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Beyond Right and Wrong How mediation could help resolve contested decisions in paediatric palliative care  Sarah Barclay Cardiff, July 2010
What are the ethical dilemmas?
 
Decision Making
 
What is the court being asked to decide?
‘ Judges are given the appalling task of weighing up issues of immense sensitivity on which they have received little training – medicine, parental love, ethics and often religion’  Marcel Berlins The Guardian  23 March 2009
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‘ Court battle over hospital that wants to let baby die’  26 September 2004
‘ I’m hoping for a miracle,’ says Charlotte’s father.  2 October 2004
‘ I can really think of little that would be worse than for a child to be intubated and die in the course of futile treatment, or, worse still, in the course of futile treatment while futile legal proceedings were on foot’  Mr Justice Hedley
The Baby OT case Parents ‘deeply distressed’ by court ruling to switch off life-support for their boy  21 March 2009
The Baby OT case Parents may sue hospital over right-to-die battle  23 March 2009
The Story Of Child B
Mediation   An alternative solution
Mediation   ,[object Object],[object Object],[object Object]
Mediation   ,[object Object],[object Object],[object Object]
Mediation in the medical arena   ‘ This plaque is dedicated to the memory of children and pre-viable babies who died and from whom organs were wrongly retained in former times. This dedication acknowledges the role of parents in bringing about appropriate change’ Memorial plaque, Alder Hey
‘ There are potential advantages to using mediation in disputes about critical care decisions in neonatal medicine…’
A new approach Litigation Mediation Adversarial Consensual Inflexible  Flexible  Backward-looking Forward-looking Externally imposed judgment Mutually agreed solution Time-consuming Relatively quick Very costly Relatively cheap
A cheat’s guide to ethical principles ,[object Object],[object Object],[object Object],[object Object]
So: What is it? How would it work?
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Beyond “Right” And “Wrong”: Plenary presentation to the 5th International Conference on Paediatric Palliative Care, Cardiff 2010

  • 1. Beyond Right and Wrong How mediation could help resolve contested decisions in paediatric palliative care Sarah Barclay Cardiff, July 2010
  • 2. What are the ethical dilemmas?
  • 3.  
  • 5.  
  • 6. What is the court being asked to decide?
  • 7. ‘ Judges are given the appalling task of weighing up issues of immense sensitivity on which they have received little training – medicine, parental love, ethics and often religion’ Marcel Berlins The Guardian 23 March 2009
  • 8.
  • 9.  
  • 10. ‘ Court battle over hospital that wants to let baby die’ 26 September 2004
  • 11. ‘ I’m hoping for a miracle,’ says Charlotte’s father. 2 October 2004
  • 12. ‘ I can really think of little that would be worse than for a child to be intubated and die in the course of futile treatment, or, worse still, in the course of futile treatment while futile legal proceedings were on foot’ Mr Justice Hedley
  • 13. The Baby OT case Parents ‘deeply distressed’ by court ruling to switch off life-support for their boy 21 March 2009
  • 14. The Baby OT case Parents may sue hospital over right-to-die battle 23 March 2009
  • 15. The Story Of Child B
  • 16. Mediation An alternative solution
  • 17.
  • 18.
  • 19. Mediation in the medical arena ‘ This plaque is dedicated to the memory of children and pre-viable babies who died and from whom organs were wrongly retained in former times. This dedication acknowledges the role of parents in bringing about appropriate change’ Memorial plaque, Alder Hey
  • 20. ‘ There are potential advantages to using mediation in disputes about critical care decisions in neonatal medicine…’
  • 21. A new approach Litigation Mediation Adversarial Consensual Inflexible Flexible Backward-looking Forward-looking Externally imposed judgment Mutually agreed solution Time-consuming Relatively quick Very costly Relatively cheap
  • 22.
  • 23. So: What is it? How would it work?
  • 24.
  • 25.