Ethics in the
Life Sciences
Chapter 11
Nursing of Children and Adolecents
1
Learning Objectives
• Identify the ethical issues in pediatric clinical cases.
• Identify the most appropriate decision-ma...
Ethical Themes - Adolescents
Truth Telling
• What do you do when parents do not want to tell their
children about their me...
Ethical Themes - Adolescents
Confidentiality
• Information should be kept confidential between
healthcare providers, paren...
Ethical Themes - Adolescents
Adolescent Decision Making
• Adolescents are often at the age where they can make
informed he...
Ethical Themes - Adolescents
Allocation of Resources
• The lack of affordable, accessible, comprehensive
health care is a ...
Ethical Themes - Adolescents
Decision making
• Children are not considered Autonomous- so the
question is who ultimately m...
Ethical Themes - Adolescents
Genetic Testing
• The use of genetic technology, therapy and testing
can be controversial.
• ...
Summary
• Nursing for children and adolescents poses unique
ethical challenges.
• Ethical issues involve both the family a...
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Ch 11 nursing of children and adolescents

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Ch 11 nursing of children and adolescents

  1. 1. Ethics in the Life Sciences Chapter 11 Nursing of Children and Adolecents 1
  2. 2. Learning Objectives • Identify the ethical issues in pediatric clinical cases. • Identify the most appropriate decision-maker in each specific situation. • Advocate for a child’s best interests. • Describe the conflicts in determining who speaks for a child. • Facilitate adolescent decision-making when appropriate. • Analyze institutional and public policy issues related to children’s health care. 2
  3. 3. Ethical Themes - Adolescents Truth Telling • What do you do when parents do not want to tell their children about their medical condition? • What about the reverse, an adolescent who is able to get care without a parents consent? • Nurses should work to develop communication skills to facilitate communication skills between parents and children. • Nurses may be able to assist in advocating for both parents and children and assist them in determining what information should be shared and what information should be withheld. 3
  4. 4. Ethical Themes - Adolescents Confidentiality • Information should be kept confidential between healthcare providers, parents and the child. • Sometimes children may tell a healthcare provider information that they want to be kept confidential. As the nurse how do you handle these situations? • Nurses should understand that different states have different rules on what information can be released and what can not. Nurses should follow their organizations HIPAA policies and other confidentiality polices to guide them in their practice. 4
  5. 5. Ethical Themes - Adolescents Adolescent Decision Making • Adolescents are often at the age where they can make informed healthcare decisions. • Adolescents should be included in management decisions and proposed treatment decisions. • Nurses can advocate for adolescent patients by encouraging his or her inclusion in the decision making and treatment options for their own healthcare needs. 5
  6. 6. Ethical Themes - Adolescents Allocation of Resources • The lack of affordable, accessible, comprehensive health care is a significant issue in the United States. • Allocation of resources is a matter of justice, children and adolescents should have access that is the same as other groups such as adults. • Nurses can provide families with adolescent children the resources they need to find the care they need. Community resources, support groups and advocacy groups can all help in ensuring that the adolescent has access to the care needed. 6
  7. 7. Ethical Themes - Adolescents Decision making • Children are not considered Autonomous- so the question is who ultimately makes the decision in relation to healthcare needs? • Decision making is often done by a surrogate- often a parent. • Surrogate Decision Making • Substituted Judgment Standard- Surrogate makes the decision that the incapacitated adult would make. • Best Interests Standard- Based on the assumption that children have not reach a maturational level required to make their own decisions. Parents make the decision that is in their best interest. 7
  8. 8. Ethical Themes - Adolescents Genetic Testing • The use of genetic technology, therapy and testing can be controversial. • Genetic testing may have implications for families by revealing information about the individual being tested. • Nurses should understand that subjects related to genetic testing may be controversial for some families and discussions related to genetic testing should be approached carefully. 8
  9. 9. Summary • Nursing for children and adolescents poses unique ethical challenges. • Ethical issues involve both the family and the patient. • Good communication can assist in decision making and problem solving for both the adolescent and the parent. • Difficult situations should look to ethics committees and ethics principles to assist in resolving the presenting problem. 9

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