About 420,000 childhood cancer survivors live in the U.S., with much more around the world (St. Jude Children 's Research Hospital) this shows that cancer is one major diagnosed disease found in children under the age of 15. Cancer patients will have long-lasting chronic conditions during treatment. Plus 0.35% of children get cancer and is always being overlooked. Childhood cancer research is vastly and consistently underfunded. Childhood cancer is the leading cause of death by disease in children under the age of 15 in the U.S.One in 285 children in the U.S. will be diagnosed with cancer by the time they are 20 years old.Every year, an estimated 250,000+ new cases of cancer affect children under the age of 20 worldwide.Two-thirds of
Making a decision is a one thinking process of selection to produce a result for a final choice. A story of a young doctor who wants a family to make a final decision on medical treatments of one dying patient is an example of “Letting Doctor Make the Tough Decisions” by Pauline W. Chen. This article presents about how difficult it is to make a decision between a doctor and patients, and how medical decisions should be made in this situation. By doctors are a main audience of this article. In additions, Chen uses 3 rhetorical strategies on the article, by 3 rhetorical strategies are Logos that is using logic, Pathos that is using emotions and Ethos that is using credibility of the author.
It’s tempting to make an assumption that teaching doctors and nursing students to be decision maker will help improve the quality of judgement and decision making. A recent review on education interventions to improve clinical judgement and decision making in nurses found little evidence that existing strategies might be effective( Thompson ,2011). Out of the twenty four controlled comparisons in the review , only seven showed a positive effect and this effects were variable and very few had a clinical significant. We should not be surprised by; more training does not always cause a better performance and the causal relations that educationalists are trying to tap into are so complex. ( Campbell et al., 2000).
The New Charity Report states, “Girls under the age of 15 are 5 times more likely to die in pregnancy than women in their 20’s, and that babies born to younger mothers are also at a greater risk.” It also states, “ Worldwide, complications in pregnancy are the “number one killer” of girls and young women aged 15-19, the report says, adding to that 50,000 teenage girls and young women die during pregnancy and childbirth every year, in many cases because their bodies are not ready to bear children” (NP, World Health Organization). Pregnant teens also have a higher chance of becoming anemic, which can affect the baby’s development. Teen mothers are more likely to have premature babies and depending on how premature the baby is, it can
Decision making skills Nurses have to use good judgement & make quick decisions about the patient’s care. They decide when to administer treatment or medications that are prescribed “as needed” and they respond to unexpected patient needs throughout the day. Nurses have to use their judgment & balance what they know about the individual patient, that patient’s need & the lithely consequences of their decisions. Decision making process is 1st defer the problem, establish the criteria, consider all the alternates, identify the best alternate, develop & implement a plan of action, finally evaluate & monitor the solution & feedback when necessary • Health care decision making is associated with uncertainty & health care professionals have to deal with this uncertainty in their decision making • Key policy drives have led to the development of an evidence based culture in health care with a focus on the equality of decisions than care professionals. • Judgements & decision making are intricately linked & one cannot be examined without an understanding of the one.
In this situation competence weighs heavily on this decision making process because if they are not capable of making this decision for themselves it could get turned over to someone else such as a guardian or family member. If they are competent enough to tell you they are in pain but not make a logical and well thought out decision which is the moral decision to
While some disagreed with the use of Palliative Care, several healthcare providers agreed that it’s not in her best interest to return home, since her quality of life would harshly reduce. The ethical question at hand, states Turner (2010), is “do parental preferences override the right of a child to receive appropriate care in medical foster care?” (p.60). Nurses and doctors who have cared for Ting submitted a request for an ethics consultant to be involved in the outcome of Ting’s care. A thorough and in-depth analysis was performed using tools such as the Four Quadrants of Ethical Decision Making. It was stated that Ting would not lead a normal life, her health, in time, would become much more impaired, her parent’s lack of understanding, inability to identify problems and seek help could prematurely end her life.
However, health care providers and substitute decision-makers must consult and involve incompetent patients in the decision-making process to the greatest extent possible, because it is a moral requirement for child patients. Substitute decision-makers are obliged to make treatment decisions in the child's best interests and if the health care provider suspects otherwise, they can appeal to provincial child welfare authorities (Harrison, 1997, p.31). Involving incompetent children in decision-making is a moral requirement because the child has the right to know what treatment they will be undergoing and its risks and benefits before consenting to the treatment. The use of age-appropriate discussions are helpful to children and adolescents who are seriously ill because it will help them develop an understanding of the issues regarding their health care decisions (Harrison, 1997, p. 32). In the end, the patient is the child, not the parents, and physicians should ensure that the decisions made are in the child's best
As mention in the straits times article by Mr Darius Lee, most of the parents think that adolescents are not mature enough to make decisions during emotional state and make choices without thinking about long-term consequences of their action. Furthermore, parents feel that parental consent is important for abortion as it is an invasive surgical procedure and parents can provide more medical details of the child whom is not mindful of their condition. The issue of abortion is impossible to solve. As a healthcare providers, they are encouraged to do good for the patients but due to certain circumstances they are unable to do good and required to do no harm to the patients. In Singapore Nursing Board under Standard of Practice Statement 3.6, to have critical and reflective thinking to improve the quality of nursing care.
The patient, the foetus, has not be informed before the therapy as he or she is still in gravidity. That is the moral obligation of doctors to explain the procedures thoroughly to the patient for its risk and the type of approach used (Walters, Palmer, & Johnson, 1997). The decision is mainly made by their parents and not the baby itself. As ‘one made, it could not be corrected back’, patient may not agree to the procedures when they grow up and leads to a legal issues. Furthermore, it is also immoral to operate on foetus as the risk of operation is high.