title: Conversation and the Jehovah's Witness dying from blood loss.
abstract: Religious belief can complicate the usual management of seriously ill patients when the patient is a Jehovah's Witness and the treatment is a blood transfusion. This narrative highlights critical points in a discussion of two cases wherein the process to promote an exercise of free will also becomes an exercise for the ethics consultant and healthcare team. Despite a medical care program's carefully considered additions to an electronic healthcare record, additional conversation, investigation, preparation, and an open mind are required. Helping conflicted family members and considering whether and in what context to contact the Jehovah's Witness Hospital Liaison Committee complicates the approach.
authors.forename: D Malcolm
authors.initials: DM
authors.lastname: Shaner
authors.forename: Jateen
authors.initials: J
authors.lastname: Prema
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D001803:Blood Transfusion / Q000941:ethics*; D003643:Death; D003657:Decision Making; D005260:Female; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D033221:Jehovah's Witnesses; D008297:Male; D028701:Patient Rights / Q000941:ethics*; D026684:Personal Autonomy; D012068:Religion and Medicine; D016312:Treatment Refusal