Teenager refusing medical treatment …show more content…
Physicians see thousands of patients yearly and a good majority of them are children and teenagers. Children and teenagers receive life-sustaining treatment when they are faced with a terminal illness. When a patient, that is a mature minor, decides not to receive any more life-sustaining treatments most often their wishes are not heard. The final decision is ultimately up to the parent. Although children cannot make the final decision on his or her own behalf the parents should discuss the alternatives with the children so he or she can have a better understanding of what will or may happen to him or her. The child is experiencing the pains and the continuous pokes over his or her body. Parents sometimes have the tendency to be selfish and want their child to be saved even if the patient does not want to be saved. (Derish, 2000) The perfect example is a teenager has cancer and has chemotherapy for a year.
After six months the child relapses and the physician decides the patient's only chance at life is to have a bone marrow transplant. He explains the complications of the procedure but states if the patient does not have this the patient will only live a year. The parents and the child discuss the options and decide to have the transplant but the patient wants to ask questions concerning what happens if the procedure fails. The patient is told not to think negative thoughts. The parent signs the consent form and the preparation starts. The patient is in more pain now and also becomes scared because they overhear information about other children in the hospital. The patient hears that other children gone to the pediatric intensive care unit (PICU) and never came back. One week after the transplant the patient starts to get sick and cannot breathe. A ventilator is necessary in order to save the patient but that can only be done in the PICU. The patient pleads for them not to send him to the PICU but they do not listen. The patient is sent to the PICU and was put into a comma. The patient could hear what was going on around him but he could not move at all. The patient finally dies in the PICU. (Derish,
2000)
Patient right to refuse treatment taken away Physicians are trained and take an oath that authorizes them to do what is necessary to save a life or prevent serious deterioration of a patient's condition, even if the patient is not able to provide consent. But they can only act within certain boundaries. For example, in one case a woman who was under anesthetics was found to have a condition that would make pregnancy very dangerous. The surgeon performed sterilization operation during the surgery I what he determined was the best interest of the patient. He was eventually held liable for this because it may have been convenient to perform the surgery but he did not allow the patient to choose what was best for her. The patient had the right to keep her organs that were taken and use other methods to avoid pregnancy. Or she could have decided to have a child and dealt with the consequences at that time. She is an individual and she has the right to have her wishes abided by. (McLean, 2005) Physicians have a moral obligation to respect the decisions of its patients. Patients have their own reasons for making the decisions they do and they do not have to explain why that decision was made. Patients may have a religious belief that does not allow him or her to receive certain treatments. They may have past experiences that cause them to be to frightened to take a risk. Some patients feel he or she is becoming a burden to his or family financially. When physicians treat patients they have to remember all adults patient are entitled to "autonomy which means only the individuals themselves can agree to interventions on bodily integrity (McLean, 2005)."
Reference
Derish, Melinda T., and Heuvel, Kathleen V. (2000). Mature Minors should have the right to
refuse Life-Sustaining medical treatment. Journal of Law, Medicine & Ethics, 28(2),
p109, 16p. Retrieved August 20, 2005 from EBSCOhost database.
Konishi, E., Davis, A.J. (2001). The right-to-die and the duty- to-die. International nursing
Review, 48(1). Retrieved August 20, 2005 from EBSCOhost database.
McLean, Sheila. (2005, February 21). Patient's right to choose should come first. The Scotsman on the web. Retrieved August 20, 2005 from http://www.scotsman.com.