RUNNING HEAD: PAIN MANAGEMENT IN A PATIENT WITH MASSIVE BLOOD LOSS Pain Management in a Patient with Massive Blood Loss Without the Use of Analgesia and Sedation due to Severe Hypovolemia Mollie Meador NSG 441 May 7‚ 2010 Introduction A twenty three year old female was admitted to the ICU at South Central Medical Center following uterine rupture and massive blood loss. The patient was ten weeks pregnant and experienced a miscarriage as evidenced by spontaneous vaginal bleeding
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The blood of Yingzhou District (2006) is a 40 - minute documentary which reveals the prevalence of AIDS in Yingzhou district‚ located in Anhui Province. Yingzhou District is a rural and impoverished village. People living there have a low income. The situation prompts a substantial portion of villagers insist of selling blood so as to earn a living‚ which is the fundamental cause of AIDS in the area. In the documentary‚ the reality of an AIDS prevalent community is brought to light. It is a society
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BLOOD TRANSFUSION THERAPY Blood and Blood Components Platelets White blood cells BLOOD • A mixture of cells • A complex TRANSPORT mechanism • Transports hormones • Removes waste products • Regulates body temperature • Protects the body • Promotes hemostasis • Supplies oxygen TRRPPS COMPOSITION OF BLOOD • • • • • • Temperature 38C (100.4F) pH 7.35 - 7.45 Specific Gravity 1.048 – 1.066 Body weight 7% 5 times the viscosity of water Volume – Male – Female 5 – 6 Liters 4 – 5 Liters • BLOOD
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Jehovah’s Witness see blood transfusion as one of deadly sins in their life. Getting blood transfusion is like having someone else blood running his or her veins. Jehovah witness believes “avoid taking blood not only in obedience to God‚ but also out of respect for him as the Giver of life.” (Bible & Policy‚ 2017) One question need to be ask how long it’s took the hospital know the patient was Jehovah witness and the patient spent 11 day in hospital before the patient die. The hospital had enough
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one of the biggest ones that impacted our society is blood transfusions‚ which has saved many lives in Canada. Along with this‚ Canada was introduced with portable x-rays which provided medics a better way to help save people who have been harmed or injured whether in battle in WWI or in a car crash in the present day.
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Pre-transfusion Blood Tests: Title: To perform the following tests: ABO and RH grouping using the Diamed Gel Card system. Rh and Kell phenotyping (antigen typing) using the Diamed Gel Card system. Direct Coombs Test (DCT) using the conventional tube system. Direct Coombs Test (DCT) using the Diamed Gel Card system. Antibody Identifications (IAT) technique using the conventional tube system. Antibody Identifications (ETC) technique using the Diamed Gel Card system. Name:
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Bible hold passages that Jehovah’s Witnesses feel are key in their beliefs on not receiving blood transfusions (Ethics‚ 2009). For the medical community this is a difficult issue to deal with and relate to. Saving lives is what healthcare is about and blood transfusions assist in that. For some‚ however‚ blood transfusions are not an option. Although denial of life saving measures such as blood transfusions may not be ideal for members of healthcare‚ it is an important ethical issue and belief for
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in critical condition following a single-vehicle car accident. She exhibited signs and symptoms of internal bleeding and was advised to have a blood transfusion and emergency surgery in an attempt to save her and the fetus. She refused to accept blood or blood products and rejected the surgery as well. Her refusal was based on a fear of blood transfusion due to her belief in Bible scripture. The ethical dilemma presented is whether to respect the patient ’s autonomy and compromise standards of care
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According to Robin J.A. in Malette v Shulman[1]‚ “the right of self-determination which underlies the doctrine of informed consent also obviously encompasses the right to refuse medical treatment. A competent adult is generally entitled to reject a specific treatment or all treatment‚ or to select an alternate form of treatment‚ even if the decision may entail risks as serious as death…The doctrine of informed consent is plainly intended to ensure the freedom of individuals to make choices concerning
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the boy’s parents to assess their understanding of the situation and risk involved for the boy instead of jumping into conclusion from the ER physician report that because the boy’s parents are practicing Jehovah’s Witnesses‚ they have refused blood transfusion. Furthermore‚ requesting the assistance of the ethics committee and legal counsel of the hospital would be an appropriate step if after meeting with the boy’s parents‚ they
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