Ethics In Pediatric Care Flashcards
A branch of bioethics that analyzes, moral aspects of decisions made relating to the healthcare of children
Pediatric ethics
The autonomy-driven framework of adult medical ethics is replaced by?
Beneficient paternalism
Voice of older children must be heard (child’s affirmative agreement)
Assent
Reflects a surrogate or proxy decision made by a parent on behalf if a child
Parental permission
Opposite of assent
Dissent
Withholding and withdrawing life-sustaining treatment should be made after careful consideration of?
- recognizable by both family and medical staff
- medical likelihood of particular outcomes
- burdens on patient and family
- religious and cultural decision-making frameworks
- input by the patient when possible
Is a mechanism that allows patients and or appropirate surrogates to designate the desired medical interventions under applicable circumstances
Advance directives
Doctrine of double effect
- morally good or neutral act
- good effect is intended
- bad effect merely forseen
- bad effect not the means to the good effect
- proportionality - good must outweigh the bad
Causing death is chosen as a means of relieving the symptoms that cause suffering
Active euthanasia
Donation of solid organs can occur?
- death by neurologic criteria or brain death
- circulatory death
Patient is declared dead based on either irreversible cessation of neurologic function of the brain and brainstem
Death by neurologic criteria or brain death
Predetermined period of cardiac asystole
Circulatory death
Basis for organ donation
- dead donor rule: limiting the donation of vital organs to those who are irreversibly dead
- absence of conflict of interest between clinical care and organ procurement
