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Ethics In The Healthcare Profession

Decent Essays

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

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