Mr Monroe, I too wondered if that's what Barbara meant. Yet that is not really the jw definition of conscience matter.
When a patient is a Jehovah's Witness, beyond the matter of choice, conscience comes into the picture. One cannot think only of the physician's conscience. What of the patient's? Jehovah's Witnesses view life as God's gift represented by blood. They believe the Bible's command that Christians must "abstain from blood" ( Acts 15:28, 29 ). Hence, if a physician paternalistically violated such patients' deep and long-held religious convictions, the result could be tragic. Pope John Paul II has observed that forcing someone to violate his conscience "is the most painful blow inflicted to human dignity. In a certain sense, it is worse than inflicting physical death, or killing."