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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.
Shared decision making (SDM) offers ethical and practical advantages in healthcare. This guide provides clinicians with a stepwise approach for SDM with adolescents, addressing unique autonomy considerations and breakdown scenarios.
Area of Science:
- Medical Ethics
- Adolescent Healthcare
- Clinical Practice
Background:
- Shared decision making (SDM) is recognized for its ethical and practical benefits in adult and pediatric care.
- Adolescents present unique challenges to SDM due to their developing autonomy, differing from independent adult decision-making and child proxy decision-making.
Purpose of the Study:
- To provide clinicians with a practical, stepwise approach to implementing SDM with adolescent patients.
- To offer guidance on managing situations where SDM processes may break down with adolescents.
Main Methods:
- The study utilizes a hypothetical case scenario.
- A commentary accompanies the case to provide practical guidance and a stepwise approach.
Main Results:
- The approach addresses the distinct autonomy of adolescents in healthcare decision-making.
- Guidance is offered for navigating complexities and breakdowns in SDM with this population.
Conclusions:
- Clinicians can effectively apply SDM with adolescents by understanding their unique autonomy.
- A structured approach can enhance SDM and provide support when challenges arise in adolescent healthcare.
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