Replace Alternative Choice into the Child Medical Consent

Aug 6th, 2022
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How to Replace Alternative Choice into the Child Medical Consent

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- Im going to to talk to you today about the law around children and their autonomy in relation to medical care, particularly very unwell children who refuse treatment. So let me start with an example. So imagine youre a judge on call and a hospital comes to you with a terrible dilemma. Theyre treating a very ill child. Hes only 15 years old, 15 years 10 months to be precise. He has leukemia and he needs medications to hopefully help him get better. Now, if he has the conventional treatment, theres an 80 to 90% chance he will go into full remission, hell be fine. And theres an alternative treatment thatll only give them a 60% chance of remission, but theres a problem. Taking some of the conventional medicines will mean he will need a transfusion of blood and he and his family have made it clear that he doesnt want to transfusion because its against his faith as a Jehovahs Witness. The hospital have been respecting this, theyve been giving him alternative treatment instead,

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The underlying principle of consent isnt particularly complicated: Patients have a right to make an informed, voluntary decision about their care. That means they need to know the nature, risks, and benefits of their options which includes declining treatment.
Although parents usually have the legal and moral authority to act as surrogates for their children or adolescents, this is not always the case. For instance, parents might not be appropriate decision makers for a child or adolescent in any of the following situations: when parents lack decision-making capacity.
Four core criteria must be met: the patient giving consent must have capacity the consent must be freely given the consent must be sufficiently specific to the procedure or treatment proposed the consent must be informed.
There are 4 components of informed consent including decision capacity, documentation of consent, disclosure, and competency. Doctors will give you information about a particular treatment or test in order for you to decide whether or not you wish to undergo a treatment or test.
Parents have the responsibility and authority to make medical decisions on behalf of their children. This includes the right to refuse or discontinue treatments, even those that may be life-sustaining. However, parental decision-making should be guided by the best interests of the child.
Essential Elements of Informed Consent Description of the research and the role of the participant, including an explanation of all procedures relevant to the participant. Description of reasonably foreseeable risks. Description of expected benefits.
What are the 4 principles of informed consent? The patient must be able to make a decision. There must be an explanation of information before a decision is made. The patient must understand the medical information given. The patient must understand their decision is voluntary.
Informed consent is the process in which a health care provider educates a patient about the risks, benefits, and alternatives of a given procedure or intervention. The patient must be competent to make a voluntary decision about whether to undergo the procedure or intervention.

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