Informed Consent in Decision-Making in Pediatric Practice

  title={Informed Consent in Decision-Making in Pediatric Practice},
  author={Aviva L. Katz and Sally A. Webb},
Informed consent should be seen as an essential part of health care practice; parental permission and childhood assent is an active process that engages patients, both adults and children, in their health care. Pediatric practice is unique in that developmental maturation allows, over time, for increasing inclusion of the child’s and adolescent’s opinion in medical decision-making in clinical practice and research. This technical report, which accompanies the policy statement “Informed Consent… 

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Informed consent, parental permission, and assent in pediatric practice.
As the author of the first draft of the recently published Academy statement, Informed Consent, Parental Permission, and Assent in Pediatric Practice,1 I would like to comment on several of the
Consent for Emergency Medical Services for Children and Adolescents
In general, a medical screening examination and any medical care necessary and likely to prevent imminent and significant harm to the pediatric patient with an emergency medical condition should not be withheld or delayed because of problems obtaining consent.
Rethinking pediatric assent: from requirement to ideal.
Consent for emergency medical services for children and adolescents.
Appropriate medical care for the pediatric patient with an urgent or emergent condition should never be withheld or delayed because of problems with obtaining consent.
Informed Consent: Legal Theory and Clinical Practice
This chapter discusses the concept and Ethical Justification of Informed Consent, and the role of informed Consent in Medical Decision-making and the Independent Evolution of Ininformed Consent to Research.
What Is Known about Parents’ Treatment Decisions? A Narrative Review of Pediatric Decision Making
A narrative review of the current research on parent decision making about pediatric treatments and identify areas in need of further investigation is conducted to understand how to support parents through the difficult treatment decisions.
Decision-making capacity of children and adolescents—suggestions for advancing the concept’s implementation in pediatric healthcare
A detailed understanding of DMC is necessary to inform developmentally appropriate participation in healthcare and pediatric practice needs to address challenges that are specific to providing healthcare for children, including conceptual issues, assessment, and aspects of child development.
Informed consent/assent in children. Statement of the Ethics Working Group of the Confederation of European Specialists in Paediatrics (CESP)
Informed consent means approval of the legal representative of the child and/or of the competent child for medical interventions following appropriate information. National legal regulations differ
Assent for Treatment: Clinician Knowledge, Attitudes, and Practice
A model of medical decision-making for children that includes education but does not allow children to share decision- making authority may be more applicable to clinical practice than the current American Academy of Pediatrics–supported model of assent.