Question

A 43-year-old Jehovah''s Witness with capacity presents with a ruptured ectopic pregnancy. She is hypotensive and requires emergency laparotomy and blood transfusion to survive. She clearly refuses blood products, demonstrating understanding, retention, and ability to weigh the information. What is the most appropriate course of action?

Accepted Answer

Respect her refusal of blood products and proceed with surgery using blood-sparing techniques

Answer

Proceed with surgery and transfuse blood products as required, as this is life-saving

Answer

Seek a court order to authorise transfusion against her wishes

Answer

Override her refusal because she has dependent children

Answer

Detain her under the Mental Health Act and give treatment in her best interests

Practice question