Module 8: Peds Patients
Upon completion of this module, the resident should be able to:
- To describe the relationship between (a) age and (b) the acquisition and manifestation of decisional capacity.
- To define assent and dissent and distinguish these concepts from consent and refusal.
- To define and distinguish "mature minors," "emancipated minors," and "statutory minors"; and to explain the significance of these terms for decision making in the care of adolescent patients.
- To explain the concept of "best interests" in the context of decision making for pediatric and adolescent patients.
- To describe and differentiate the roles of children/adolescents, parents/surrogates, and physicians in health care decision making.
- To identify contentious or controversial issues in health care decision making by and on behalf of pediatric and adolescent patients.
Ethical guidance for dealing with parent-child disagreements can be found at: http://www.ama-assn.org/ama1/pub/upload/mm/384/augustppt2.ppt.
An overview of end of life decision making and adolescents is provided at: http://www.slch.org/tabid/91/itemid/4235/Adolescent-Update-EndofLife-Decisions.aspx.
An in-depth discussion of assent and dissent (compared with consent and refusal) is found at: http://www.encyclopedia.com/doc/1G1-109027885.html; another is found at: http://www.cirp.org/library/ethics/AAP/.
Ethics and professionalism benchmarks in pediatrics can be found at: http://depts.washington.edu/peds/students/core_materials/pdfs/Ethics%20and%20Professionalism%20Benchmrks%20Pediatrics%20V2%20July%20%85.pdf.
A provocative article on adolescence, medicine, and the law can be found at: http://www.pitt.edu/~cep/71SSDangerousLiasons.html.