Pediatric Care Ethics Assignment Help
Ethical Principles for Nurses and Nursing Students
For one to become a registered nurse, one should study nursing ethics. A lot of students always seek nursing ethics assignment help from acemywork.com. we have a team of experts who have specialized in offering flawless pediatric care ethics assignment help.
Pediatrics ethics is one of the branches of bioethics that focuses on the moral aspects of the decisions made about children’s healthcare. In pediatrics, the framework of adult medical ethics is replaced by beneficent paternalism.
Pediatrics ethics differ from general ethics since the pediatric clinician must always act in the best interest of the child. In this case, ethics and morals precede the wishes of the child’s parents.
In older children, the concept of assent suggests that the voice of the parent should always be heard. These two factors often lead to conflict among the clinician, parent, and child. The approach to ethical issues in pediatric practice should include respect for authority and responsibility. This should be balanced with the developing independence and capacity of the child.
The approach gets more complicated due to the different religious, social, and cultural views on the role of children. Children are a representation of our future societies and are both resilient and vulnerable.
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Ethical principles or codes of ethics guide the nursing profession of nursing students. Ethical principles are the secret to practicing nursing with both consumer protection and patient safety in mind.
Ethical principles include honesty, respect for people’s rights, self-determination, integrity, confidentiality, and more. Ethics should not only be studied as an academic subject but should also be a way of life for nursing students and nurses. We encourage nursing students to hire our pediatric care ethics assignment help for all their nursing ethics assignments.
- Assent and Parental Permission
Children and adolescents who cannot make decisions have limited consent when it comes to medical issues. The right of the parent to direct the medical care of their child is limited. Parental consent is the decision made by the parent on behalf of the child.
It is conflicting since it has to be in consideration of the best interest of the child and the independent obligation of the nurse to always act in the best interest of the child even if this means conflicting with the parent.
Pediatric ethics requires that clinicians and parents override the child’s decision if the proposed intervention is important to their welfare. The main rule is that dissent should be honored while assent is solicited.
- Treatment of critically ill children
Critically ill infants, children, and adolescents can either make full recovery, die or recover but with limited or worsened ability to function. This uncertainty makes planning for care a little more complicated and can lead to conflict between the patient, parent, and healthcare provider.
Some of the ethical issues that are likely to arise during critical illness include finding a balance between burden, balance, and harms of therapy when the situation is uncertain.
Other issues are communicating about the standards of medical care at the institution and maintaining a reasonable degree of transparency, defining therapy limits based on an assessment of the medical facility, understanding and respecting cultural and religious differences that can affect the refusal or request for treatment, and acknowledging the moral equivalence of not commencing and stopping an ineffective treatment and controversies such as withholding medically administered hydration and nutrition.
- Transitioning the Goals of care
A lot of the children who die in the intensive care unit do so after a decision is made to withdraw or limit life-sustaining treatment. Life-sustaining treatment is usually accepted if the anticipated benefit of sustaining life outweighs its burden to the patient.
Discussing such difficult topics with children requires the child to understand their development and can be made easier by involving child life specialists or child psychologists. These conversations should be communicated and evaluated by all parties involved. Experts suggest that good medical care should always involve communication, management of symptoms, and supportive services from the beginning of the acute illness.
- Withholding and Withdrawing Life-sustaining Treatment
Life-sustaining treatment can be limited or withdrawn if they are congruent with a plan to offer comfort and improved quality of life at the end rather than curing the condition. A common view is that there is no distinction in morals between withholding and withdrawing interventions that are not medically indicated.
The uncertainty in foretelling the child’s response to treatment may lead to the beginning of burdensome interventions. Medics should always evaluate the evolution of the disease and the results of the treatment to determine if the intervention should continue or not.
Making such decisions can be made easier by focusing on the child instead of the interests of the medical staff. Issues such as cardiopulmonary resuscitation should be discussed with parents of children suffering from terminal illnesses.
Plans and decisions must be communicated to all the caregivers. Lack of a do-not-attempt-resuscitation may lead medics to believe that they are obligated to perform prolonged resuscitation. This may not be morally right if the resuscitative efforts do not achieve the physiologic endpoint desired. Whatever the case, treatment should be tailored to the clinical condition of the child thereby balancing between the burdens and burdens to the patient.
- Artificial Nutrition and Hydration
Withholding or withdrawing artificial hydration and nutrition can be controversial. Withdrawing of artificial nutrition and hydration results in the death of the child dependent on it. Ill children and infants cannot discuss whether to withhold or withdraw artificial hydration and nutrition because they are not yet at the developmental stage.
This further complicates the situation. However, the decision is made based on what the caregivers and family agree is the best support comfort. For children who are unaware of hunger, cannot tolerate artificial feeding and if the caregivers and family agree that artificial nutrition and hydration only prolong the dying process, it is ethically right to withdraw or withhold treatment once benefits and burdens are analyzed.
- Care of Disabled Newborns
In the past, it was believed that withholding aggressive treatment from newborn babies who were predicted to be significantly disabled from medical conditions such as down’s syndrome was acceptable ethically and was done once the family and caregivers decided what was best for the infant.
Today, however, the attitude toward disabled infants has evolved. Newborn babies suffering from severe disabilities can receive initial aggressive treatment.
- Declaring death and donation of organs
Donation of functional organs is done after the patient is declared dead as a result of a predetermined period of cardiac asystole or when the neurologic function of the brain and brainstem stops.
To avoid conflict of interest by the surgeons and those caring for a potential organ recipient, it is advisable to separate the request for organ donation from the clinical discussion of either withdrawal of LSMT or brain death.
Discussions around the donation of organs should be done by people who are specifically trained for it. The improved rates of organ donation could be as a result of offering parents of ill children expert information with no indication of conflict of interest.
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