The Health Of The Adolescent

In regards to informed consent, the mature minor doctrine requires the physician or other healthcare provider to make determinations on a case by case basis. The physician should employ the same criteria used to determine the ability of an adult to consent whose decisional

This memorandum is written to inform others on the topic of mature minors and medical decisions. This matter has come to the surface of major debate and concern recently. One specific court case, involving Cassandra Callender of Windsor Locks, Connecticut, has sparked much of that concern. Seventeen-year old Cassandra was diagnosed with stage-three Hodgkin's Lymphoma and told by several doctors that she would predictably die within two years without the rounds of chemotherapy they had recommended for her. With the treatment, there was an expected 85% chance of survival (Cassandra Callender). However, Cassandra’s mother kept switching her daughter’s doctors, constantly questioned the diagnosis they were making, and according to the commissioner of her case, had, “...failed to meet the medical needs’, of Cassandra”. Cassandra was taken from her home and placed in her cousin’s because of her mother’s medical neglect. Callender’s mother testified that she knew that her daughter had cancer and that it was something that needed to be taken seriously. She further testified that her daughter should begin the chemotherapy rounds as quick as possible. Medics came to Cassandra’s home, after being returned

Although society is progressing in the direction of equal rights for adolescents, this change is not occurring as rapidly as it should. With state governments deeming all adolescents capable of making medical decisions without parental consent, and studies

We use the survey data from the National Longitudinal Study of Adolescent Health (Add Health), which is a nationally representative sample of U.S. adolescents who were in grades 7 to 12 in 1994-1995 (Wave I, ages 12-20). Add Health followed the respondents in 1996 (Wave II), 2001-2002 (Wave III), and 2008-2009 (Wave IV). DNA data was collected in Wave 4 interview. Among the ~15,000 respondents agreed to genotyping, about 12,000 consented to archive their DNA for future research. The archived sample were genotyped using two platforms (Omni1 and Omni2). And finally, a GWAS data of 9,975 samples with 631,990 SNPs went through the quality control procedures (Domingue et al. 2017).

The healthcare team will observe the legal statutes of the state of California when administering care to minor patients. Minor patients are any patients under the age of 18 at the time that services are rendered. In the state of California, minors of any age may consent to medical care related to pregnancy, contraception, abortion, emergency medical service, sexual assault and rape services (this office maintains that minors under 12 can not be expected to give consent to any sexual act* and the attending physician should notify the medical office manager immediately before the minor patient leaves) and skeletal X-ray to diagnose child for abuse or neglect (the physician doesn't need either the minor's or the parent's permission in this instance) without parental permission and the physician can not inform the parents without the minor's consent. Further, minors age 12 years and older may obtain outpatient mental health services, diagnosis and/or treatment for infectious, contagious communicable disease and sexually transmitted disease, HIV/AIDS testing and treatment, rape and alcohol and drug abuse treatment without parental/guardian consent. When

Very true when you say that informed consent is the core of autonomy, because the patient has the right to accept or not the indicated treatment although their decision endangers their lifes. Our responsibility is to educate the patient and family about the accepted benefits the risk and complications and fully express their treatment. “Emancipated minors are persons under the legal age who are no longer under their parents’ control and regulation and who are managing their own financial affairs” (Guido, 2014, p.127). In Puerto Rico it can be signed for people 21 years old and only if these are emancipated or married is when they can decide about their care, people under 21 need the consent of their parents or legal guardian unless it is an

Thanks for choosing to tackle an important ethical dilemma with such serious consequences and ramifications for both, the parents or legal guardians as well as the underage patient. I appreciated the background and the framework you provided as far as the funding availability for the provision of care to this minor, which has a significant impact independent of values and beliefs. Your respect for patient's rights, confidentiality, and well-being independent of your personal beliefs is admirable. That is a quality that I hold dear when providing patient care and expect to refine further in order to best serve my patients in a manner that is unbiased, ethical, and free of personal influences.

The following assignment will discuss the legal process of consent, and the refusal to treatment of an adolescent under the age of 18 years. According to the NMC code (2010), all nurses and health professionals have an obligation of duty to gain consent from their patients before any treatment or care is given (NMC, 2010). People have their own rights to accept or decline to treatment, and professionals should uphold individual’s rights in being fully involved in the decision making process (NMC, 2008). This assignment will discuss the moral principle autonomy, and capacity, in relation to the case of Hannah Jones.

