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Considerations in management of the child with cerebral palsy
Insights
This article advocates for using "management" instead of "treatment" for children with cerebral palsy. This terminology shift reflects the reality that cerebral palsy requires ongoing care, not a cure, for the patient's maximal benefit.
Area of Science:
- Pediatrics
- Neurology
- Rehabilitation Medicine
Background:
- The term "treatment" implies a cure, which is not currently possible for cerebral palsy.
- The current terminology may create unrealistic expectations for patients and families.
Purpose of the Study:
- To advocate for the adoption of the term "management" when discussing children with cerebral palsy.
- To emphasize a more holistic and honest approach to care.
Main Methods:
- Conceptual analysis of terminology in pediatric care.
- Review of the implications of language in patient-centered care.
Main Results:
- "Management" is proposed as a more accurate and ethical term for addressing the complexities of cerebral palsy.
- "Management" encompasses a comprehensive approach to the child's and family's needs.
Conclusions:
- Shifting from "treatment" to "management" provides a more realistic framework for cerebral palsy care.
- This change in terminology supports decision-making aimed at maximizing patient benefit.
Abstract:
Throughout this article, the reader will recognize that the term "management" rather than "treatment" has been used when referring to the child with cerebral palsy. Treatment implies a reasonable chance for cure, something that is currently impossible in cerebral palsy. "Management" is a more honest term, implying consideration of all of the problems of the child with cerebral palsy and his family and bringing to bear those elements of decision making that lead to maximal benefit to the patient.