Parental Decision-Making Essay example

As Albert Einstein once said, “The only source of knowledge is experience.” Seeing that I agree with Einstein, I stand in firm negation of today's resolution which states Resolved: Adolescents ought to have the right to make autonomous medical choices. For simplicity in the debate today, I would like to give the following definition from the Black’s Law Dictionary: Adolescence is the age which follows puberty and precedes the age of majority. It commences for males at 14, and for females at 12 year completed. The Oxford Advanced Learner’s dictionary says that the word ought is used to indicate a desirable or expected state. Autonomous, as defined by the Oxford Dictionary of Philosophy, is having the freedom to act independently. The negative will support the value of paternalism, which as defined by the Stanford Encyclopedia of Philosophy, is the interference of a state or an individual with another person, against their will, and defended or motivated by a claim that the person interfered with will be better off or protected from harm. The value of paternalism will be defended with the criterion of knowledge and experience.

When the children are incapable, nurses have moral responsibility to assist parents in decision making in the children's best interest. "Substituting an adult judgement of what is in a child’s best interest is not necessarily equivalent with the child’s best interest (Coyne and Harder, 2011)." Acting in a child’s best interest requires parents and health professionals to take children's view seriously and give priority consideration to the impact of their decisions on children (Canadian Coalition for the Rights of Children (CCRC). The adults have responsibilities towards their children to enable them in making decision but they do not have rights to make decision for their children (Lowden, 2002). Children should not be viewed as property. The first step in protecting the rights of children as outlined in the CRC is to view them as citizens (Van Daalen-Smith, 2010). When parents claim that the child belongs to them, they are establishing an ownership notion. Children should be respected as active contributor not as passive recipient of the health care (Maconochie and McNeill, 2010). Therefore, parental role in decision making for their children should be complementary not

The case of Baby Boy Doe is an ethical dilemma because it’s an occurrence where “decision makers are drawn in two directions by competing course of acting that are based of differing moral frameworks, varying or inconsistent elements of the organizations philosophy, conflicting duties or moral principles, or an ill-defined sense of right and wrong.” (Darr, K. 2011) There were many differing viewpoints as well as moral and ethical choices on this case, the parents, nurses, physicians and hospital as an organization. In regards to the respect for person’s principle, the hospital and physicians allowed the parents to be completely autonomous. The parents were given the

Today nurses in all roles participate in ethical decision making arising from mortality, relationships, and conduct issues surrounding patient care and families. This is particularly the situation with ethical issues involving pediatrics and those unable to take their own decisions. While the patients’ interests should come first, there are many other factors that come into play when providing pediatric patient care: parents’ knowledge, cultural and religious practices, and the pediatric patient’s knowledge of their disease. Therefore, it is essential for nurses to follow the American Nurses Association (ANA) code of ethics to carry out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. In this paper I will discuss the ethical issues that deal with a fourteen year old boy with Cystic Fibrosis (C.F.). He has been faced with the proposition from his pulmonologist that he will not survive another acute respiratory distress attack and will have to intubated if his status deteriorated. However, he and his parents are not agreeing on whether or not he should be intubated if his status deteriorated with his next attack. This poses a huge ethical dilemma because as a nurse we are the patient’s advocate and need to do everything we can to make our patient comfortable as well as having the parents understand and accept the patient wants and desires.

Autonomy includes three primary conditions: (1) liberty (independence from controlling influences), (2) agency (capacity for intentional action), and (3) understanding (through informed consent) (Beauchamp & Childress, 2009, p. 100). According to Beauchamp & Childress (2009) to respect autonomous agents, one must acknowledge their right to hold views, to make choices, and to take actions based on their personal values and beliefs (p. 103). Respect for autonomy implies thaturges caregivers to respect theassist a patient in achieving? Heed? the autonomous choices of their patients. From there, patients can act intentionally and with full understanding when evaluating medical treatment modalities. Autonomy also includes a set of rules, one of which requires that providers honor patient decision-making rights by providing the truth, also known as veracity (Beauchamp & Childress, 2009, p. 103). In this case, several facets of the principle of respecting autonomy, specifically veracity, informed

Currently, family around the world have different way to take care their own children. Some of parents are very care too much about their children and some maybe not even care. However, some of parents are very care to much about their children. they don’t think that can extremely harmful to their children and adolescents because of their to much overly involved in children's life and overprotective .In fact, Helicopter parenting family who is overly involved in their own children and Some Helicopter parenting family had Bubble-wrapping our children that overprotective parenting .they don’t think , when they do like this can be bored the children life,make their kid stress, feel alone and hopeless because of them too much overprotective. For example, on these articles I had read before BUBBLE-WRAPPING OUR CHILDREN by Michael Ungar, “Helicopter parenting Deliver Benefit” By Don Aucoin and there two article are different.

