Acceptable For Only One Parent Consent For Medical Care

According to Beauchamp and Childress, the principle of autonomy asserts that a capable and competent individual is free to determine, and to act in accordance with, a self-chosen plan (Beauchamp and Childress as cited in Keating and Smith, 2010). Determining a patient's competence is critical in striking a proper balance between respecting the autonomy of patients who are capable of making informed decisions and protecting those who are not fully capable (Appelbaum, 2007). Tagging children incompetent solely on the basis of their age and not involving them in decision making regarding their health is violation of children's human right. Obtaining consent from parents, rather than children, negates one of the most important principles of medical ethics, which is patient autonomy. Nurses are obligated to promote the health of children by embracing children's right. Nurses' duties which stem out of respect for autonomy include both duties to ensure children's self determination is respected and to refrain from practices that interfere with the children's right of decision making (CARNA,

The state is doing this treatment with Medicaid, using tax-payers money. A doctor by the name of Dr. Jack Drescher from New York commented, “ I believe the age of 15 is too young to be offering this treatment. Children may not fully understand all the consequences of the procedures they are undergoing.” However, a transgender lady named Jenn Burleton agrees with the state of Oregon and believes parents should not have the right to get involved. She under- went gender reassignment surgery, but the age was unspecified. She had this to say,” requiring parental consent would lead to more suffering and teen suicide attempts.”

Specific health care needs of transgender individuals include conditions due to hormone treatment. Hormones with the function of delaying puberty, also prevent normal development and can

Many define adolescence as the transition period from puberty to legal adulthood where one is in the process of maturing. “This transitional period can bring up issues of independence and self-identity,” according to Psychology Today (“Adolescence”). Adolescents are usually classified to be between the ages of 14 and 18 and traditionally regarded as “minors” by law. “Minors, as a group, are legally disabled, meaning they are presumed to lack the skills necessary for capable decision-making” (Rhonda). Adolescents are unable to make rational decisions due to the Prefrontal Cortex not fully being developed, emotional responses and other factors which may cause potential societal harms as well as risks to the minors. Adolescents should not have the right to make autonomous medical choices.

Patient informed consent refers to the situation where the patient is fully informed on the consequences of their health care decision after which the patient gives the decision. For there to be informed consent, there are five elements that must be discussed. The first is the nature of the patient's decision then the applicable alternatives to the proposed intervention. Third are the risks, benefits and uncertainties associated with each of the alternatives. Fourth is the assessment of the patient's understanding and last is the acceptance of the intervention or an alternative by the patient. Before the patient's consent is considered to be valid, the patient's competency to make the decision must be addressed. The criteria for evaluating the patient's competency is clearly stated in section 3 of the 2005 Mental Capacity Act which states that provided the person is able to understand, retain and use information provided and to communicate their decision in any way such as talking or sign language, they are competent to make a decision. If a patient is treated against their refusal to consent, it amounts to the tort of battery or can also be considered the crime of assault. In addition to this, laws that touch on human rights reinforce the importance of the protection of the physical integrity of the individual in terms of their right to respect of their private life. Therefore, refusal of medical treatment is a human right.

In preparing my Patient Advocacy paper, my choices were to be expected. I chose my father, Steven Mitchell, to be my primary advocate without second thought. I know that if I die and need to have my organs donated or if I am unable to make sound medical decisions regarding my care my father will be the sound of reason in my family. My mother was upset when I mentioned I made her my successor advocate, she stated, “Your dad will be more emotional than me in those situations!” However, as I have noticed in other situations concerning her children, she will not be able to be as rational as the men in my family. The primary instruction is for my family to sit down and discuss the plan according to my wishes if these situations ever happen. Under the directorship of

It is important to first identify what rights that minors do have when it comes to their medical decisions and care. In every state, statutes regarding minor’s permission to consent for medical care depends on the child’s“status,” or on the “service” that they are seeking. Status in which a minor under the age of 18 can consent to medical care include cases in which a minor may be

In the case of a minor unable to consent or make decisions (due to a mental condition or conscious state) and the absence of parents or legal guardians, two medical doctor must make all medical decisions on his behalf including cardio pulmonary resuscitation and termination of life support.

