Journal article
Failure to Provide Adequate Palliative Care May Be Medical Neglect
Pediatrics (Evanston), Vol.144(4), e20183939
10/2019
DOI: 10.1542/peds.2018-3939
PMID: 31484675
Abstract
Doctors are required to notify Child Protective Services (CPS) if parents do not provide appropriate medical care for their children. But criteria for reporting medical neglect are vague. Which treatments properly fall within the realm of shared decision-making in which parents can decide whether to accept doctors' recommendations? Which treatments are so clearly in the child's interest that it would be neglectful to refuse them? When to report medical neglect concerns to CPS may be controversial. It would seem inhumane to allow a child to suffer because of parental refusal to administer proper analgesia. In this ethics rounds, we present a case of an adolescent with chronic pain who is terminally ill. Her parents were not adherent to recommended analgesia regimens. Her palliative care team had to decide whether to report the case to CPS.
Details
- Title: Subtitle
- Failure to Provide Adequate Palliative Care May Be Medical Neglect
- Creators
- Carly Levy - Alfred I. duPont Hospital for ChildrenKristin S Weeks - Roy J. and Lucille A. Carver College of MedicineRebecca J Benson - Roy J. and Lucille A. Carver College of MedicineJonathan M Miller - Alfred I. duPont Hospital for ChildrenJennifer Higgins - Alfred I. duPont Hospital for ChildrenStephanie Anne Deutsch - Alfred I. duPont Hospital for ChildrenJohn D Lantos - Children's Mercy Hospital
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.144(4), e20183939
- DOI
- 10.1542/peds.2018-3939
- PMID
- 31484675
- NLM abbreviation
- Pediatrics
- ISSN
- 1098-4275
- eISSN
- 1098-4275
- Language
- English
- Date published
- 10/2019
- Academic Unit
- Stead Family Department of Pediatrics; General Pediatrics and Adolescent Medicine
- Record Identifier
- 9984353827502771
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