Podcast
Questions and Answers
What ethical consideration is primarily raised by the situation of the 7-year-old girl with end-stage cancer whose parents insist on resuscitative therapies?
What ethical consideration is primarily raised by the situation of the 7-year-old girl with end-stage cancer whose parents insist on resuscitative therapies?
- The legality of stopping chest compressions
- The child's right to refuse treatment
- The necessity of mechanical ventilation in all cases
- The parents' autonomy in decision-making (correct)
In the case of the 15-year-old Jehovah’s Witness, what principle is challenged regarding medical treatment?
In the case of the 15-year-old Jehovah’s Witness, what principle is challenged regarding medical treatment?
- Cultural beliefs can influence medical ethics (correct)
- Emergency treatment must always override personal beliefs
- All patients must accept blood products for survival
- Autonomy of the patient is absolute
In the scenario of the 12-year-old boy with cancer, what cultural factor complicates the truth-telling in medical practice?
In the scenario of the 12-year-old boy with cancer, what cultural factor complicates the truth-telling in medical practice?
- The potential for family conflict over the diagnosis
- The child's age and understanding of his condition
- The father's belief in parental duty to shield their child from pain (correct)
- The overwhelming clinical evidence of the prognosis
Which ethical question arises regarding the obligation to provide food and water to a child in medical care?
Which ethical question arises regarding the obligation to provide food and water to a child in medical care?
What is a significant concern in the context of the debate over resuscitative therapies for critically ill children?
What is a significant concern in the context of the debate over resuscitative therapies for critically ill children?
What is the primary ethical consideration when making treatment decisions for children?
What is the primary ethical consideration when making treatment decisions for children?
Which population is considered particularly vulnerable due to socio-economic factors?
Which population is considered particularly vulnerable due to socio-economic factors?
What role can parents typically play in healthcare decision making for their children?
What role can parents typically play in healthcare decision making for their children?
In pediatric palliative care, what is a significant challenge faced in decision-making?
In pediatric palliative care, what is a significant challenge faced in decision-making?
Which of the following is an ethical challenge that may arise when a child wishes to keep information private?
Which of the following is an ethical challenge that may arise when a child wishes to keep information private?
Which criterion is emphasized as important for determining whether to provide therapy to a child?
Which criterion is emphasized as important for determining whether to provide therapy to a child?
What best describes children’s overall legal position when it comes to pursuing their rights?
What best describes children’s overall legal position when it comes to pursuing their rights?
Which of the following groups is specifically recognized as multiply vulnerable?
Which of the following groups is specifically recognized as multiply vulnerable?
What is the primary factor that determines a minor's healthcare decision-making capacity?
What is the primary factor that determines a minor's healthcare decision-making capacity?
What does the concept of child assent imply in healthcare decision-making?
What does the concept of child assent imply in healthcare decision-making?
How should healthcare professionals approach children who have difficulty expressing their voices?
How should healthcare professionals approach children who have difficulty expressing their voices?
What ethical challenge relates to the confidentiality of pediatric care?
What ethical challenge relates to the confidentiality of pediatric care?
According to the Canadian Pediatric Society, what is essential in providing information to patients and their families?
According to the Canadian Pediatric Society, what is essential in providing information to patients and their families?
What is a critical aspect of respecting children's privacy in healthcare practice?
What is a critical aspect of respecting children's privacy in healthcare practice?
What role do parents play in the communication of healthcare decisions for children?
What role do parents play in the communication of healthcare decisions for children?
What is the main concern when listening to children without consenting capacity?
What is the main concern when listening to children without consenting capacity?
What is a condition that must be met to justify high dose sedation in palliative care?
What is a condition that must be met to justify high dose sedation in palliative care?
Which of the following is NOT a condition for ethically justifying the use of high dose sedation?
Which of the following is NOT a condition for ethically justifying the use of high dose sedation?
What stance is taken on withdrawing artificial nutrition and hydration in pediatric care?
What stance is taken on withdrawing artificial nutrition and hydration in pediatric care?
What is a misconception regarding the intention behind high dose sedation?
What is a misconception regarding the intention behind high dose sedation?
What should be considered when deciding to withdraw artificial nutrition and hydration from a pediatric patient?
What should be considered when deciding to withdraw artificial nutrition and hydration from a pediatric patient?
What are major unmet needs of disabled children linked to?
What are major unmet needs of disabled children linked to?
Which group of children is noted to have inadequate access to health and social services?
