Recognizing and Responding to Medical Neglect

Jenny, Carole

doi:10.1542/peds.2007-2903

Cited by 96 publications

(41 citation statements)

References 11 publications

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“…6 A number of factors are relevant to the evaluation of suspected medical neglect, including likelihood and magnitude of the harm of foregoing medical treatment and the benefits, risks, and burdens of the proposed treatment. [7][8][9] For example, the risk of an individual unimmunized child contracting a communicable vaccine-preventable disease may be low if immunization rates in the community are high and disease prevalence is low. 10 Serious harms include death, severe disability, or severe pain.…”

Section: Religious Objections To Medical Carementioning

confidence: 99%

“…For example, lack of awareness, knowledge, or skills can be addressed by counseling and education. 7 Ethics consultation is an additional management option. 7,11 If less-restrictive alternatives are not available or successful, pediatricians should refer families to child protective services agencies.…”

Section: Religious Objections To Medical Carementioning

confidence: 99%

“…7 Ethics consultation is an additional management option. 7,11 If less-restrictive alternatives are not available or successful, pediatricians should refer families to child protective services agencies. In emergencies, providers may be ethically justified in administering treatment immediately necessary to preserve life, prevent serious disability, or treat severe pain.…”

Section: Religious Objections To Medical Carementioning

confidence: 99%

“…19 There is less unanimity in judicial decisions if the condition is not life-threatening, the treatment has significant adverse effects, or the treatment has limited efficacy. [7][8][9] Courts may also consider the negative psychological effects of court-ordered treatment or medical foster care in their decisions.…”

Section: Religious Objections To Medical Carementioning

confidence: 99%

See 3 more Smart Citations

Conflicts Between Religious or Spiritual Beliefs and Pediatric Care: Informed Refusal, Exemptions, and Public Funding

Antommaria¹,

Weise²,

Fallat³

et al. 2013

Pediatrics

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Although respect for parents’ decision-making authority is an important principle, pediatricians should report suspected cases of medical neglect, and the state should, at times, intervene to require medical treatment of children. Some parents’ reasons for refusing medical treatment are based on their religious or spiritual beliefs. In cases in which treatment is likely to prevent death or serious disability or relieve severe pain, children’s health and future autonomy should be protected. Because religious exemptions to child abuse and neglect laws do not equally protect all children and may harm some children by causing confusion about the duty to provide medical treatment, these exemptions should be repealed. Furthermore, public health care funds should not cover alternative unproven religious or spiritual healing practices. Such payments may inappropriately legitimize these practices as appropriate medical treatment.

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Section: Religious Objections To Medical Carementioning

confidence: 99%

Section: Religious Objections To Medical Carementioning

confidence: 99%

Section: Religious Objections To Medical Carementioning

confidence: 99%

Section: Religious Objections To Medical Carementioning

confidence: 99%

See 2 more Smart Citations

Conflicts Between Religious or Spiritual Beliefs and Pediatric Care: Informed Refusal, Exemptions, and Public Funding

Antommaria¹,

Weise²,

Fallat³

et al. 2013

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Existing laws in 1998 may have been inadequate in the USA to protect children from this form of medical neglect 9) .…”

mentioning

confidence: 99%

Guidelines for Managing Conscientious Objection to Blood Transfusion

Ohto

Yonemura

Takeda

et al. 2009

Transfusion Medicine Reviews

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How Should Clinicians Address a Parent's False Belief Generated by Denial or Grief About How to Care Well for a Child?

Krawiec

Levi

2018

AMA Journal of Ethics

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Parents of children with complex health needs are often both vigilant and very knowledgeable about their child's disease state. That said, sometimes parents' hyperfocus, combined with their strong emotional attachment, can result in both false beliefs regarding their child's capacities and disagreements with clinicians about what is and is not clinically indicated. We examine ethical and professional responsibilities clinicians should consider when working with parents who hold false beliefs about their child with complex health needs. Case Joan K is a 10-year-old with Lennox-Gastaut syndrome, which entails recurrent seizures, severe cognitive and developmental deficits, and often progressive difficulties with swallowing. 1 Joan's mother, Ms K, is a single parent and has always been her daughter's primary caregiver. Despite Joan's developmental and motor deficits, she has been able to eat and maintain normal height and weight-which her mother believes is due to herbal supplements she includes in Joan's diet. For the third time in 6 months, however, Joan has been diagnosed with pneumonia and is now hospitalized for respiratory distress. It is apparent to the clinical team that Ms K, a licensed nurse practitioner, is devoted to meeting her daughter's needs, but also that Ms K has a view of her daughter that is at odds with Joan's actual abilities. The disconnect comes to a head when a nurse comes to Joan's bedside to administer intravenous antiseizure medication. Ms K objects, stating, "No, Joan takes this as a paste. I crush the pills, mix them with water, and spoon feed her." When the nurse responds, "I can't do that if she's having difficulty swallowing," Ms K states matter-of-factly that Joan leads a normal life and has no trouble swallowing. "I have been doing this for years, and there's no reason to change now." The young attending physician, Dr D, overhears this exchange and intervenes. "Ms K, as I think you know, difficulty swallowing is a sign of Lennox-Gastaut syndrome progression 2 and could be the underlying reason for her recurrent pneumonia. We can do a swallow

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Recognizing and Responding to Medical Neglect

Cited by 96 publications

References 11 publications

Conflicts Between Religious or Spiritual Beliefs and Pediatric Care: Informed Refusal, Exemptions, and Public Funding

Conflicts Between Religious or Spiritual Beliefs and Pediatric Care: Informed Refusal, Exemptions, and Public Funding

Guidelines for Managing Conscientious Objection to Blood Transfusion

How Should Clinicians Address a Parent's False Belief Generated by Denial or Grief About How to Care Well for a Child?

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