Ethics

Question 1

What is the framework for ethical reasoning in pediatrics?

Answer 1

In most pediatric cases, the ethical framework used is one of beneficence - the obligation of the practitioner to act in the best interest of the patient (this is in contrast to the framework for adults - autonomy - the right of the informed patient to help in the decision making process).

Question 2

Define beneficence.

Answer 2

The obligation of the practitioner to act in the best interests of the patient.

Question 3

Define autonomy.

Answer 3

The right of the informed patient to help in the decision-making process.

Question 4

T/F: If a parent refuses treatment for their child who is having a severe asthma exacerbation, the physician must honor the parent’s wishes to refuse medical treatment.

Answer 4

False

Question 5

What 3 obligations must a pediatrician assume in the patient-parent-pediatrician relationship?

Answer 5

Veracity (truthfulness and accuracy), fidelity (faithfulness to obligations; trustworthiness), and confidentiality (the private nature of information obtained during an office visit).

Question 6

How many brain death criteria exams must a child undergo?

Answer 6

In the US, children must undergo physical examination to determine brain death (including the brainstem) in two separate examinations separated by an observation period.