Which group of children is noted to have inadequate access to health and social services?
What is one of the ethical challenges faced in pediatric palliative care?
What is one of the ethical challenges faced in pediatric palliative care?
Under what circumstance can exceptions to the duty to provide life-sustaining treatment be made?
Under what circumstance can exceptions to the duty to provide life-sustaining treatment be made?
Which principle allows for actions with both good and bad consequences in pediatric palliative care?
Which principle allows for actions with both good and bad consequences in pediatric palliative care?
What has been amplified during the COVID-19 pandemic according to the noted issues?
What has been amplified during the COVID-19 pandemic according to the noted issues?
Which condition is not noted as a serious health risk for Indigenous children?
Which condition is not noted as a serious health risk for Indigenous children?
What limitation in pediatric palliative care can allow for better palliative treatment?
What limitation in pediatric palliative care can allow for better palliative treatment?
Which of the following accurately reflects the legal status of Medical Aid in Dying for minors in Quebec?
Which of the following accurately reflects the legal status of Medical Aid in Dying for minors in Quebec?
What right is explicitly recognized for minors under the 'An Act respecting end-of-life care'?
What right is explicitly recognized for minors under the 'An Act respecting end-of-life care'?
In the context of pediatric palliative care, what is the primary role of healthcare providers regarding children's voices?
In the context of pediatric palliative care, what is the primary role of healthcare providers regarding children's voices?
What does the term 'Participatory Models' refer to in the context of pediatric ethics?
What does the term 'Participatory Models' refer to in the context of pediatric ethics?
What is NOT a key feature of the 'An Act respecting end-of-life care' in Quebec relevant to minors?
What is NOT a key feature of the 'An Act respecting end-of-life care' in Quebec relevant to minors?
What is an important consideration in ethics discussions when caring for young patients?
What is an important consideration in ethics discussions when caring for young patients?
How does the Hermeneutical Rapprochement Framework assist in pediatric ethics?
How does the Hermeneutical Rapprochement Framework assist in pediatric ethics?
What critical element should be recognized when addressing children's rights in healthcare decisions?
What critical element should be recognized when addressing children's rights in healthcare decisions?
Which of the following statements about palliative care for minors is accurate?
Which of the following statements about palliative care for minors is accurate?
What is a significant outcome of recognizing young people's agency in an ethical context?
What is a significant outcome of recognizing young people's agency in an ethical context?
What does the term 'tragic choices' refer to in pediatric critical care?
What does the term 'tragic choices' refer to in pediatric critical care?
How can environmental factors impact disabled children according to the content?
How can environmental factors impact disabled children according to the content?
What common outcome arises from ethical dilemmas in pediatric critical care?
What common outcome arises from ethical dilemmas in pediatric critical care?
What is commonly misunderstood about the quality of life of disabled children?
What is commonly misunderstood about the quality of life of disabled children?
What ethical challenge does the notion of 'moral distress' primarily address in pediatric nursing?
What ethical challenge does the notion of 'moral distress' primarily address in pediatric nursing?
What is a vital consideration when determining the best interests of a child in medical decision-making?
What is a vital consideration when determining the best interests of a child in medical decision-making?
Which group is noted as particularly vulnerable due to cultural and social factors?
Which group is noted as particularly vulnerable due to cultural and social factors?
Which ethical challenge is typically encountered when there are conflicting opinions between parents and healthcare providers?
Which ethical challenge is typically encountered when there are conflicting opinions between parents and healthcare providers?
What role do parents typically hold in healthcare decisions for their children according to pediatric ethical norms?
What role do parents typically hold in healthcare decisions for their children according to pediatric ethical norms?
Which ethical norm emphasizes the significance of the child's voice in treatment decisions?
Which ethical norm emphasizes the significance of the child's voice in treatment decisions?
What primary concern is raised in pediatric palliative care when discussing a child’s prognosis?
What primary concern is raised in pediatric palliative care when discussing a child’s prognosis?
What is a common misconception regarding the decision to withdraw artificial nutrition and hydration in pediatric care?
What is a common misconception regarding the decision to withdraw artificial nutrition and hydration in pediatric care?
What is emphasized as critical in ensuring that children's rights are respected in healthcare decisions?
What is emphasized as critical in ensuring that children's rights are respected in healthcare decisions?
What is the role of parents regarding consent for healthcare decisions for minors under the Civil Code of Quebec?
What is the role of parents regarding consent for healthcare decisions for minors under the Civil Code of Quebec?
