, Haemacel, and so on (Wilkinson & Treas, 2010). Second option is products
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