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Informed Consent for Pediatric Endoscopy
Joel A Friedlander1, David E Brumbaugh1
1Digestive Health Institute, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, B290, Aurora, CO 80045, USA.
Insights
Informed consent for pediatric procedures requires shared decision-making between providers, children, and parents. This process ensures understanding for both elective and emergent gastroenterology interventions.
Area of Science:
- Pediatric Gastroenterology
- Medical Ethics
- Informed Consent
Background:
- Informed consent is a critical component of pediatric medical procedures.
- The process involves providers, children, and parents/guardians in shared decision-making.
- Pediatric gastroenterology often involves elective procedures requiring a formal consent process.
Purpose of the Study:
- To describe the process of informed consent and refusal for pediatric procedures.
- To highlight the importance of shared decision-making in pediatric gastroenterology.
- To outline the steps involved from initial consultation to consent documentation.
Main Methods:
- Review of the standard informed consent process in pediatric gastroenterology.
- Discussion of variations for elective versus emergent procedures.
- Emphasis on communication strategies for involving children of assenting age.
Main Results:
- The informed consent process is collaborative, involving multiple stakeholders.
- Elective procedures typically follow a structured process starting with an office visit.
- Emergent situations may necessitate expedited consent or a waiver of formal consent.
Conclusions:
- Effective informed consent in pediatric gastroenterology necessitates clear communication tailored to the child and guardians.
- The process respects patient autonomy and facilitates informed decision-making.
- Adapting the consent process for emergent situations is crucial for timely care.
Abstract:
Informed consent and refusal for pediatric procedures involves a process in which the provider, child, and parents/guardians participate. In pediatric gastroenterology, many procedures are considered elective and the process generally begins with an office visit and ends with the signing of the consent document. If the process is emergent then this occurs more expeditiously and a formal consent may not be required. Information about the procedure should be shared in a way that allows a decision-making process to occur for both the parent/guardian and the child, if of assenting age.
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