دانلود مقاله انگلیسی رایگان:تصمیم گیری پایان عمر پزشکی برای کودکان در بازداشت: یک رویکرد عملی مشترک چند جانبه - 2020
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  • End-of-life medical decision-making for children in custody: A collaborative, multi-stakeholder practical approach End-of-life medical decision-making for children in custody: A collaborative, multi-stakeholder practical approach
    End-of-life medical decision-making for children in custody: A collaborative, multi-stakeholder practical approach

    سال انتشار:

    2020


    عنوان انگلیسی مقاله:

    End-of-life medical decision-making for children in custody: A collaborative, multi-stakeholder practical approach


    ترجمه فارسی عنوان مقاله:

    تصمیم گیری پایان عمر پزشکی برای کودکان در بازداشت: یک رویکرد عملی مشترک چند جانبه


    منبع:

    Sciencedirect - Elsevier - Child Abuse & Neglect, 103 (2020) 104441. doi:10.1016/j.chiabu.2020.104441


    نویسنده:

    Ricki S. Carrolla, Eliza Hirstb, Mark Hudsonb, Molly Shawb, Stephanie A. Deutscha,*


    چکیده انگلیسی:

    Background: Parents have a constitutionally-protected, fundamental right to make decisions concerning the health and well-being of their children, afforded by the Due Process Clause of the Fourteenth Amendment. However, parental rights are not absolute, and may be curtailed after a finding of parental “unfitness” including perpetration of egregious child abuse/neglect. Court intervention may be necessary to assert “parens patriae” authority to protect a child’s well-being. Disagreements over medical care for a child (particularly when parent maltreatment resulted in life-altering clinical conditions and parents are suspected of perpetrating abusive injuries) often pose conflicts of interest. End-of-life decision-making involving abuse perpetrators may be influenced by self-interest, due to potential for escalation of criminal charges. Objective: Discuss medico-legal decision-making for children in child welfare custody using a detailed case example involving a child near-fatally, abusively injured by his parents; review of relevant case law/national legal precedents; and clinical policy statements guiding end-of-life decision-making for pediatric patients. Participants/setting/methods: Using an exploratory, quasi-qualitative approach, perceived experiences of purposefully-selected taskforce members identified key themes that informed a care de-escalation protocol, implemented across the state. Results: Key themes included coordinated communication, expedited legal proceedings, and balancing child’s best interest (the right not to suffer for a prolonged period of time or sustain complications) with parents’ rights and due process concerns, and informed protocol development. Conclusions: Practicable guidance established in the protocol can be theoretically adapted at the local level to address the complexity inherent in end-of-life decision-making for children in custody
    Keywords: Child abuse and neglect | End-of-life decision-making | Care de-escalation | Multidisciplinary team | Abuse perpetration | Child abuse victimization | parens patriae


    سطح: متوسط
    تعداد صفحات فایل pdf انگلیسی: 10
    حجم فایل: 955 کیلوبایت

    قیمت: رایگان


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