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Pediatric stoma in Zambia: Current ethical challenges and advancement of public policy
Katherine Kazen1, Keelin Roche1, Luther Ward2
1East Tennessee State University, Johnson, Tennessee, USA.
Introduction:
Pediatric ostomy creation is becoming increasingly prevalent in Sub-Saharan Africa (SSA). The procedure is associated with both physical and ethical challenges for patients, their families, and medical providers.
Ethical Discussion:
Counseling parents of children in need of ostomy creation must address each of their trepidations while seeking to promote the ethical tenets of beneficence, non-maleficence, autonomy, quality of life, and justice.
Conclusion:
As pediatric surgical care in SSA continues to progress, efforts to ameliorate challenges to providing holistic patient-centric care must also progress. This manuscript outlines ethical dilemmas associated with pediatric ostomy care in SSA and lists efforts and initiatives seeking to address them.
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