Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-28

28_Ethics

Pdf Summary

The document addresses ethical issues in pediatric critical care medicine, including end-of-life care, clinical ethics, and principles of biomedical ethics such as autonomy, beneficence, non-maleficence, and justice. It discusses surrogate decision-making, standards for decision-making in pediatrics, and the doctrine of double effect. The text also covers topics like parental discretion in healthcare decision-making for children, minor consent laws, and pediatric research, as well as competency, informed consent, and the importance of shared decision-making. The document presents cases involving decisions on life-sustaining treatment, research participation, and withdrawal of support, highlighting the ethical principles and considerations involved. It also touches upon the impact of COVID-19 on ethical decision-making in healthcare. The content reflects on various scenarios and questions regarding decision-making processes, including the involvement of parents, healthcare providers, and ethical committees in making difficult choices for pediatric patients. The text underscores the importance of upholding ethical principles, respecting autonomy, and ensuring the welfare of pediatric patients in critical care settings.

Keywords

pediatric critical care

end-of-life care

clinical ethics

biomedical ethics

surrogate decision-making

parental discretion

informed consent

shared decision-making

life-sustaining treatment

COVID-19 impact

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