Ethical standards for all healthcare professions include principles of informed consent, veracity, and beneficence to provide best care (Kornblau & Burkhart, 2012). However, the definition of best practice can still differ among patients depending on their diagnosis, age, personality, and personal culture. Best practice gets further complicated when the patient is a child. The law concerning medical decisions for children states that children are unable to make their own decisions soundly (Goldstein, 1977). A parent must stand in as the decision-maker giving consent to treatments. Parents have the right to establish and dictate the course of healthcare without interference by the state. Parents can choose to accept or decline treatments, …show more content…
The American Medical Association requires that medical professionals report suspicions of maltreatment and abuse (Jackson, Kissoon, & Greene, 2015). In many cases, primary caregivers have been the perpetrators; it is often parents who are instigating maltreatment (Jackson, Kissoon, & Greene, 2015). Child abuse can be blatant, including obvious physical harm, or it can be more subtle, including withholding or revising the child’s medical history (Diekema, 2014; Jackson, Kissoon, & Green, 2015). Families have the right to privacy and parents have the legal autonomy over their children, two factors which can shroud abuse (Goldstein, 1977). As a mandated reporter of abuse, it can place a healthcare worker in an ethical dilemma, as they are required to report suspicions of maltreatment and abuse, but also respect the parent’s autonomy and the family’s culture. When medical personnel challenge parental decisions claiming they are dangerous to the child they risk becoming embroiled in a legal battle (Diekema, 2014). Furthermore, mandated reporting of abuse is consistent with the idea of promoting beneficence and nonmaleficence for patients (Kornblau & Burkhart, 2012). Yet, attempts to supervene parental autonomy out of concern for the child’s wellbeing have no guarantee that the child will be better off in the system (Goldstein, …show more content…
Parents have the right to make complex decisions on behalf of their child, choosing which treatments to utilize and which to decline (Diekema, 2014). While parents are exerting their right to autonomy, their decision making can be colored by subjective personal history and the emotional trauma of watching their child endure health hardships (Davies & Mack, 2015; Hallstrom & Elander, 2004). Additionally, enforcing the legal right of autonomy with no prescribed statues for the amount of information a parent must receive before coming to a decision means that parents can make poor decisions due to lack of information (Gormley-Fleming & Campbell, 2011). Runeson, Enskar, Elander and Hermeren (2001) observed that some parents were unable to recognize their child’s needs and ended up creating more pain for their child, including refusing anesthesia for a blood sample. Even in life and death decision making, the ultimate decision rests with emotionally tenuous parents who often do not have the training to recognize which options are best (Davies & Mack, 2015). When practitioners are trying to uphold justice and beneficence by providing the quality care a child deserves, their efforts can be thwarted by the underqualified decision a parent makes, a decision they are
Intro: Parents will often refuse to treat their children with modern medical sciences that could save their child, but how they go about refusing it makes it very frustrating for the government to intervene.
