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Concluding comments: maximizing good patient care and minimizing potential liability when considering complementary
Joan Gilmour1, Christine Harrison, Sunita Vohra
1Osgoode Hall Law School, York University, Toronto, Ontario, Canada.
Pediatrics
|November 3, 2011
Summary
Practitioners and parents need clear guidelines for making decisions about complementary and alternative medicine (CAM) for children. Ethical, legal, and clinical reasoning principles apply to both conventional and CAM treatments.
Area of Science:
- Pediatric Health
- Medical Ethics
- Healthcare Policy
Background:
- Complementary and alternative medicine (CAM) use in children necessitates careful consideration by all stakeholders.
- Existing ethical, legal, and clinical frameworks require adaptation for CAM decision-making.
- Gaps in current practice and policy hinder appropriate CAM use for pediatric patients.
Purpose of the Study:
- To identify essential factors for informed decision-making regarding pediatric CAM use.
- To develop guidelines for the appropriate application of CAM in children.
- To address ethical, legal, and clinical reasoning in pediatric CAM.
Main Methods:
- Review of ethical, legal, and clinical reasoning principles.
- Application of principles through case scenarios.
- Identification of practice and policy gaps related to pediatric CAM.
Main Results:
- Ethical, legal, and clinical decision-making for CAM parallels conventional care.
- Risk-benefit analysis and patient values are crucial for both CAM and conventional treatments.
- Key areas for focus include practitioner-patient relationships, decision-making processes, dispute resolution, standards of practice, institutional policies, patient safety, education, and research.
Conclusions:
- Standard ethical, legal, and clinical principles guide CAM decision-making for children.
- A comprehensive approach considering patient values and risk-benefit analysis is essential.
- Further research and policy development are needed to ensure safe and appropriate pediatric CAM use.
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