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Ethical dilemma for pediatricians
Paediatric ethical issues
Ethical dilemma for pediatricians
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Last spring in Ohio, a 10-year-old Amish girl was diagnosed with leukemia cancer, “[found] on her neck, chest and kidneys (Perez).” In order to help battle this illness, the parents to this girl “[acceded] to begin two years of treatments (Seewer).” However, “[the parents] stopped a second round of chemotherapy in June because it was making [their girl] extremely sick (Seewer).” After this event took place, “the hospital, [where the girl was being treated], took the family to court to seek temporary guardianship [over the girl] (Perez).” As a result, there has been much debate over whether or not the court should side with the hospital’s plan to obtain provisional guardianship over the girl so as to make medical decisions for her, or to side with the parent’s choice to refuse treatment for their daughter. Although it may seem that the only reasonable solution to this controversy is to allow the parents to retain full custody of their child, the doctors of Akron Children’s Hospital should be granted temporary guardianship over the girl due to their moral responsibility as medics to ensure suitable care for their patients and their extended knowledge of this type of illness and its treatment.
To begin with, the parents sought assistance for their daughter’s illness from medical professionals themselves; they’re responsible for bringing doctors into the picture. In doing so, the parents not only created a bond between the doctor and patient, but also made it the doctor’s sole responsibility to provide the best medical care possible. In this case, that medical care happened to be chemotherapy. To have the doctors simply put these tasks out of their mind when the parents decided to withdraw their child from treatments, especi...
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...o obtain an impermanent guardianship over the 10-year-old. Not only do the doctors possess a moral responsibility to ensure that the child be properly cared for throughout her illness, but, in addition, they have an abundant knowledge regarding their treatment options and will provide, regardless of the side effects, the best possible option for the 10-year-old Amish girl.
Works Cited
Perez, Alex, and Matthew Jaffe. “Amish Girl With Leukemia, Family Flees US to Avoid
Chemotherapy.” ABC News. ABC News Network, 28 Nov. 2013. Web. 26 Jan. 2014. .
Seewer, John. “10-year-old Girl, Family Flee to Avoid Forced Chemo.” USA Today.
USATODAY, 27 Nov. 2013. Web. 22 Jan. 2014.
chemo-hershberger/3769825/>.
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
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When a patient enters the hospital, he or she expects the health care professionals to treat him or her with respect and fairness. The hospitals, clinics, and other healthcare settings should deserve and be reputed with a strong set of ethical principles and respect in the face of the law. To John, a 35 year old schizophrenic who is experiencing a crisis situation, his mental health depends greatly on his health care team. He wrote an advance directive that states which medications he would prefer to receive and that he wants his parents to be involved in his care, but he currently exhibits paranoia against his parents. John’s health care team must decide on what course of action to take. The purpose of this paper is to examine the legal and ethical aspects of John’s advance directive and his recipient rights.
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Advance directives can become ethical issues especially when a family attempts to enforce their opinions on healthcare instead of what a patient had requested in a living will. Advance directives, sometimes called a living will, are legal documents that allow an individual to spell out your decisions about end-of-life care ahead of time (MedlinePlus, 2014). A living will address which treatments an individual wants if he or she is dying or permanently unconscious (MedlinePlus, 2014). People impacted by this situations was the patient, the patient’s daughter, and all the patient...
In an effort to provide the standard of care for such a patient the treating physicians placed Ms. Quinlan on mechanical ventilation preserving her basic life function. Ms. Quinlan’s condition persisted in a vegetative state for an extended period of time creating the ethical dilemma of quality of life, the right to choose, the right to privacy, and the end of life decision. The Quilan family believed they had their daughter’s best interests and her own personal wishes with regard to end of life treatment. The case became complicated with regard to Karen’s long-term care from the perspective of the attending physicians, the medical community, the legal community local/state/federal case law and the catholic hospital tenants. The attending physicians believed their obligation was to preserve life but feared legal action both criminal and malpractice if they instituted end of life procedures. There was prior case law to provide guidance for legal resolution of this case. The catholic hospital in New Jersey, St. Clare’s, and Vatican stated this was going down a slippery slope to legalization of euthanasia. The case continued for 11 years and 2 months with gaining national attention. The resolution was obtained following Karen’s father being granted guardianship and ultimately made decisions on Karen’s behalf regarding future medical
A. A. The "Best Possible Child" Journal of Medical Ethics 33.5 (2007): 279-283. Web.
On April 15, 1975, the Quinlan family received a tragic phone call at approximately 2am; their daughter, Karen Ann, was in a coma. Earlier that evening, Quinlan was at a party and consumed drugs and alcohol. She became unconscious and eventually fell into an irreversible coma. She was conditioned to be in a persistent vegetative state. Since she was unable to recover from her coma, Quinlan’s parents requested her life support to be withheld. The removal of life support was more complicated than what the Quinlan family imagined it to be. They had to take the case to court to have the request approved. The first round in Superior court, the Quinlans lost. Eventually, the family took the case to the New Jersey Supreme Court. The court ruled that Quinlan’s father is appointed as her guardian and can make any decision regarding her care. It took the family over a year to have the approval to remove their daughter from life support; it took five days for Karen Ann Quinlan to be weaned off her respirator. Miraculously, she was able to breathe on her own for the next nine years until she died of pneumonia. This case led to the creation of the “living will” and required medical institutions to allow patients to live their last stage in life with dignity and respect (Karen Ann Quinlan Hospice
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Using semi-structured interviews, the authors explored, using inductive analysis, how parents cope with the moral burden of decision-making. The broad generalizations or themes generated are factors affecting parents’ decision-making. Parents of children with cancer are encumbered with many medical decisions. When parents experience decision-making, they are under very intense levels of stress. The research suggests this stress is not addressed with parents, and therefore, impedes their clarity when it is necessary to make decisions. With health care professionals, such as physician and nurses, providing clear communication as it relates to diagnosis, treatments, side effects, all the while offering emotional support, decision-making may be improved. This is crucial for planning the interventions that meet their child’s needs. The component needed to assist parents during this difficult time include nurses and physicians assessing parents’ information needs as the prognosis changes over time. Research suggests factors such as cultural, spiritual, and holistic care for parents is necessary for them to cope. Not only does this journal article inform how parents cope with and manage their child’s cancer care, but also provide strategies for the health care team to offer support so parents coping skills are adequate to collaborate with their child’s medical team (Kilicarslan-Toruner & Akgun-Citak,