The Negative disagrees with a passion the resolved “Adolescents ought to have the right to make autonomous medical choices.” Definitions will play a vital role within this debate as they themselves could be debated. I shall now attempt to provide objective and fair definitions. Adolescents is the “age which follows puberty and precedes the age of majority according to Black 's Law Dictionary. This vague definition gives way to the World Health Organization’s definition that states adolescents as “young people between the ages of 10 and 19 years.” But within the confides of the United States Justice System “you are a minor under the guardianship of your parents” until the age of 18 again according to the Black’s law dictionary. So for the sack of debate we will define adolescents as being any person between the ages of 10-17 beginning at the average age of puberty and ending before the individual becomes a legal adult under full constrains of the law. Ought is defined by Merriam Webster dictionary as to express obligation or natural expectation. To have the right is defined by Black’s Law dictionary as “A term applied to rights, privileges, and immunities enjoyed by all citizens EQUALLY and in common, and which have their foundation in the COMMON LAW. Autonomy is the “personal rule of the self that is free from both controlling interferences by ANY other party and from personal limitations that prevent meaningful choice,” according to University of California San
There should not be interference from parents, doctors, or the legal system if a minor does not want a specific type of treatment. All that should be done for the minor is to make sure that they understand the possible risks of forgoing treatment. Autonomy and justice are the ethical principles that should be applied to this policy. Autonomy is the right to making informed and rational decisions (Bioethic Tools). If the patient is aware of the possible dangers of not getting certain medical attention and is a competent individual and they still refuse, then their autonomy should be respected. Justice is the right to being treated fairly and equally (Bioethic Tools). If a minor if forced to undergo any type of medical procedure simply because they are minors who supposedly cannot make decisions without the help of adults is injustice. Everyone should be treated fairly and equally regardless of age. Any medical treatment that is unwanted by a patient and is performed anyway is a violation of their rights and is extremely
A minor’s right to choose or refuse medical treatment is a growing conflict that has created many ethical dilemmas and
Improvements in medical research have a progressive effect on the human, at the same time, ethical concerns need to be considered and respected. Competent and adults are able to make their own decisions independently whether to be part of a research. However, specific groups who are unable to make a decision on whether to participate in a research are the vulnerable population. Specific vulnerable groups are infants, their parents are the ones who will give and informed consent whether to be part of a research or not. As a result, it is essential for the health care staff to be sensitive and aware about parents’ ethical principles and values prior to getting their consents.
Ethically, as supportive professional staff members in the long term care facilities it is important to do what is best for the residents within the organizations based on safety concerns and the policies of the organizations. “LLR.sc.gov (2016) reports the administrator, in all professional relationships, practices with compassion and respect for dignity of the individual, with primary commitment to the resident. The administrator practices administration in a manner consistent with the laws and standards of practice pertaining to nursing homes and community residential care facilities.” Most organizations are focused on working together to implement different strategies that would allow them the chance at improving quality issues or complaints
The field of ethics includes the broad study of social morality along with reflections on its norms and practices. Ethical theory and moral philosophy refer to philosophical reflection on morality. Morality can be best defined as principles concerning the distinction between right and wrong or good and bad behavior. Philosophical ethics and health care professions focuses on learning what philosophy is and how it contributes to human history, culture, and autonomy, learning how that contribution applies in developing research methods in all searches for knowledge and helps us to understand the differences among the different sciences, learning to better handle facts, values, and definitions by the way of their distinctions in thinking and writing, and learning how to make moral sound arguments in health care contexts and see relations to personal and professional leadership abilities. With the help of RQ 's 1-50, the understanding of why others think the way they do and the self-contradictory principles some people have. One major case that brought up the theory of moral relativism was the Nashu story. Nashu was one of the young teenagers yearly sacrificed to the Undergods by her tribal people for the believed reason that the action prevented volcanic eruptions such as the one that occurred some 80 years before. Her people honored her. Her family and she may have been proud of the sacrifice but she may or may not have gone willingly. Within the class vote, many
Every child should be treated with their best interest in mind. Physicians have to make the choice that may benefit the patient when the parents have different views or religious beliefs that harm the health or well being of the child. In scenario three, the parents state they are willing to allow their child to suffer and die than for the child to receive the life saving medical treatment (Weiss and Lonnquist, 2015). The physician must advocate for the best interest of the minor
My thesis here is that parent’s choice to use alternative medicine is not in the best interest for their child . The parent’s action was ethically wrong as they can not keep using alternative medicine while the child is suffering and is not getting better .To support my stand, I will use the Principlism approach devised by Beauchamp and Childress in their textbook principles of biomedical ethics . B&C’s stated that there is a set of four principles that can be used to analyze and approach bioethical concerns. They are: (1) respect for autonomy, (2) beneficence, (3) non-maleficence, and (4) justice. These Principles derived from the common morality and thus, they are binding in all healthcare providers everywhere. The principles are binding no matter what ethical theory one adheres to because everyone recognizes the force of the common morality Consequently, the principlist approach provides a means for proceeding with ethical deliberation even when persons disagree in theoretical
The human population below the age of 18 is children, who are also termed as minors. They have equal rights in healthcare decision making as adults. And it is not a privilege, but rather a right. Children rights are human rights that are basic standards to which every person is entitled in order to survive and develop in dignity (UNICEF Canada). These rights are included but not limited to make to make decisions in their health, privacy and confidentiality of health information, respect for their values and belief and right to be informed about their rights (Van Daalen-Smith, 2007). However, children are vulnerable and thus their rights can easily be violated at any time. So, many international organizations, including the United Nations (UN), have set forth rights regarding children’s autonomy in health care and recommended for effective implementation. Health care practitioners also have a duty to protect these rights. Because children have rights to have a say in decisions that affect their lives, it is an ethical and moral obligation for nurses to safeguard, advocate and respect their rights in healthcare decision making.