This assignment will explore an encounter between a student nurse, a qualify nurse, a doctor, a physiotherapist as well as other multi-disciplinary team. The main purpose of this case study is to critically analyse and discuss the ethical, legal and professional implications that may arise when dealing with patients and patient’s family. The essay will especially focus on ethical principles, statue law, duty of care and professional values under the Nursing and Midwifery Council (NMC, 2008) as well as the Code of Conduct and the importance of multi-disciplinary team (MDT) working in health and social care settings. In the United Kingdom all nurses and Midwives are governed by a professional body called Nursing and Midwifery Council (NMC). In order to protect the patient confidentiality, in accordance to (NMC, 2008) the patient alone will be given the pseudonym “Eve” throughout the case scenario.

With the Shumen speaking of informed consent. The one thing that jumped off the page for me was a recalling of a story of I child who was in for surgery and there were some kind of complications with it. The doctors worked on the child and some how the hospital ethics department got invalid. Then they some how came to the decision to kill that child. But they did and then they told the parents after they had not only made the decision but after the action was taken. Then when they were taking the action they prevented them from even seeing and or saying good by to their child. Now if I don’t know how that is not a gross negations in an informed consent. Then I don’t know what is. When reading that I could not be leave that the local

I do agree with you that the nurse doesn’t accept her patient request regarding her medication. It relates me to the 9 patient rights that patient has the right to refuse her medication. She doesn’t have empathy for her patient pain. I think the nurse has done her job partially, because she wants to make sure that her patient medication and daily activities has given to her. On the other hand, all her patient needs were not done, like you stated that compassionate, consideration and gentle care is the nursing characteristics. Caring patient as a “whole” is the nursing job, in which the nurse does not utilized toward her patient

There are many legal and ethical situations that healthcare providers will be faced with when providing medical treatment to either a child or an elderly adult. While there is often much discussion regarding the elderly and do not resuscitate orders, there are often times when the decisions for health care of a child may be overlooked. Some of the legal issues that may be faced by healthcare professionals are informed consent, confidentiality, reproductive services and child abuse. Patients have the right to decide what is done to their own bodies, but for children under eighteen, their parents decide for them. A major issue faced by healthcare professionals is parental refusal for treatment. Healthcare providers will be faced with many conflicting ethical and legal situations regarding refusal of a minor’s healthcare and treatment. These issues

Jenna case is heart breaking, I would hate to be in this situation and have to make the decision that her parents had to make with the help of the Case Manager. Jenna is a 12 year old girl that has a rear disorder that causes tumors to grow along the myelin sheath of her spine. As a result of this disorder Jenna developed scoliosis, in the attempt to correct the scoliosis a surgery was performed that left her paralyzed in her lower extremities. Because of the paralysis and the limited mobility in her upper body, Jenna was hospitalized and treated for abdominal sepsis. This lead to a complete gastrectomy. Foremother, the were complication during her surgery that resulted in a tracheotomy which requires mechanical ventilation. In addition she also had several different types of drains that require special attention; a jeujenostomy for feeding, a gastrostomy tube for draining, and a esophagostomy that draining from the side of her neck. Her initial prognosis was poor, but after some time stabilized and was ready to be discharged home. Jenna’s future was unknown, no one could predict how much longer or the quality of life that she would have. Even though she is a child, Jenna needed to feel like she was in charge of some aspects of her life. Before the above mentioned hospitalization, Jenna had been responsible for most of her own physical health care, she was independent, even preformed her own catheterizations. This article does’t mention if she was

No matter where the provision of care takes place either in a care environment or patient’s home; when coming in contact with patients consent raises

With the husband thus removed as her surrogate decision-maker, it appears the patient's parents would become the highest level class of surrogate decision-maker and could provide informed consent for her care if the patient is unable to do so.