Whose child is it anyway? Resolving parent-physician conflict in the NICU setting
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Published on: August 25, 2014
Jill Jasper1, William D Clark, Gerardo Cabrera-Meza
1Pediatric Resident, Baylor College of Medicine, Houston, Texas 77030, USA.
Insights
Parental refusal of standard medical care for noncritically ill children presents unique challenges. This discussion explores navigating these situations to ensure the child's best interests through negotiation and peaceful resolution.
Area of Science:
- Pediatric healthcare ethics
- Medical decision-making
Background:
- Limited literature exists on parental refusal of treatment for noncritically ill children.
- Existing research primarily focuses on critically ill pediatric patients.
Purpose of the Study:
- To explore the complexities of parental refusal of standard medical care in noncritically ill children.
- To provide guidance on managing these challenging ethical and clinical situations.
Main Methods:
- Case study analysis.
- Discussion of ethical considerations and negotiation strategies.
Main Results:
- The study highlights the shift in physician roles from medical expert to negotiator.
- It emphasizes the need for balancing parental wishes with the child's well-being.
Conclusions:
- Peaceful resolutions are achievable through careful consideration and communication.
- Prioritizing the child's ultimate good is paramount in these medical dilemmas.
Abstract:
Much has been written on parental involvement in decision making when dealing with critically ill children, but few articles have touched upon parental refusal of treatment in noncritically ill children. What steps should be taken when a parent refuses what is generally considered "standard of care" medicine for their hospitalized child? Does medical advice outweigh parental views or wishes, and what does one do when our role as physician turns from medical expert into one of medical negotiator? The following case and discussion deal with parental refusal of conventional medical care, and how one may find peaceful resolutions to challenging situations for the ultimate good of the child.
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