AI Article Synopsis
- The case involves a febrile infant in the emergency department where the physician wants to keep the child in for safety, while the mother wishes to take him home after a painful evaluation.
- Commentary focuses on ethical considerations such as the child's best interests, potential harm vs. benefit, and the importance of a thorough informed consent process.
- A diverse group of professionals, including pediatricians and ethicists, offer insights on ethical options and conflict resolution regarding discharge against medical advice.
Article Abstract
In this Ethics Rounds we present a conflict regarding discharge planning for a febrile infant in the emergency department. The physician believes discharge would be unsafe and would constitute a discharge against medical advice. The child's mother believes her son has been through an already extensive and painful evaluation and would prefer to monitor her well-appearing son closely at home with a safety plan and a next-day outpatient visit. Commentators assess this case from the perspective of best interest, harm-benefit, conflict management, and nondiscriminatory care principles and prioritize a high-quality informed consent process. They characterize the formalization of discharge against medical advice as problematic. Pediatricians, a pediatric resident, ethicists, an attorney, and mediator provide a range of perspectives to inform ethically justifiable options and conflict resolution practices.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647524 | PMC |
| http://dx.doi.org/10.1542/peds.2021-050996 | DOI Listing |
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