SCCM Resource Library-How Much Is Too Much? Ethical Considerations and Decision-Making in Pediatric Critical Care Neurology

How Much Is Too Much? Ethical Considerations and Decision-Making in Pediatric Critical Care Neurology

Video Transcription

Video Summary

The presentation focuses on clinical ethics in pediatric critical care, particularly the ethical frameworks that guide decision-making processes involving parents and clinicians. The speaker, a critical care nurse, introduces the "zone of parental discretion," a framework by bioethicist Lynn Gillam. This framework balances the child's best interest and the harm principle, allowing parents to make suboptimal but not harmful decisions for their children. The presentation also references guidelines from the American Thoracic Society (ATS) and the Society of Critical Care Medicine (SCCM) regarding potentially inappropriate treatment. These guidelines provide a structured approach to resolving conflicts when parental decisions conflict with clinical judgment. A case scenario of a three-year-old with traumatic brain injury illustrates the application of these ethical considerations, highlighting factors like parental authority, quality of life, and resource allocation. The discussion emphasizes parental discretion, clinician guidance, and the significance of ethical frameworks in navigating complex medical decisions.

Asset Caption

One-Hour Concurrent Session | Optimizing ICU Care and Decision-Making for Children and AYAs With Severe Neurologic Impairment

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

pediatric critical care

ethical frameworks

zone of parental discretion

clinical decision-making

parental authority

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