10. The Medical Treatment of Children

Family Law ◽  
2018 ◽  
Author(s):  
Dianne Scullion
Keyword(s):  
Decision Making ◽  
Medical Treatment ◽  
Alternative Treatment ◽  
Decision Making Process ◽  
Alternative Route

This chapter discusses who can consent to or refuse medical treatment for a child, and considers in what circumstances the child themselves can make this decision. This involves discussion of Gillick competence, which refers to circumstances where a child is viewed as having the required maturity and understanding to make these decisions. It also examines the role that parents play in the decision-making process. It explores cases where parents and doctors disagree on the treatment proposed and consider how these disputes are resolved. The chapter concludes by considering an alternative route to settle disputes concerning the medical treatment of children and examines the role that mediation can take in this context. It considers whether this has the potential to avoid extreme situations, such as that seen with Ashya King's parents removing him from the hospital and fleeing the country to avoid the treatment proposed by the doctors and receive alternative treatment abroad.

Treatment Choices and Informed Consent in Psychiatry: Implications of the Osheroff Case for the Profession

1986 ◽  
Vol 14 (1-2) ◽  
pp. 9-107 ◽  
Author(s):  
John Gulton Malcolm
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Alternative Treatment ◽  
Third Party ◽  
Treatment Modalities ◽  
Decision Making Process ◽  
Psychiatric Facility ◽  
Third Party Reimbursement ◽  
The Impact

In a case that is presently pending, a patient sued a private psychiatric facility alleging that the hospital committed malpractice by treating his disorder through psychodynamic rather than biological techniques. In this article, the author discusses the potential implications this suit may have for psychiatrists faced with making decisions about alternative treatment modalities. The article also discusses the role of the informed consent doctrine in this decision-making process. The impact of third-party reimbursement and the erosion of the so-called “respectable minority” rule are also discussed.

scholarly journals Fertility preservation procedures in girls, adolescents and women

2020 ◽  
Vol 13 (4) ◽  
pp. 409-412 ◽  
Author(s):  
Bettina Böttcher ◽  
Maren Goeckenjan
Keyword(s):  
Decision Making ◽  
Medical Treatment ◽  
Fertility Preservation ◽  
Standard Treatment ◽  
Ovarian Tissue ◽  
Young Patients ◽  
Current Data ◽  
Diagnosis And Treatment ◽  
Decision Making Process

SummaryFertility preservation has become an integral part of standard treatment for young patients with planned gonadotoxic therapy. The decision-making process is an interdisciplinary challenge to both oncologists and radiotherapists involved in the process of diagnosis and treatment. Nevertheless, even today, not every patient receives adequate counselling about fertility preserving techniques. Current data on the options of fertility preservation for women, including cryopreservation of oocytes, embryos, ovarian tissue, transposition of ovaries and medical treatment, are summarized in this review.

Limits of Guardian Treatment Refusal: A Reasonableness Standard

1984 ◽  
Vol 9 (4) ◽  
pp. 427-468 ◽  
Author(s):  
Robert M. Veatch
Keyword(s):  
Decision Making ◽  
Medical Treatment ◽  
Health Professionals ◽  
Ethics Committees ◽  
Treatment Preference ◽  
Decision Making Process ◽  
Treatment Refusal ◽  
Hospital Ethics Committees ◽  
Hospital Ethics ◽  
The Guardian

AbstractThe debate concerning the legal and ethical bases of guardian refusal of medical treatment on behalf of incompetent patients often ignores critical distinctions among types of patients and guardians. For example, patients who have expressed preferences regarding treatment while competent are distinguishable from patients who have always lacked the competency requisite to expressing a treatment preference. “Bonded guardians,” whose relationship with the patient preexisted guardianship, should have a different role in the decision-making process than “nonbonded guardians,” who were strangers to the patient prior to the guardian-ward relationship.This Article proposes criteria for guardian treatment refusal on behalf of incompetent patients. Under the model for guardian decision making presented here, bonded guardians should be preferred over nonbonded guardians, and bonded guardians should be allowed discretion to make treatment choices, limited only by a standard of reasonableness policed by the courts. The Author presents legal and ethical justifications for the bonded guardian's heightened role. Finally, he considers the proper roles of health professionals, hospital ethics committees, and judges in the decision-making process.

AAC Decision-Making and Mobile Technology: Points to Ponder

2014 ◽  
Vol 23 (2) ◽  
pp. 104-111 ◽  
Author(s):  
Mary Ann Abbott ◽  
Debby McBride
Keyword(s):  
Decision Making ◽  
Mobile Technology ◽  
Communication System ◽  
Augmentative And Alternative Communication ◽  
Evaluation Process ◽  
Decision Making Process ◽  
Alternative Communication ◽  
Ipod Touch ◽  
Feature Match

The purpose of this article is to outline a decision-making process and highlight which portions of the augmentative and alternative communication (AAC) evaluation process deserve special attention when deciding which features are required for a communication system in order to provide optimal benefit for the user. The clinician then will be able to use a feature-match approach as part of the decision-making process to determine whether mobile technology or a dedicated device is the best choice for communication. The term mobile technology will be used to describe off-the-shelf, commercially available, tablet-style devices like an iPhone®, iPod Touch®, iPad®, and Android® or Windows® tablet.

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