Ethics in paediatric nursing
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Medical care should strive to support the patient, and should be tailored to the needs of the individual including any complications or disabilities. It is ethically appropriate to appreciate realistic goals which medical care can achieve, and wrong to aim toward exaggerated or impossible expectations. Given the above accepted guidelines, ethically acceptable decisions can only be based on:.
In practice, many of the above ideals do not fully apply to a particular case. For example, it is often difficult to completely separate disinterest and dispassion from patients with whom an attending physician has built a close, professional relationship. For these reasons, it is not just desirable but essential to establish independent ethics committees to oversee particularly difficult decisions both with regard to clinical medicine and research.
These should be composed of medical, nursing, paramedical and legal experts, laypersons and representatives of various support groups. It is fraught with problems in the competent adult, and is doubly more difficult to achieve in minors. Truly informed consent can only exist when patients are sufficiently informed to weigh up all the pros and cons of treatment, and their consent is given freely without coercion, vested interest or bias from physicians or third parties.
Medicine is never a pure science and contentious issues in management abound. A single, simple solution to a given ethical problem in medicine is extremely unlikely, particularly in patients who are either too young or incapable of grasping the nuances of treatment. These patients rely on third parties for their decision making, and this adds a further dimension to an already complex situation. National Center for Biotechnology Information , U. Journal List Images Paediatr Cardiol v. Images Paediatr Cardiol. Author information Copyright and License information Disclaimer.
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Ethical Issues in Paediatric Practice - Part I: General Principles
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