Risk management of hemodialysis therapy for a patient who refused blood transfusions due to their religious beliefs

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  • Fujikura Emi
    Department of Blood Purification, Tohoku University Hospital
  • Akiu Maho
    Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine
  • Nakamichi Takashi
    Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine
  • Yamamoto Tae
    Department of Blood Purification, Tohoku University Hospital Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine
  • Sato Hiroshi
    Department of Clinical Pharmacology and Therapeutics, Tohoku University Graduate School of Pharmaceutical Sciences
  • Miyazaki Mariko
    Department of Blood Purification, Tohoku University Hospital Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine

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Other Title
  • 宗教的理由で輸血拒否した患者の緊急血液透析導入を通して, 血液透析におけるリスクマネジメントを考える
  • 症例報告 宗教的理由で輸血拒否した患者の緊急血液透析導入を通して,血液透析におけるリスクマネジメントを考える
  • ショウレイ ホウコク シュウキョウテキ リユウ デ ユケツ キョヒ シタ カンジャ ノ キンキュウ ケツエキ トウセキ ドウニュウ オ トオシテ,ケツエキ トウセキ ニ オケル リスクマネジメント オ カンガエル

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Abstract

<p>When we provide medical treatment to patients who refuse blood transfusions, we are occasionally faced with difficult decisions, as common medical practice regards resuscitation as the highest priority. The patient’s right to refuse both blood transfusions and treatment must be respected, but in life-threatening situations treatment policies must take medical, ethical, and legal considerations into account. To aid decision-making in cases such as those mentioned above, it is necessary to have developed a policy that is appropriate not only for the individual, but also for the hospital. We initiated hemodialysis therapy in a chronic renal failure patient who refused a blood transfusion. We discuss this case in terms of how the patient's religious values affected the treatment policy and the impact of this on risk management at our hospital.</p>

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