Ethical Implications Of Chemotherapy Essay

Improved Essays
Minors have been considered incapable to make decisions regarding their health and have been viewed as incompetent because of their age (Hickey, 2007). Thus, the authority to make decisions usually has fallen to the child?s parents. Parents are expected to make decisions for their child based on what is in the child?s ?best of interest? (Kopelman, 1997).Yet, what this means might vary greatly and can result in ethical arguments as illustrated by the case below.
In Jordan, a 8-year-old girl, Mona, recently was diagnosed with acute lymphoblastic leukemia (ALL). Parental consent was obtained to start a three year chemotherapy treatment regimen with an 85% probability of long-term survival. After she had been given chemotherapy for two months, the parents decided to refuse the standard treatment of chemotherapy, citing concerns about the long-term complications of chemotherapy. As an alternative to chemotherapy, the parents
…show more content…
Parents attempt to act in the best of interest of their child, but arguably fail to do so. With 85% chance for survival with chemotherapy, the central ethical issue is that the decision to stop chemotherapy is not in the Mona?s best interest.
Justice: For each type of cancers, there is an effective and approved standard treatment. The physician believed that receiving the standard treatment is perceived as a right by those patients afflicted with that specific type of cancer. ?A holder of a valid claim based in justice has a right, and therefore is due something? (Beauchamp & Childress, 2013).
Best ethical response: The ethics of care is a feminist concept that emphasizes the importance of the ?relational self? (Ho, 2008). The care of ethics approach will help in the enhancement of child?s decisional capacity, while providing the chance for parents and physician to assess their capacity. This overall will result in attaining an accurate ?best interests?

Related Documents

  • Improved Essays

    Dr. Katz Ethical Theory

    • 411 Words
    • 2 Pages

    In this case, Katie’s right to autonomy conflicts with the moral principles of Dr. Katz. Similarly, autonomous decisions can be affected by the mental capacity, mental status, and maturity of the decision maker. Dr. Katz approached the hospital ethics committee and asked them to get involved to help be a resource for the patient, family, and staff. In summation, the ethics committee promoted the baby’s rights and was there to assist Katie in making an ethical informed…

    • 411 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Such decisions regarding patients with severe and deteriorating illness should be processed with respect to the patient’s condition becoming worse with time. Having an ethics board or a medical community to alleviate the pressure of a single doctor making a decision for a patient who is not able to act autonomously would allow for a treatment plan to be determined earlier. In Mary’s case, the court ruling prevented the doctor’s from acting to save her…

    • 815 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Personally, I do highly believe that Adolescents have the right to make autonomous medical choices but this is a highly argumentative subject. I feel as if my parents shouldn’t have to confirm everything about me, for I am my own person by 15 even though they still look at me as their “baby-girl”. Lets face it by 15 i’m not so much of a baby anymore, i’m not completely grown yet but i’m far enough away from the baby stage and am perfectly capable to make my own decisions by now. Parents have the right to make choices for us as children but I don’t feel it’s necessary by the time we hit the “Adolescent” stage in life because by then we have the right mind and knowledge about things to make our own decisions.…

    • 667 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    The risk and benefits have been explained to the family. Opportunities for questions are given. At the end of the visit Cassandra refuses to continue in receiving chemotherapy to treat her Hodgkin’s lymphoma. She clearly states her refusal in front of parents and all staff members. The ethical dilemma in this case is the decision…

    • 340 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    First off you will need to know what an adolescent is, it a young adult. To make an autonomous medical choice is to make a medical decision yourself without an adult. I believe they do and they don’t. Adolescents under 16 should not be able to make autonomous medical choices.…

    • 545 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Kulber-Ross Model

    • 273 Words
    • 2 Pages

    While riding home from spring break I got into a discussion with my mom and my sister about a family friend. The family friend’s mother is dying of cancer, but the daughter refuses to admit it. The daughter keeps getting her medicine and painkillers changed because of the side effects of the drugs and will not let her mom take drugs that would help her be comfortable. The daughter’s refuses to accept that her mom has cancer that is throughout her body and is not treatable.…

    • 273 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Medical care in pediatrics is complicated network that involves decision making from both a patient and care provider perspective. In contrast with adult medicine, patient consent to treatment is muddled by the challenge posed in treating for young children who may lack cognitive maturity to achieve the requisite capacity and understanding. In these instances, parents are allocated the role of substitute decision maker. In order to enforce the pillar of patient autonomy, parents are afforded the right to guide treatment decisions in a similar manner to their own individual health care; it is hoped that through this process, the best interests of the child are maintained. In the case of Ezekiel Stephan, however, the parental beliefs surrounding best interest may be in…

