儿童的伦理医疗决策

Michele M Chetham
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摘要

儿童的道德医疗决策通常是通过各种标准和模型进行的,这些标准和模型是为了解决其复杂性而开发的。本文提出了一个案例,父母拒绝接受医疗服务提供者认为必不可少的、可能挽救孩子生命的外科手术,同时提出了关于父母的决定是否符合孩子的最大利益以及他们的拒绝是否达到了报告和寻求国家干预的门槛的伦理辩论。利用最佳利益标准和额外的道德决策工具,伦理学家帮助医疗团队接受父母的决定是合理的,从而避免卷入儿童保护服务。我的目标是通过天主教人类学和道德原则的镜头,澄清父母的决定是合理的,尊重孩子的最大利益和固有的尊严。这些都加强了父母的决定和反对国家干预的伦理和道德论据。
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Ethical Medical Decision-Making for a Child
Ethical medical decision-making for a child is generally navigated with various standards and models that have been developed to address its complexities. A case is presented of the parents’ refusal of a surgical procedure for their child considered by medical providers as essential and potentially lifesaving, along with the ethical debate of whether the parents’ decision was in the child’s best interest and whether their refusal reached a threshold to report and seek state intervention. Utilizing the best interest standard and additional ethical decision-making tools, the ethicists helped the medical team accept the parents’ decision as reasonable, thus avoiding involvement with Child Protective Services. It is my goal to clarify the parents’ decision as reasonable and as honoring their child’s best interests and inherent dignity through the lens of Catholic anthropological and moral principles. These strengthen the ethical and moral arguments for the parents’ decision and the opposition to state intervention.
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