Related Experiment Video
Updated: Jul 25, 2025
Electroencephalographic Signal Acquisition Framework for Neurodiverse: A Case Study of Dolphin-Assisted Therapy
Published on: June 27, 2025
Adequacy of therapeutic effort: Challenges in pediatrics
Andrea De León-García1, Mónica Manrique Díaz2
1Pontificia Universidad Javeriana, Bogotá, Colombia.
Insights
The adequacy of therapeutic effort, replacing "therapeutic limitation," guides decisions on withholding or withdrawing care to prioritize patient comfort. This approach is particularly complex in pediatrics due to unique physician-patient-family dynamics and limited guidelines.
Area of Science:
- Medical Ethics
- Pediatric Palliative Care
- Clinical Decision-Making
Background:
- The concept of
Purpose of the Study:
- To define and explore the complexities of
Main Methods:
- Conceptual analysis of ethical and legal principles
- Discussion of challenges in pediatric care
Main Results:
Conclusions:
- Adequacy of therapeutic effort requires careful consideration of specific patient conditions and circumstances.
- Implementation demands a nuanced approach regarding measures, timing, and patient selection.
Abstract:
The term "therapeutic limitation" has been replaced by "adequacy of therapeutic effort" and is defined as the decision to withhold or withdraw diagnostic and therapeutic measures in response to the patient's condition, avoiding potentially inappropriate behaviors and redirectong treatment goals towards comfort and well-being. In the pediatric population, this decision is even more challenging given the nature of the physician-patient-family relationship and the paucity of guidelines to address treatment goals. The adequacy of therapeutic effort is framed by ethical and legal principles, but, in practice, there are several challenges. Each adequacy process is unique and dynamic, and should be addressed by taking into account with what measures, how, when, and in whom it should be implemented.
More Related Videos
Related Concept Videos
01:17Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
01:27Ethical Issues
Ethical Concerns in Healthcare:
01:28Drug Therapy
Antianxiety Medications
01:21Factors Affecting Drug Response: Overview
01:29Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
01:25Elements Crucial for Effective Psychotherapy
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...