Throughout history there has been many ethical dilemmas that have resulted in change, and many that have still not been resolve. These dilemmas often result in controversial issues arising, and both sides of the spectrum arguing as to which proposed idea is the morally correct one. Today, there is an enormous controversy in the ethical dilemma involving child care. This issue revolves around whether the views of the parents should be upheld when their child is in danger medically. To further assess the impact of this ethical dilemmas, a case study involving the treatment implemented on a child by a physician while opposing the views and wishes held by the parents will be analyzed in terms of the ethics of the situation, the stakeholders, values,

Canadian health care consent act, (1996) says that, there is no treatment without informed consent and it must be related to the proposed treatment, it must be given voluntarily and must not be obtained through misrepresentation or fraud. There is a different provision for a person who is deemed incapable to give consent. If a person is not competent to give consent, it may be given or refused on his/her behalf by a substitute decision maker. There is no specific age for children to give consent in Ontario but health care providers must assess the decision-making capacity of a child before proceeding with the treatment. There is exclusion too i.e. when informed consent is not mandatory. In an emergency situation informed consent could be withheld, where the person is experiencing severe suffering or he/she is at risk of life, if the treatment is not administered promptly and if there is no substitute decision maker to make decision on behalf of the patient. (HCCA,

One reason why teenagers should have the right to confidential medical treatments is so they can deal with their issues as effectively and timely as possible. When minors present their medical problems to their physicians, some of them can be emergencies. These situations can appear in a circumstance such as the patient waiting so long to get a doctor’s opinion of their illness or injury that they are at risk of serious consequences if it is not treated immediately. In some cases, there is no time to receive parental consent or approval, and medical procedure must happen as soon as possible. The patient is most desperate for attention in emergency situations and they should be able to consent to procedures so that they can be performed quickly. “Emergency physicians shall

This memorandum is written to inform others on the topic of mature minors and medical decisions. This matter has come to the surface of major debate and concern recently. One specific court case, involving Cassandra Callender of Windsor Locks, Connecticut, has sparked much of that concern. Seventeen-year old Cassandra was diagnosed with stage-three Hodgkin's Lymphoma and told by several doctors that she would predictably die within two years without the rounds of chemotherapy they had recommended for her. With the treatment, there was an expected 85% chance of survival (Cassandra Callender). However, Cassandra’s mother kept switching her daughter’s doctors, constantly questioned the diagnosis they were making, and according to the commissioner of her case, had, “...failed to meet the medical needs’, of Cassandra”. Cassandra was taken from her home and placed in her cousin’s because of her mother’s medical neglect. Callender’s mother testified that she knew that her daughter had cancer and that it was something that needed to be taken seriously. She further testified that her daughter should begin the chemotherapy rounds as quick as possible. Medics came to Cassandra’s home, after being returned

Although all citizens are protected the by the United States Constitution, minors are categorized as a special group; preventing them from making decisions without their guardian’s consent. Thus, under the parameters set by the Constitution, at the age of sixteen, Wendy should not be permitted to refuse chemotherapy treatment. Contrarily, in some states, if Wendy establishes her independence from her parents or at least is able to demonstrate a high level of maturity, she may be allowed to dictate her medical treatment (Mernikoff, 2001).

With the utilization of the Act-utilitarianism mindset, an alternative plan of action to focus on the circumstances surrounding Andrea and the community at large can be established using Uustals ethical decision making model. The nine steps identified by Uustal can allow the nursing process to be applied in an effort to guide the nurse in practicing proper judgment. The quandary involves community, personal and patient dilemmas. While many nurses strive for adhesion to values of patient autonomy and keeping ones word, the very nature of health care can raise cause for nurses to contradict and deviate from their own ethical stand points, all in an effort to do the right thing. Due to Andrea’s development of cervical cancer, nurse Hathaway was right in disclosing the minor’s disease to her parents. Adolescents usually are covered by their family’s insurance, but they may not have coverage for unaccompanied care, and they may

Nursing is an all encompassing profession in which practitioners are not only proficient in technical medical functionality, they also have the obligation to remain compassionate and respectful of patients and as such are expected to adhere to pre established codes of ethics. Of these ethics, autonomy is of extreme importance as it offers patients a sense of personal authority during a time where they may feel as if their lives, or at the very least their health, is no longer under their control. Autonomy in the context of nursing allocates the patient and often their family with the final word on the course of treatment. The concept of patient autonomy is a highly variable subject in all fields of health care. It is a universal concept that varies widely in its meaning and interpretation. Autonomy in its simplest form can be defined as a state of independence or self governing (Atkins, 2006). Patient autonomy can also be defined as the ability to make once own decisions, based on one’s sound judgment. It is defined by the American Nurses Association (ANA, 2011) as the "agreement to respect another 's right to self determine a course of action; support of independent decision making." This seemingly straight forward ethical concept is rife with difficulties when one considers potential disagreements that may arise even when informed consent is provided, particularly among children or vulnerable people. Relevant research and

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

Within healthcare, practitioners often have to make difficult decisions regarding the care of their patients. This could be to do with giving or withdrawing treatment, or as simple as sharing risk information (Glover, 1997). Ultimately, the practitioner must be able to rationalise any decision they have made (Morrison, 2009). With this in mind, the following assignment will draw upon an ethical dilemma and explore how theoretical perspectives can be utilised within the decision making process. Therefore it will also be pertinent to draw upon the law, and how this influences actions within health care. To facilitate this discussion, I will identify a scenario from practice that