James King is a 15 year old girl who appears to be healthy, though painfully thin for her age. Her parents are divorced and she lives with her mother in Weston, MA. The two of them travel together a great deal to New York City where James trains as a ballerina at the famous School of American Ballet. James sees her father in the summer time when she trains with Boston Ballet or at the ballet program at the North Carolina School of the Arts. James leads an incredibly structured life with set hours for school work and training, and has little time to just hang out with her friends. Her goals revolve entirely around the dance world and all of her ambitions are set high on eventually being accepted into the New York City Ballet.

For this ethical research report, I decided to base it on the article titled, “Who wears the braces? A practical application of adolescent consent.”. I chose this article from the title. It intrigued me to know what it was about and what it had to say and when I read on to find that it was talking about the role of informed consent in dentistry when it comes to adolescents, I was interested. I’ve always believed that, no matter the legal age, maturity isn’t based on that documented number. There is no “legal age” for maturity and capability of understanding. But when it comes to legal decision making in health care environments, I believed majority agreed with a child being too young to understand what they’re asking for. I was curious to know others views and opinions of this topic, especially in it were relating to a health care medical field. You would think that the responsibility of making a decision would go to the parent when it concerns health, but I was surprised and pleased to know that there is more to it than that.

The question that appears is Lucy is 15-year-old and she at the doctor’s office and a pregnancy test is being performed on Lucy. Lucy mom is waiting on her. Lucy is pregnant. How I will deal with this problem. I will have to my sure I understand the rule of confidentiality, and how does it differ from respecting someone’s privacy. It is most helpful to examine this question from three perspectives: that of law, of clinical practice and of ethics. The law is direct agency, as the subject of minors and confidentiality will clarify. Minors generally cannot authorize to the treatment; a parent or guardian authorize on the minor’s behalf. There are uncommon cases. Certain states authorize minors whom the law judge, especially mature, such as those who are married or in the armed services, to authorize to treatment, and sometimes minors may authorize to treatment for substance abuse or sexually transmitted diseases. The special cases are few, however, and prove the rule that the law judge individuals under a certain age (often18) not sufficient mature to make treatment decisions. The clinical practice follows under the HIPAA rule and adolescents. According to www.research.uci.edu “ privacy is the control over the extent , timing, and circumstances of sharing oneself (physically, behaviorally, or intellectually) with others. Confidentiality pertains to treatment of

Confidential health service is significant in encouraging teen’s health. Adolescents are at a very imperative stage of development and are beginning to establish their own identity. Having blockages on teens' admission to confidential health services directly affects their health because it discourages them from looking for the sexual health care or mental health care services they need and information they need to protect their mental health, and dodge STD’s and unwanted pregnancies. Health care providers view on confidentiality becomes difficult when parents are financially responsible for medical bills and are responsible for raising that child. There are laws that govern confidentiality for adolescent health care and some that require

During the adolescent’s initial visit, privacy must be ensured and emphasized since adolescents tend to delay medical care if their privacy is not safeguarded (Buttaro, Trybulski, Bailey, & Sandberg-Cook, 2013, p. 51). In order to choose the appropriate health promotion topic to

Massachusetts have adopted the “ mature minor rule’, which entails, if a doctor believes the child is mature enough and able to give consent to medical care and it is in the best interest to the minor not to notify the minor’s parents, the doctor then may accept the minor’s consent.Minors may also consent to their own treatment for drug addiction , family planning services, or treatment for sexually transmitted diseases (including HIV or AIDS), if they are at least 12 years of age (M.G.L.A. c. 112 & 12E, c. 111 § 24E, and c. 111 § 117). A minor who is at least 16 years old may commit himself or herself for mental health treatment without parental consent. (M.G.L.A. c. 123 § 10). Emancipation can affect a minor’s status in contracts as

Other instances that allow adults to retain the right to choose are questioned when proposed by children below the legal age of consent. Firstly, the premise that a patient must be in a sound state of mind and knowledgeable of the effects of denying treatment is considered. In general, children, arguably, do not hold the competency to make choices for themselves to the extent that it may result in loss of life. On a basic level, young children do not fully comprehend the concepts of life and death. Nor do young minds reason with dealing with the pain of treatment or the effects of possible loss of quality of life after a medical procedure. Also, the knowledge that adult patients attain about their medical statuses may not be fully comprehended