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How Should Adolescent Health Decision-Making Authority Be Shared?
Kimberly Sawyer1, Abby R Rosenberg2
1Acting instructor and senior clinical fellow in pediatric bioethics and palliative care at the University of Washington School of Medicine in Seattle.
Abstract:
Shared decision making (SDM) is used in adult and pediatric practice for both its ethical and its practical benefits. However, its use is complicated with adolescents whose emerging and relational autonomy is distinct from that of adults, who make decisions independently, and children, whose parents make decisions for them. This hypothetical case scenario and commentary provide clinicians with a practical and stepwise approach to SDM with adolescents as well as guidance when SDM breaks down.
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