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Group A4

Girang Santika, Trisna Maulana, Nadya Zaragita, Ayu Putri P., M.


Hafeez, Ashwini, Priyanggah A., Irma Suwandi S., Stephanie Y. U.,
Ronal Winter, Raymond Santoso
 A 14 y. o. boy suffered from acute lymphoblastic
leukemia

 He refused blood transfusion treatment because of his


belief as Jehovah’s witness

 The case came to court after officials at hospital


reported it to the state, which went to court to force
the transfusion.
 His legal guardian, his Jehovah’s witness aunt, support
his decision, while his biological parents against it.

 The court refused the plea to force Lindberg to do the


transfusion, because Lindberg is old enough to decide
and know the consequences.

 Lindberg died hours after a Skagit County judge


affirmed his right to reject the treatment.
 How can we treat a patient when he’s not going to
cooperate in treatment?

 How can pediatric patient decide consent for himself


to refuse treatment?

 How far a court can force patient to do medical


treatment?
 "I don't believe Dennis' decision is the result of any
coercion. He is mature and understands the
consequences of his decision,“ – John Meyer, Superior
Court Judge.
 Lindberg's parents, who live in Idaho, disagreed with
their son and his guardian.
 Several ethicists questioned whether a 14-year-old was
mature enough to decide to refuse treatment.
 “The critical question is: Was this decision voluntary
and knowing? These issues give me pause. I’m
surprised and I’m concerned about the judge’s
decision.” – Robyn Shapiro, director of the Center for
the Study of Bioethics at the Medical College of
Wisconsin.
• Completing informed consent properly

• Acts only after consent has been retrieved

• Not forcing patient in any way when the patient refuse


treatment

• Putting the rights, needs and interests of the patient


foremost
 Respecting patient’s and decision for not receiving
blood transfusion treatment

 Refraining from discrimination based on patient’s


race, religion, ethnicity, gender, sexual orientation,
physical handicap, illness, age, culture, social and
economic status
Consent:
 permission for something to happen or agreement to
do something

Assent:
 the expression of approval or agreement
 When a child doesn’t give an assent for treatment, a
doctor should ask for consent from the parents by
completing informed consent procedure

 Adolescents and children are more inclined to agree to


things in order to appear heroic and are more
susceptible to pressure

 They also frequently change their beliefs as they get


older
 http://www.npr.org/templates/story/story.php?storyId
=16763280&sc=emaf

 http://seattletimes.nwsource.com/html/health/20040
41765_transfusion29m.html

 http://www.seattlepi.com/local/article/Boy-dies-of-
leukemia-after-refusing-treatment-for-1257094.php

 oxforddictionaries.com