How does the presumption of capacity apply to minors in healthcare decision-making?
How does the presumption of capacity apply to minors in healthcare decision-making?
What concept suggests that children should be involved in healthcare decisions affecting them?
What concept suggests that children should be involved in healthcare decisions affecting them?
Under the Health Care Consent Act (Ontario), what is necessary for a person to be deemed capable of making treatment decisions?
Under the Health Care Consent Act (Ontario), what is necessary for a person to be deemed capable of making treatment decisions?
What is a major ethical challenge in considering the voice of children in healthcare?
What is a major ethical challenge in considering the voice of children in healthcare?
What is the implication of benevolent medical paternalism in pediatric healthcare?
What is the implication of benevolent medical paternalism in pediatric healthcare?
What aspect of child agency is increasingly recognized in the decision-making process in healthcare?
What aspect of child agency is increasingly recognized in the decision-making process in healthcare?
What does the term 'voice of the child' signify in the context of pediatric healthcare?
What does the term 'voice of the child' signify in the context of pediatric healthcare?
What are the conditions under which confidentiality may be breached in pediatric care?
What are the conditions under which confidentiality may be breached in pediatric care?
In pediatric care, what is a critical condition that requires consideration before disclosing sensitive information?
In pediatric care, what is a critical condition that requires consideration before disclosing sensitive information?
Which ethical consideration may arise regarding the treatment of newborns with severe health issues?
Which ethical consideration may arise regarding the treatment of newborns with severe health issues?
What is a potential misconception surrounding the treatment of premature babies compared to older children?
What is a potential misconception surrounding the treatment of premature babies compared to older children?
When a child expresses a desire for confidentiality around healthcare decisions, what ethical challenge arises?
When a child expresses a desire for confidentiality around healthcare decisions, what ethical challenge arises?
What is considered an imminent danger in the context of pediatric confidentiality exceptions?
What is considered an imminent danger in the context of pediatric confidentiality exceptions?
What factor can create ethical dilemmas when treating children with long-term disabilities?
What factor can create ethical dilemmas when treating children with long-term disabilities?
Which principle is often debated in the context of pediatric palliative care regarding actions that may have both beneficial and harmful consequences?
Which principle is often debated in the context of pediatric palliative care regarding actions that may have both beneficial and harmful consequences?
What is a condition under which life-sustaining treatment may be ethically withheld in pediatric care?
What is a condition under which life-sustaining treatment may be ethically withheld in pediatric care?
What principle allows for actions that may have both beneficial and harmful consequences in pediatric palliative care?
What principle allows for actions that may have both beneficial and harmful consequences in pediatric palliative care?
In pediatric palliative care, what ethical question arises regarding the use of palliative sedation?
In pediatric palliative care, what ethical question arises regarding the use of palliative sedation?
What major issue has been exacerbated during the COVID-19 pandemic regarding children?
What major issue has been exacerbated during the COVID-19 pandemic regarding children?
Which group of children has been identified as having serious health risks including increased rates of infant mortality?
Which group of children has been identified as having serious health risks including increased rates of infant mortality?
Under which situation can exceptions to the duty to provide life-sustaining treatment be justified?
Under which situation can exceptions to the duty to provide life-sustaining treatment be justified?
What is one of the major unmet needs affecting disabled children?
What is one of the major unmet needs affecting disabled children?
What consequence is associated with poverty in the context of children's healthcare and technology access?
What consequence is associated with poverty in the context of children's healthcare and technology access?
What is a key feature of 'An Act respecting end-of-life care' in Quebec for minors?
What is a key feature of 'An Act respecting end-of-life care' in Quebec for minors?
Which aspect of child rights is emphasized in nursing regarding children's voices?
Which aspect of child rights is emphasized in nursing regarding children's voices?
In the context of pediatric palliative care, what role does the Hermeneutical Rapprochement Framework play?
In the context of pediatric palliative care, what role does the Hermeneutical Rapprochement Framework play?
What is NOT a feature of the legal framework surrounding Medical Assistance in Dying for minors?
What is NOT a feature of the legal framework surrounding Medical Assistance in Dying for minors?
What is a common misconception regarding pediatric palliative care?
What is a common misconception regarding pediatric palliative care?
Which strategy emphasizes the importance of children's involvement in policy-making?
Which strategy emphasizes the importance of children's involvement in policy-making?
Which of the following best describes the legal status of advance medical directives for minors in Quebec?
