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When Adolescents May Die
1Programs in Medical Ethics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, Maryland 20814 USA. edmund.howe@uhuhs.edu.
Abstract:
In this article I will discuss how clinicians might best treat adolescents who may die. I initially discuss these patients' cognition, emotional tendencies, and sensitivity to interpersonal cues. I next discuss their parents' feelings of loss and guilt and their clinicians' risk of imposing their own moral views without knowing this. I then address the practical concerns of helping these patients gain or regain resilience and to identify strengths they have had in the past. I finally explore who, among staff, might be best able to do this. I highlight as the main goal that patients, their parents, and ideally also their clinicians are able to come to agree on the best course the patients should take.
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