An Ethical Claim for Providing Medical Recommendations in Pediatric Intensive Care.

The Declaration of Geneva was recently revised to emphasize patient autonomy and the importance of clinicians sharing medical knowledge. This reflects the welcome evolution of the doctor-patient relationship from one of paternalism to more informed, shared decision-making. Unfortunately, there is an increasing trend for clinicians to avoid making recommendations, instead providing a "menu" of care options from which patients and families must choose.

Evaluation of a paediatric clinical ethics service.

Aim: To evaluate a paediatric clinical ethics service incorporating both normative and empirical analysis.

Methods: Section 1: Review of consensus guidelines to identify emerging standards for clinical ethics services (CES) and evaluation of the service in relation to these. Section 2: Description of service activity data.