Which of the following best describes the legal status of advance medical directives for minors in Quebec?
What ethical issue arises when discussing the role of nursing in children's healthcare?
What ethical issue arises when discussing the role of nursing in children's healthcare?
What is a primary consideration regarding children's rights in healthcare decisions?
What is a primary consideration regarding children's rights in healthcare decisions?
How should nurses approach ethical dilemmas in pediatric palliative care?
How should nurses approach ethical dilemmas in pediatric palliative care?
Flashcards
Resuscitative therapies for a 7-year-old with cancer
Resuscitative therapies for a 7-year-old with cancer
Ethical considerations arise when parents insist on life-sustaining treatments for a child with end-stage cancer, despite the possibility of limitations to the quality of life. Such treatments may include mechanical ventilation, high-dose medication, and intense interventions.
Religious beliefs and medical treatment (Jehovah's Witness)
Religious beliefs and medical treatment (Jehovah's Witness)
Religious beliefs can create conflicts between the patient's medical needs and the patient's/family's wishes, as exemplified with a Jehovah's Witness who refuses necessary blood transfusions, despite the risk to their life.
Honesty in telling a diagnosis
Honesty in telling a diagnosis
The ethical dilemma of whether to disclose a severe prognosis to a 12-year-old with cancer when the child's father prefers not to.
Obligation to provide food and water
Obligation to provide food and water
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Ethical considerations in pediatric intensive care
Ethical considerations in pediatric intensive care
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Vulnerable Children
Vulnerable Children
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Pediatric Ethical Norms (Canada)
Pediatric Ethical Norms (Canada)
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Child's Best Interest
Child's Best Interest
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Surrogate Decision Makers
Surrogate Decision Makers
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Cardiopulmonary Arrest
Cardiopulmonary Arrest
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Severe Neurological Injury
Severe Neurological Injury
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Treatment Decisions (Children)
Treatment Decisions (Children)
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Confidentiality Issues (Children)
Confidentiality Issues (Children)
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Mature Minor
Mature Minor
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Healthcare Decision-Making Capacity
Healthcare Decision-Making Capacity
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Child's Assent
Child's Assent
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Child's Voice
Child's Voice
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Confidentiality in Pediatric Care
Confidentiality in Pediatric Care
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Interpreting Child's Assent
Interpreting Child's Assent
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Treatment Decisions (Infants, Children, Adolescents)
Treatment Decisions (Infants, Children, Adolescents)
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Evolving Maturity
Evolving Maturity
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Palliative Care for Children
Palliative Care for Children
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Ethical Challenges in Pediatric Palliative Care
Ethical Challenges in Pediatric Palliative Care
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Double Effect Principle
Double Effect Principle
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Palliative Sedation
Palliative Sedation
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Life-Sustaining Treatment
Life-Sustaining Treatment
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When Can Life-Sustaining Treatment be Limited?
When Can Life-Sustaining Treatment be Limited?
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Inequitable Childhoods
Inequitable Childhoods
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Amplified Inequity During COVID-19
Amplified Inequity During COVID-19
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High-Dose Sedation in Palliative Care
High-Dose Sedation in Palliative Care
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Four Conditions for Ethical High-Dose Sedation
Four Conditions for Ethical High-Dose Sedation
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Withdrawing Artificial Nutrition & Hydration (ANH)
Withdrawing Artificial Nutrition & Hydration (ANH)
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Best Interest of the Child
Best Interest of the Child
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Ethical Considerations in Pediatric Palliative Care
Ethical Considerations in Pediatric Palliative Care
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Medical Assistance in Dying (MAID)
Medical Assistance in Dying (MAID)
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Advance Medical Directives (AMD)
Advance Medical Directives (AMD)
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Moral Agents
Moral Agents
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Participatory Models
Participatory Models
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Hermeneutical Rapprochement
Hermeneutical Rapprochement
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Ethical Discussions in Nursing
Ethical Discussions in Nursing
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Reconciliation in Healthcare
Reconciliation in Healthcare
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Multiply Vulnerable Children
Multiply Vulnerable Children
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Best Interest Standard
Best Interest Standard
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Parental Decisional Autonomy
Parental Decisional Autonomy
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Assent
Assent
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Capacity
Capacity
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Confidentiality
Confidentiality
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Ethical Challenges
Ethical Challenges
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Value of Life for Disabled Children
Value of Life for Disabled Children
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Inescapable Tragedy in Critical Care
Inescapable Tragedy in Critical Care
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Ethical Dilemmas in Nursing Children
Ethical Dilemmas in Nursing Children
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Children's Voice in Healthcare
Children's Voice in Healthcare
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Inequity in Childhood
Inequity in Childhood
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Confidentiality in Healthcare
Confidentiality in Healthcare
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Exceptions to Confidentiality
Exceptions to Confidentiality
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Conditions for Disclosure
Conditions for Disclosure
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Limited Disclosure
Limited Disclosure
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Ethical Challenges in Nursing Children
Ethical Challenges in Nursing Children
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Newborns as Full Persons
Newborns as Full Persons
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Excessive Resuscitative Therapies
Excessive Resuscitative Therapies
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Developing Standards for Limiting Treatment
Developing Standards for Limiting Treatment
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Pediatric Palliative Care: Ethical Dilemma
Pediatric Palliative Care: Ethical Dilemma
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Life-Sustaining Treatment Limits
Life-Sustaining Treatment Limits
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End-of-Life Care
End-of-Life Care
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Study Notes
Childhood Ethics
- Franco A. Carnevale is a nurse, psychologist, clinical ethicist, full professor, and principal investigator at McGill University.
