National Health Care Decisions Day, Jehovah’s Witnesses & Mature Minors
April 16th is the 4th Annual National Health Care Decisions Day, a day when health-care practitioners reach out and express the importance of having discussions about personal values and treatment preferences, especially in the event of loss of function and end-of-life circumstances. I encourage every adult to complete an advance directive because any adult can fall down and go boom. (Remember: all of the seminal “withdrawal of care” cases involved young women: Karen Ann Quinlan, Nancy Cruzan, and Terri Schiavo were all under 35 when they suffered their respective traumas.) So here is my pondering for the occasion:
Recently I assisted in a case of a 15-year-old Jehovah’s Witness rushed into the emergency department “bleeding out.” Jehovah’s Witnesses (JWs) regard blood transfusions as a violation that has profound spiritual implications, and accordingly, refuse such transfusions even when such treatments can be life-saving. Supporting JWs in their refusal is an early-learned bioethics lesson as students explore issues of patient autonomy and respecting cultural values. Competent individuals have the right to refuse unwanted medical treatments, even when refusal will lead to death. But this was a 15-year-old.