Curious to know why Jahi thread was closed?

Nurses Headlines

Published

  • by RNIBCLC
    Specializes in Maternity.

You are reading page 6 of Curious to know why Jahi thread was closed?

Conqueror, really!????!??

I think that we ALL (the sane amongst us) know EXACTLY what we would do in this situation. Red Kryptonite said it perfectly, we would mourn! There is no mistaking dead. Zero reflexes on bedside exam by 4 or 5 Drs., no attempt to take a breath when the ventilator is turned off, no electrical activity on eeg, and no brain structure or evidence of blood flow on MRI all adds up to dead. Basic respect mandates we bury (or otherwise dispose of) our dead in a dignified and timely manner. We don't leave them rotting for a year. We wouldn't want to accept it, but we would indeed accept it because you can't bring back the dead and what this family is doing is insane at the very least. Not to mention the neglect and abuse of the other children who are being forced to watch their sister die one cell at a time.

As for the mother's "fashion choices"-as Red said, she is using money from gofundme that is being donated by well meaning (if not too bright) people to buy Michael Kors purses and she delights in taking photos of herself surrounded by multiple bottles of expensive liquor. Yes, we slam anyone who takes donations that are supposed to pay for medical care and uses it for designer clothing. It's called FRAUD! None of us care how she dresses, we care about how she pays for her choices.

And that's without even mentioning her beauty parlor fantasy Fridays where she further desecrates poor Jahi's body. Anyone notice all the make up on that girl in the photos we do see?

If we sound angry it is because every one of us can understand and sympathize with the plight of those unfortunate nurses who were forced to care for a dead teenager and her unreasonable family shift after shift until they moved her to a private home. We didn't go to school to deal with that, and the nurses who have found themselves in Jahi's room deserve every bit of compassion and sympathy (and anger on their behalf) that we can send their way.

Altra, BSN, RN

6,255 Posts

Specializes in Emergency & Trauma/Adult ICU.
Basic respect mandates we bury (or otherwise dispose of) our dead in a dignified and timely manner. We don't leave them rotting for a year. We wouldn't want to accept it, but we would indeed accept it because you can't bring back the dead and what this family is doing is insane at the very least. Not to mention the neglect and abuse of the other children who are being forced to watch their sister die one cell at a time.

...

And that's without even mentioning her beauty parlor fantasy Fridays where she further desecrates poor Jahi's body. Anyone notice all the make up on that girl in the photos we do see?

If we sound angry it is because every one of us can understand and sympathize with the plight of those unfortunate nurses who were forced to care for a dead teenager and her unreasonable family shift after shift until they moved her to a private home. We didn't go to school to deal with that, and the nurses who have found themselves in Jahi's room deserve every bit of compassion and sympathy (and anger on their behalf) that we can send their way.

Thank you.

Trials & Tribulations: Jahi McMath: Alive Again?

I just came upon this link of a blog outlining the futility of this case. It links to court documents and it also states that during the 8 months that Jahi was in a NJ hospital, the family was denied testing (most likely because the hospital won't do tests on dead people) and only psychologists read the eeg. Interesting reading.

smartnurse1982

1,775 Posts

No, it is absolutely NOT a gray area. There are absolute, non-negotiable standards for determining brain death.Qoute

Explain to me why the UK has different criteria then.

As i said,half of my pts would not be here if we lived in the UK.

I am just saying,if it certain brain dead is dead,then should not there be a universal criteria of what it is in the first place?

JustBeachyNurse, LPN

13,952 Posts

Specializes in Complex pedi to LTC/SA & now a manager.

UK standards are more strict than US. This patient is brain dead in US or UK. I don't know why this is so difficult for you to comprehend and accept

Esme12, ASN, BSN, RN

1 Article; 20,908 Posts

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Explain to me why the UK has different criteria then.

As i said,half of my pts would not be here if we lived in the UK.

I am just saying,if it certain brain dead is dead,then should not there be a universal criteria of what it is in the first place?

The UK has a different criteria because that is what the physicians have decided in THEIR COUNTRY of origin.

Do many believe that a universal code should exist? Yes. Have they done it? NO!

Here is a paper about brain death and protocol in different countries....however, it has no significance in this case for it is in the US

https://www.hods.org/pdf/brain%20death%20world%20wide%5B1%5D.pdf

Mulan

2,228 Posts

Here's another article, one year later.