- He has expertise in children and youth.
- He's involved in interdisciplinary childhood ethics research and has a website and Twitter account (@childethics).
- He researches at Douglas Mental Health University Institute, Le Phare, Shriner's Hospitals for Children (Canada), Montreal Children's Hospital - MUHC.
Resuscitative Therapies
- A 7-year-old girl with end-stage cancer was admitted to the PICU.
- Her parents insisted on life-sustaining treatment including mechanical ventilation and high-dose inotropic support.
- Skin breakdown and hemodynamic instability occurred.
- Parents objected to limiting chest compressions.
Religious Beliefs & Clinical Practices
- A 15-year-old with multiple trauma was a Jehovah's Witness, refusing blood products along with her mother.
- Hemodynamic instability was present.
- Hemoglobin (Hgb) levels were 85…35.
Should the Truth Be Told?
- A 12-year-old boy with metastasized cancer required surgery, radiotherapy, and chemotherapy.
- His prognosis was severely guarded.
- The father was against disclosing the diagnosis/prognosis to the boy.
- His family's cultural norms indicated this was a burden for the parents.
Basic Obligation to Provide Food & Water
- A 3-year-old girl underwent a tonsillectomy and adenoidectomy (T&A).
- She suffered severe hemorrhage overnight, cardiopulmonary arrest, and severe brain injury.
- Two weeks later, she was breathing spontaneously, had severe neurological injury, and a severe disability was projected, requiring at least one month to confirm.
- Parents insisted on discontinuing nutrition/hydration.
Children's Vulnerability
- Children are disadvantaged physically, psychologically, socially, and legally.
- Socially, they have difficulty discerning who to trust.
- Legally, they cannot independently pursue their rights.
Multiply Vulnerable Children
- Examples of particularly vulnerable children include disabled children, those with mental health concerns, LGBTQ2A youth, newborns, Indigenous children, migrant newcomers, those experiencing low income/poverty, cultural/religious/racial diversity, child welfare (youth protection) issues, pediatric palliative care, and global child health concerns.
Nursing Children & Families: Ethical Challenges
- The criteria for providing therapies need to be established.
- Decision-making roles need to be identified.
- Children's perspectives need to be incorporated.
- Confidentiality considerations, particularly between children and parents and among team members, and within pediatric palliative care need to be addressed.
- Additional challenges within pediatric palliative care need more discussion.
Pediatric Ethical Norms (Canada)
- All infants, children, and adolescents have dignity, intrinsic value, and a claim to respect, protection, and appropriate medical treatment.
- Parents are often appropriate surrogate decision makers for children.
- Children and adolescents should be involved in decisions affecting them and once they develop sufficient decision-making capacity, they should be the principal decision-makers for themselves.
Medical Decision-Making in Pediatrics
- Children and adolescents' participation in medical decisions should align with their developmental stage.
- Healthcare professionals and surrogate decision-makers should be adequately informed by laws and regulations.
- Patient's best interests and outcomes should guide decisions.
- Disagreements or conflicting interests necessitate collaborative processes and identified surrogate decision-makers.
- HCPs need to use conflict resolution processes to resolve conflicts and help patients/families access resources to resolve issues.
Criteria for Therapies
- The 'Child's Best Interests' must be considered alongside assessing benefits and burdens.
