COHORT NAME CHARLES KORANTENG
UNIT TITLE ETHICS AND LAW
UNIT REFERENCE NFP-1-053
ASSIGNMENT TITLE ADULT CASE STUDY (blood transfusion)
I shall discuss the ethical and legal implications of a 70 year old patient who has been admitted to the casualty department after a road traffic accident. He has sustained some severe injuries which require him to have a blood transfusion. However, he is refusing the blood transfusion, due to his religious beliefs.
I shall also discuss the implications of the NMC code of conduct which has not been adhered to in this case study, including respect, dignity, honesty, confidentiality, equity and valuing diversity.
Also the legal and ethical principles (autonomy, beneficence, non-maleficence and justice) and its implications relating to the case study, together with my personal values and opinions.
All the names of people and places have been changed to comply with confidentiality according to the NMC code of conduct (2008).
The patient is fully aware that his life is at risk, even though he has drifted in and out of consciousness, the nurse has tried to convince him to have the blood transfusion. His family have arrived and agreed to the transfusion.
He has refused to consent to a blood transfusion. NMC (2008) “NMC code of conduct says you must ensure you gain consent before you begin any treatment or care”. You must get consent from the patient before you start any medication or treatment.
The medical staff should have offered the patient alternatives and discussed procedures with him and his family. When patients know the scope and nature of potential risks and benefits it is easier for the patient to make informed consent.
The patient has the right to refuse life-saving treatment says Brazier, Cave (2007 p.101 “Lord Donaldson declared that an adult patient has an absolute right to choose whether to consent to medical