Katie, you made some very good points in you discussion and I agree with your views. Truth-be-told when I read the passage about Marie it angered me at how the doctor dismissed her pain as being exaggerated and provided her with only a placebo. As parent I cant even being to process the emotions that one must go through when facing a situation of this magnitude. Just brainstorming for my initial post I changed my mind several times. My opening thought was no, but as I read the story of Marie I changed my mind. So you are right, this is a difficult topic to tackle. Even after seeing it from both prospective I have to side with you that if the child is competent then they should have a voice in their medical treatment decision. For example, my
The decision making process for patients has evolved in recent years from a process based on physician paternalism to an activity based on individual autonomy. Autonomy has been defined as the decision-making freedom of the individual by basing on his or her own values (1). As patients are more involved in medical decision-making concerning their health and wellbeing so too are parents for their children (1). Minors are generally considered incompetent to make legal-binding decisions in regards to health care decisions (1). As such, parents are given the power to make decisions on their behalf. In cases where parents decide to forgo treatment for their children, complex ethical, legal, cultural, and spiritual factors must often be taken into account. The complexity of these occurrences highlights the important implications on a healthcare decision-making perspective but as well as a broader societal perspective. This brief will assess key ideas and institutions that support and challenge the decision
The traditional paternalistic medical model was of the passive patient and active, treating doctor. The philosophy that “the doctor knows best” is however no longer accepted by many. People want more of a say in decision making and what is most important to the individual, the family and the community. The image of a compliant, trusting and uncomplaining, patient is fading as litigation becomes more of an everyday practice. Something good can come out of this practice in terms of improved documentation of health care, better informed decision-making processes with both benefits and harms discussed, legitimate informed consent for treatment and the measurement of performance outcomes in health care organizations.
It is true that parents have a significant role in making the decision for their children, and the doctors have a duty to consider the parents’ opinion. However, parents’ wishes can be overridden if their point of view is detrimental to the health of the child. The doctors are also empowered to make the decision on the issue of ethical consideration when the parents’ choice seems harmful to the child’s health (McDougall, 2016). In this case, Mike’s decision is irrational, so the doctor should do what is right for the child. Given that the delay in treatment has led to the deterioration of the child 's health, it is not ethical for the doctor to let the child suffer due to lack of medical attention on the premise that the parent believes a miracle will heal him. Since religion believes that every life is important (“Principles of Medical Ethics,” 2017), the doctor should use his ethical consideration to do what is right for the child and override Mike’s decision to wait for the miracle to heal James.
Second, if the conflict cannot be solved by communication or discussion, the care provider need to seek solutions in law. Brody and Aronson (cited in Tabak & Zvi 2008) argue that the patient has the fundamental right to quality medical care and the best treatment. A basic principle in law is that a minor cannot consent to medical treatment until he or she was of or above the age of 14 years old in New South Wales, 16 years old in South Australia or 18 years old in other states. As a result, the parents, or the legally pointed guardians of the child have the rights to make the decision for treatment (Janine & William 2010). Australia Nursing and Midwifery Council (2008a) states that nurses should respect the culture, values, beliefs, personal wishes, and decisions of the patients and their families. Nevertheless, Zohar and Langham (cited in Tabak & Zvi 2008) claim that parental consent to medical treatment negates patient autonomy. There has, sometimes, the conflict between parental authority and the child’s best interests. Where a parent or guardian refuses consent to use blood products in the emergency treatment of a child (less than 16 years