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Created with Fabric.js 1.4.5 Chubphong. Doctor taking medical record from patient woman that stomach ache. Digital image. N.p., n.d. Web. 25 Nov. 2014.Hoffmann, Diane E., and Jack Schwartz. "Who Decides Whether a Patient Lives or Dies?." TRIAL Vol. 42, No. 10. Oct. 2006: 30+. SIRS Issues Researcher. Web. 25 Nov. 2014.Muirhead, Paul. "When Parents and Physicians Disagree: What Is the Ethical Pathway?" Paediatrics & Child Health. Pulsus Group, Feb. 2004. Web. When Doctors and Patients Disagree When Doctors and Patients Disagree A patient can make a treatment choice that is contrary to the advice of the doctor even if it results in death. Parents can make treatment decisions for a child but must be in child's best interest. What to consider (What is ethical) What to consider (What is ethical) Doctor's Approach Patient's Approach Can use proxy decision maker to decide on patient behalf (Hoffmann, Schwartz)Want to avoid judge (Muirhead)Have the objective perspective (Muirhead)Less accepting of severly disabled health state (Muirhead)If continuing treatment, will bide by opinions of patients (Muirhead)Acting on best interest of patient (Muirhead)Acknowledging that the decision is lasting Know that parents have final say on children (Muirhead) 1. Approach each case individually (Muihead)2. Understand that what doctors say is the bestoption is from a professional pointof view (Muirhead) 1. Approach each caseindividually (Muirhead)2. Acknowledge beliefsystem (Muirhead)3. Express Genuine respect (Muirhead) What to do in this situation What to do in this situation What to do in this situation What to do in this situation Parents: have best interest of child (Muirhead)More accepting of severely disabled health state (Muirhead)Want to avoid a judge (Muirhead) Picture by chubphong via Shutterstock
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