Jahi McMath still hooked to machines 1 year later

Red Kryptonite

2,212 Posts

Specializes in hospice.
UK standards are more strict than US. This patient is brain dead in US or UK. I don't know why this is so difficult for you to comprehend and accept

Jahi would have been buried for nearly a year in the UK. As she should have been here....SMH. Jahi's mother should be mourning her, parenting her other kids, and enjoying her new grandchild. This has become a ghoulish melodrama and a bad precedent all around.

caliotter3

38,333 Posts

Conqueror, really!????!??

I think that we ALL (the sane amongst us) know EXACTLY what we would do in this situation. Red Kryptonite said it perfectly, we would mourn! There is no mistaking dead. Zero reflexes on bedside exam by 4 or 5 Drs., no attempt to take a breath when the ventilator is turned off, no electrical activity on eeg, and no brain structure or evidence of blood flow on MRI all adds up to dead. Basic respect mandates we bury (or otherwise dispose of) our dead in a dignified and timely manner. We don't leave them rotting for a year. We wouldn't want to accept it, but we would indeed accept it because you can't bring back the dead and what this family is doing is insane at the very least. Not to mention the neglect and abuse of the other children who are being forced to watch their sister die one cell at a time.

As for the mother's "fashion choices"-as Red said, she is using money from gofundme that is being donated by well meaning (if not too bright) people to buy Michael Kors purses and she delights in taking photos of herself surrounded by multiple bottles of expensive liquor. Yes, we slam anyone who takes donations that are supposed to pay for medical care and uses it for designer clothing. It's called FRAUD! None of us care how she dresses, we care about how she pays for her choices.

And that's without even mentioning her beauty parlor fantasy Fridays where she further desecrates poor Jahi's body. Anyone notice all the make up on that girl in the photos we do see?

If we sound angry it is because every one of us can understand and sympathize with the plight of those unfortunate nurses who were forced to care for a dead teenager and her unreasonable family shift after shift until they moved her to a private home. We didn't go to school to deal with that, and the nurses who have found themselves in Jahi's room deserve every bit of compassion and sympathy (and anger on their behalf) that we can send their way.

It occurred to me when reading this post, that the sick woman is using her dead daughter as a life size 'dress up' doll.

Horseshoe, BSN, RN

5,879 Posts

http://www.utmb.edu/policies_and_procedures/IHOP/Clinical/End_of_Life/IHOP%20-%2009.15.09%20-%20Determination%20of%20Death.pdf

Here is the procedure for determining brain death in Texas, which is based on the recommendations of American Academy of Neurology for adults and the American Academy of Pediatrics for children (infants of 37 weeks gestation to 18 years). I believe these are the same guidelines used by CHO and the state of California. Note that in Jahi's case, additional testing was done above and beyond the recommendations (the cerebral blood flow study, which showed that Jahi's brain was receiving NO blood flow-ZERO, as well as an EEG).

You can see that these tests are extensive, and every result must meet the brain dead threshold. Failure to meet this threshold on ANY of these tests will result in a diagnosis of PVS, not brain death. As I said, this is not undertaken lightly. Jahi failed these tests multiple times. No gray area here.

Here is the report from Dr. Fischer on his exam of Jahi McMath:

http://media.nbcbayarea.com/documents/Fisher+-+Redacted+Rpt_1.pdf

ktwlpn, LPN

3,844 Posts

Specializes in LTC,Hospice/palliative care,acute care.
Be careful what you say...i thought the EXACT same thing and i got racked over by ALLnurses.

I want to say it is a gray area.

If i lived in the UK i do know half of my pts would be declared brain dead.

-I really do not know what to think.

I'm not hesitant to voice my opinion and even if it's an unpopular one I'll stand by it. However I mistakenly believed the girl was trached but breathing on her own,that is what lead me to believe she is in PVS. When I'm wrong, I'll say I'm wrong and in this case me opinion was based on erroneous information.

We pour millions of dollars a year into futile care, that is never going to stop. Anytime that debate starts it's taken over by "right to life"ers and the disabled screaming their "slippery slope" song at the tops of their lungs.This particular case certainly triggers strong reactions while others briefly appear in the news and disappear.It's interesting.

RNIBCLC

357 Posts

Specializes in Maternity.
+ Add a Comment