Cultural Religious Competence In Clinical Practice Assignment Paper

Cultural Religious Competence In Clinical Practice Assignment Paper

Need Help Writing an Essay?

Tell us about your assignment and we will find the best writer for your paper

Write My Essay For Me

Discussion 6.1:  Blood Cells and the Hematopoietic System

In a healthcare setting, scenarios where a patient’s medical needs clash with their or their family’s religious beliefs are complex and require a delicate approach. In this situation, a 16-year-old involved in a motor vehicle accident urgently needs a blood transfusion, but her devout Jehovah’s Witness mother is adamantly opposed to this treatment due to her religious convictions. As a culturally and religiously sensitive nurse, handling this situation with compassion and respect for the family’s beliefs while prioritizing the patient’s health and well-being is vital. Cultural Religious Competence In Clinical Practice Assignment Paper

ORDER  HERE A PLAGIARISM-FREE PAPER HERE

Explaining the Medical Necessity

I would begin the conversation with the mother by acknowledging and respecting her deeply held religious beliefs. This would involve expressing my understanding of her faith and its teachings. I would then gently explain the critical medical need for a blood transfusion in her daughter’s case. I would say something like, “I understand the importance of your faith to you, and I respect that. However, I must emphasize that your daughter’s life is in immediate danger due to the severe blood loss she suffered in the accident. Without a blood transfusion, her body may struggle to carry enough oxygen to her vital organs, which could lead to severe complications or even loss of life.” I would take care to use language that does not challenge her faith but rather focuses on the medical aspect (Swihart & Martin, 2023). It’s essential to convey that the medical team’s goal is to save her daughter’s life and alleviate suffering. I would also offer to provide information about any available alternative options or blood-saving techniques, such as cell salvage, to ensure that the mother feels informed and included in the decision-making process. Cultural Religious Competence In Clinical Practice Assignment Paper

Ethical Issues Raised

Several ethical issues come into play when a parent refuses a life-saving treatment for their child based on religious beliefs. The most prominent ethical concerns include the conflict between autonomy and beneficence and the paramount consideration of the child’s best interests. Respecting the mother’s autonomy and her right to decide for her child based on her religious beliefs (autonomy) clashes with the healthcare team’s duty to act in the best interest of the patient’s health (beneficence). Considering the well-being of the minor patient is also a central ethical dilemma. If the healthcare team believes that a blood transfusion is necessary to save her life, there is a profound tension between respecting the mother’s religious beliefs and safeguarding the child’s welfare (Varkey, 2021).

If, despite our best efforts, the mother remains steadfast in her refusal to allow her daughter to receive blood products, there are several steps I would take as a provider. First, I would seek an ethical consultation within the hospital involving the ethics committee or a healthcare ethics specialist. This step ensures that all ethical dimensions of the situation are thoroughly examined and considered. I would then consult with legal authorities to determine whether the refusal of life-saving treatment for a minor can be overridden through a court order if necessary. While respecting the mother’s beliefs, we must also uphold our duty to protect the child’s life. Throughout this process, I would ensure that every conversation, decision, and action taken is meticulously documented to maintain transparency and accountability in the patient’s care. Cultural Religious Competence In Clinical Practice Assignment Paper

References 

Swihart, D. L., & Martin, R. L. (2023, July 24). Cultural Religious Competence In Clinical Practice. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493216/

Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

Introduction
A 16-year-old involved in a motor vehicle accident is brought via ambulance to the emergency room you work at. She needs an emergency blood transfusion. Her mother, a devout Jehovah’s Witness, refuses to give permission for her daughter to receive blood products because it goes against her faith.

Discussion Guidelines
Initial Post
In your initial post, answer the following questions:

As a culturally and religiously sensitive nurse, how might you explain to this mother why her daughter needs blood?
What are the ethical issues raised by the mother refusing blood products for her daughter?
If the mother continued to refuse to allow her daughter to receive blood products, what would you do as a provider?
At the end of this lesson, you will be able to: Cultural Religious Competence In Clinical Practice Assignment Paper

Blood Cells and the Hematopoietic System

Composition of Blood and Formation of Blood Cells
Describe the composition and functions of plasma
Describe the formed elements of blood and cite their function and lifespan
Trace the process of hematopoiesis from stem cell to mature blood cell
Diagnostic Tests
Describe the components of a complete blood count with differential
Disorders of Hemostasis

Mechanisms of Hemostasis
Describe the three stages of hemostasis
Explain the purpose of blood coagulation and the function of clot retraction and clot dissolution
Hypercoagulability States
Compare normal and abnormal clotting
Describe the causes and effects of increased platelet function
Differentiate between two conditions that contribute to increased clotting activity
Bleeding Disorders
Differentiate the mechanisms of drug-induced thrombocytopenia and idiopathic thrombocytopenia
Explain the physiologic basis of acute disseminated intravascular coagulation (DIC)
Learning Materials
Read the following in your Porthâ€s Pathophysiology: Concepts of Altered Health States textbook:

ORDER  TODAY

Chapter 21, “Blood Cells and the Hematopoietic System”
Chapter 22, “Disorders of Hemostasis”
Instructional Materials
Disorders of Red Blood Cells
The Red Blood Cell
Discuss the function of iron in the formation of hemoglobin
Describe the formation, transport, and elimination of bilirubin
Describe red blood cell count, percentage of reticulocytes, hemoglobin, hematocrit, mean corpuscular volume, and mean corpuscular hemoglobin concentration as it relates to the diagnosis of anemia
Blood Types and Transfusion Therapy
Differentiate red cell antigens from antibodies in people with type A, B, AB, or O blood and explain the determination of the Rh factor
Anemia Cultural Religious Competence In Clinical Practice Assignment Paper
Describe the manifestations of anemia and their mechanisms
Compare characteristics of the red blood cells in acute blood loss, hereditary spherocytosis, sickle cell disease, iron deficiency anemia, and aplastic anemia
Polycythemia
Define the term polycythemia and describe the manifestations of polycythemia
Age-Related Changes in Red Blood Cells
Describe the function of hemoglobin F in the neonate and describe the red blood cell changes that occur during the early neonatal period
Describe the pathogenesis of hemolytic disease of the newborn
Explain the action of phototherapy in the treatment of hyperbilirubinemia in the neonate
Disorders of White Blood Cells and Lymphoid Tissue
Hematopoietic and Lymphoid Tissue
Describe the different types of white blood cells and structures of the lymphoid system where they circulate and mature
Trace the development of the different white blood cells from their origin in the pluripotent bone marrow stem cell to their circulation in the bloodstream
Nonneoplastic Disorders of White Blood Cells
Define the terms leukopenia, neutropenia, granulocytopenia, and aplastic anemia
Describe the mechanism of symptom production in neutropenia
Neoplastic Disorders of Lymphoid and Hematopoietic Origin
Use the concepts regarding the central and peripheral lymphoid tissues to describe the site of origin of the malignant lymphomas and leukemias
Read the following in your Porthâ€s Pathophysiology: Concepts of Altered Health States textbook:
Chapter 23, “Disorders of Red Blood Cells”
Chapter 24, “Disorders of White Blood Cells and Lymphoid Tissues”
Chapters 23 and 24 in Porth’s Pathophysiology present the disorders of red blood cells, and disorders of white blood cells and lymphoid tissue, respectively. The presentations directly follow the material presented in the textbook.
ONLINE text available upon request Cultural Religious Competence In Clinical Practice Assignment Paper