in Patients Who Are Jehovahs Witnesses HLC Hospital Liaison - - PowerPoint PPT Presentation

HLC

Hospital Liaison Committee

for Jehovah’s Witnesses

Planning for surgery in Patients Who Are Jehovah’s Witnesses

HLC

Hospital Liaison Committee

“Personal beliefs and cultural practices are central to the lives of doctors and patients”

GMC: Personal beliefs and values in medical practice, 2013

HLC

Hospital Liaison Committee

“Jehovah’s Witnesses love and cherish life … They consider blood as holy as life itself.”

Law, Ethics, Religion, and Blood Management Petra Seeber, Aryeh Shander 2013

HLC

Hospital Liaison Committee

Advance Decision Document

HLC

Hospital Liaison Committee

“Surgeons have a legal & ethical responsibility to ensure the wellbeing of the child … this must always be their first consideration; …”

Royal College of Surgeons of England – Caring for patients who refuse blood. 2016

Children

HLC

Hospital Liaison Committee

“..however, every effort must be made to respect the beliefs

• f the family and avoid the use
• f blood … wherever possible.”

Royal College of Surgeons of England – Caring for patients who refuse blood. 2016

Children

HLC

Hospital Liaison Committee

Patient Blood Management

Maximise Erythropoiesis Minimise Blood Loss Manage Anaemia

• IV Iron
• ESAs
• Haemostasis
• Cell Salvage

Tolerate lower Hb

HLC

Hospital Liaison Committee

Maximise Erythropoiesis

Erythropoietin

HLC

Hospital Liaison Committee

Minimise Blood Loss

40 Countries 274 Hospitals 20,211 Patients

32%

Mortality Reduction

Tranexamic Acid

HLC

Hospital Liaison Committee

Website Resource

www.jw.org/en/medical-library

HLC

Hospital Liaison Committee

www.jw.org/en/medical-library

Collaboration - Information - Support

HLC

Hospital Liaison Committee

Professor Martin Elliott

Co-Medical Director at Great Ormond Street Hospital; Professor

• f Paediatric Cardiothoracic Surgery at University College London.

March 15th 2017

“[HLCs] are very helpful and excellent arbitrators. Without them many relationships between doctor and patient would have been destroyed.”