    • 1554 Words
    • 7 Pages
    Great Essays
  • Great Essays

    Charlie Gard Case Study

    • 1247 Words
    • 5 Pages

    Introduction Part 1 of my essay is split into 3 separate parts, the first being a summary and the interpretive issues of the case in question, the second being how has the judge interpreted these issues, and finally the third being how should the judge have interpreted these issues. Summary of the case, and interpretive issues. The case of Great Ormond Street Hospital v Constance Yates, Chris Gard, Charles Gard (A Child, by his Guardian Ad Litem), 11 April 2017 [2017] EWHC 972 (Fam) is about a young child, who at the time of the high court decision was 8 months old, named Charlie Gard.…

    • 1247 Words
    • 5 Pages
    Great Essays
  • Superior Essays

    Are 16 and 17 year olds capable of making medical decisions? From birth to adolescence, parents entrust their kids with responsibilities and decision making. At what age do people have the right to determine whether or not they receive medical treatment. 16 and 17 year can become Veterans but still has to have consent from a guardian to receive medical treatment. More and more juveniles are being tried as adults, but they’re not be allowed to make their own medical decisions.…

    • 1574 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    I would like to affirm the resolution which states Resolved: Adolescents ought to have the right to make autonomous medical choices. For simplicity in the debate today, I would like to give the following definitions from Oxford’s Advanced Learner’s dictionary: Adolescence is the process of developing from a child into an adult and the word ought is used to indicate a desirable or expected state. Blue Cross Blue Shield states that a medical necessity means: health care services that a physician, exercising prudent clinical judgement, would provide to a patient for the purpose of preventing, evaluating, diagnosing or treating an illness, injury or disease or its symptoms, and that are ; in accordance with generally accepted medical practice, clinically appropriate in terms of type,…

    • 1011 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    The interests of the nurse in this case should involve both the child and the family. The nurse can not only bank on the child’s decision lest he or she lands in trouble with the law. The parents should be informed if they are not present. If the nurse had ignored the oncology patient wishes, Health, Portability and accountability act would have been violated. Nurses should be keenly decisive in this modern world as lots of agencies govern healthcare today.…

    • 1814 Words
    • 8 Pages
    Great Essays
  • Superior Essays

    Make Medical Choices

    • 1159 Words
    • 5 Pages

    Affirmative: The prompt-- Resolved: Adolescents ought to have the right to make autonomous medical choices. What it means a young person in the process of developing from a child into an adult (adolescent from Dictionary.com) should make their own medical decisions. To start, many people may be scared of this but change in this case, change is good. 1. My first point is that teenagers are more independent.…

    • 1159 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Patients require the proper information to decide on whether to accept treatments that have been recommended by their physicians. This is a concern of both law and ethics as it brings forward the question and reasoning behind the refusal of treatment: is the information provided substantial enough for them to make the decision to consent or refuse, and does the refusal indicate a sign that the patient requires further education. There are risks for a person’s well-being that come with a patient’s refusal for treatment; which then makes it the physician’s responsibility to continue to educate, and gently encourage the patient towards the recommended treatment. Other issues regarding the refusal of a recommended treatment also include, taking into account a person’s mental capacity, and whether these decisions should be overridden by guardians or the courts. In addition, there is a question as to whether a person can make this choice on behalf of a dependent, and if an adolescent who is able to consent to treatment as a “mature minor” is able to equally decline a treatment.…

    • 1181 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    But, in the end it would be their decision, and the only thing we can do is to accept it, and allow them the right to die with dignity, and under their terms. If my child was ill with cancer and depending on the stage of cancer, and if it was not curable, then it would be an option further down the road, But not if there is a chance to fight to live. That is a sacrifice I am willing to make for my…

    • 845 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    If there are no other treatments and the child will not survive without treatment, then I would look at other factors to determine why the parent would object to it and whether I believe that their decision is reasonable based on those factors. If there is no reasonable explanation of why they are refusing, then ethically I would have to override the parent’s refusal and find a way to administer the treatment to the child. Next we will look over is whether the child should be deemed competent to make their own…

    • 1838 Words
    • 8 Pages
    Great Essays