LQCL2318 - CMLE - PATIENT BLOOD MANAGEMENT IN PATIENTS WHO DECLINE TRANSFUSION FOR RELIGIOUS REASONS-PATIENT BLOOD MANAGEMENT IN PATIENTS WHO DECLINE TRANSFUSION FOR RELIGIOUS REASONS

PATIENT BLOOD MANAGEMENT IN PATIENTS WHO DECLINE TRANSFUSION FOR RELIGIOUS REASONS

Pdf Summary

The document discusses the importance of patient blood management programs, specifically focusing on cases where patients decline blood transfusions for religious reasons, such as Jehovah's Witnesses. It highlights the need for patient consent and counseling when dealing with such cases and emphasizes the use of alternatives to transfusion like autologous blood donation. The document details a case involving a Jehovah’s Witness patient who declined all blood products before undergoing orthopedic surgery successfully without needing any blood transfusions.<br /><br />Furthermore, it explains the key principles of patient blood management, including optimizing erythropoiesis, minimizing blood loss, and managing anemia throughout the care process. Various strategies to reduce blood loss during surgery, like acute normovolemic hemodilution and intraoperative techniques, are also discussed. The document stresses the importance of patient autonomy in decision-making regarding bloodless care and the need for patient-physician confidentiality in such cases.<br /><br />Lastly, the document highlights ethical and legal considerations, patient education on PBM options, and the evolution of PBM programs in healthcare facilities. It also includes references and recommended guidelines for providing bloodless care, emphasizing the significance of patient counseling and consent in these situations.

Keywords

Patient blood management programs

Blood transfusions

Jehovah's Witnesses

Patient consent

Counseling

Autologous blood donation

Orthopedic surgery

Erythropoiesis optimization

Blood loss minimization

Anemia management