Ethical

Hi All Nurses,

I am a student nurse and I am looking for nurses point on this case.

A 20-year-old, 32-weeks pregnant was the driver of a car involved in a single-vehicle collision. She was taken to the ED was alert and oriented, Glasgow Coma 15/15. Her initial complaints were lightheadedness, weakness, left shoulder pain, and severe abdominal cramping that started immediately following the car accident. She had a past medical history of sickle cell disease and no previous pregnancies. Her lungs were clear bilaterally. Juana's heart rate was 90 beats per minute (bpm), her respiratory rate was 28, and her initial blood pressure (BP) was 130/80, and fetal pulse rate was 90. Once the cervical spine films were taken and the flat board was removed, her BP reflected orthostatic changes

of 100/60 and pulse of 120 bpm. Her labs indicated internal bleeding.

The plan of care was an immediate blood transfusion and an emergency C-section. However, the patient was a Jehova's Witness and refused the proposed plan of care.

As nurses, we have to honor the grant the patient's wish.