- The balance between prolonging life and quality of life needs careful consideration.
Who Should Decide Treatment?
- Healthcare professionals have a duty to work toward the patient's best interest.
- Decisions on significant care issues such as CPR or cancer treatment may be made by physicians using benevolent medical paternalism.
- Parents generally are significant agents for children; family autonomy is important.
- The child should be engaged based on capacity.
- Other individuals might contribute depending on the circumstances.
What about the Child's Voice?
- Recognizing a child's voice is crucial, even without legal decision-making capacity.
- Child's moral agency must be respected.
- Optimize assent by ensuring the child understands their condition, the proposed treatment, and the associated circumstances.
- Seek the child's voluntary cooperation wherever possible.
Consent for Minors
- Different jurisdictions have varying legal standards for minors' consent to treatment.
- Consent/permission exceptions exist for mature minors, emancipated minors, situations requiring emergency treatment, and court-ordered interventions.
"Mature Minor" in Canada
- "Mature Minor" isn't a universally defined term in Canadian law.
- Decision-making capacity is rooted in the child's maturity rather than solely their age.
- Minors' participation should align with their expressed ability and age-appropriate understanding.
Listening to Children's Voices
- Children with communication difficulties require specialized methods.
- Parents may help interpret their children's needs, facilitating a shared understanding within professional teams.
Confidentiality
- Confidentiality may be breached in cases when the patient presents an imminent threat to self or others. Specific conditions exist (i.e., immediate danger, harm to self or others).
- Disclosure should be limited to the specific risk and not go beyond what's necessary to manage the risk.
Confidentiality Conditions for Disclosure
- Conditions requiring disclosure include a clear risk to an identifiable person or group, serious risk of bodily harm or death, and imminent danger.
Special Considerations for Newborns
- Additional care should be implemented, understanding that newborns are children.
- Determining if similar care practices and considerations apply need careful planning.
Excessive & Dismissive Practices
- Recognize that newborns are children with inherent needs for protection and care..
- Evaluate if newborns experience disparities compared to older children with similar prognoses requiring attention to disparities in care.
Long-Term Disability
- Long-term disability requires a holistic approach, and all factors for the child's well-being need to be considered.
Daily Living With Distress
- Families caring for ventilator-supported children face immense physical and emotional distress.
- Support systems and services must adapt to the child's needs and the family's context.
Quality of Life
- Evaluate the quality of life for disabled children, recognizing their unique ways of experiencing life.
Critical Illness
- Pediatric critical care environments present unique challenges due to often uncertain diagnoses, prognoses, and tragic choices.
- Resolution of disagreements, conflicts, and common moral distress must be addressed.
Inequities
- Recognize existing healthcare disparities across different child populations based on various factors (disability, hunger, migrant status, Indigenous background).
- Addressing unjust circumstances is vital for equitable healthcare systems.
Pediatric Palliative Care
- Ethical considerations for life-sustaining treatment (e.g., nutrition, hydration), appropriateness of medications that impact life expectancy, and end-of-life care require specific attention to children's unique needs.
Medical Assistance in Dying
- Euthanasia is not legal for children, however, societal contexts impact ethical considerations.
- Quebec's Act respecting end-of-life care (Bill 52) may have specific considerations regarding end-of-life issues. Consideration must be given to minors. Appropriate legal frameworks should be consulted to discuss ethical issues and conflicts surrounding end-of-life, euthanasia, and palliative care.
Listening to Children's Voices
- Child-centered considerations including children's rights, evidence, clinical evidence, research must be addressed.
- Children's active participation is vital in governance and policy-making.
Strategies for Reconciliation
- Proactive ethics-based discussions for nursing teams are useful.
- Ongoing ethics education, consultations, and multidisciplinary teamwork are vital for ethical decision-making and practice.
Hermeneutical Rapprochement Framework
- The hermeneutical framework aids in understanding situations through the lenses of societal factors, values, and needs of children.
- It facilitates a deeper understanding of the historical and sociocultural contexts, including political implications.
- This approach leads to a reconciliation between divergent perspectives.
Listening to Children's Voices
- Strategies are necessary when children's voices are difficult to access. Specialized communication and interpretation methods are required.
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Description
This quiz explores the ethical considerations involved in pediatric medical decision-making, focusing on cases of critically ill children. It addresses dilemmas faced by healthcare providers and families, including issues related to resuscitative therapies, truth-telling, and the role of socio-economic factors. Test your understanding of the complex ethical landscape in pediatric care.
