Fundamental Elements to Consider When Making Medical Decisions

It is a 15 year old boy with invasive cancer. His cancer is being rapidly suppressed, so doctors think that it can delay it with large-scale chemotherapy. The problem is that it is not a cure, it could explode blood platelets. This will require blood transfusion. The parents of A.Y. are part of the faith of Jehovah's Witnesses, but he does not have it yet. He is not yet considered Jehovah's Witnesses, but I believe their belief prohibits blood intake and blood transfusion.

In this article, we will discuss the differences between adult medical decisions and children's medical decision-making, the basic elements of childhood ethics counseling, various ethical counseling models (individual counselors, complete ethics committees and groups), ethical consultants We will explain the examination criteria for selecting, and ongoing evaluation. And the importance of improving pediatric ethics counseling service. This article is a well-thought discussion about ethical issues in the treatment of VIP patients - including the broad definition of VIP and its impact on VIP, other patients, clinicians and institutions. Of particular note is the problem of emergency room and mental hospital. It does not mention the problem of treating children with VIP, but the questions raised can be easily applied to pediatrics.

Informed consent is the basis of ethics and law. Patients have the right to receive information and to ask questions about the recommended treatment so that they can make a well-thought out treatment decision. Successful communication in patient-doctor relationship can promote trust and support joint decision-making. The process of informed consent occurs when patient permission or consent is obtained for a specific medical action by contact between the patient and the physician. When seeking patient informed consent (or if the patient lacks decision-making abilities or refuses to participate in decision-making, patient's agent's consent), the physician should do the following .

Because children often lack decisions or legal authority (ability) to provide true informed consent about medical decisions, parents or statutory guardians are informed about medical decisions In many cases. Such "attorney's consent" usually works properly, but if the judgment of parents or guardians and medical professionals differ in the appropriate decision making up "child's best interests", an ethical dilemma There is a possibility to invite. Minors who are legally released and under certain circumstances, such as sexually transmitted diseases or decisions on pregnancy, or that are thought to possess medical decision making capacity, may provide consent without parental permission Yes. Legal provision Jurisdiction of child's residence