Parents’ refusal of medical treatment based on religious and/or cultural beliefs: The law, ethical principles, and clinical implications Author links open overlay panel Luanne Linnard-Palmer EdD, CPON, RN a b Susan Kools PhD, RN b | A case study from the perspective of medical ethics: refusal of treatment in an ambulance. The main … BMC Palliat Care. Journal of Contemporary Health Law and Policy, Vol. Pediatric nurses working in acute care settings serving religious and culturally diverse families may encounter parents whose beliefs influence treatment decisions. Respect for religion has forced courts to recognize that medical decisions are not always scientific—many people rely on faith to heal them. Parents' refusal of medical treatment for cultural or religious beliefs: an ethnographic study of health care professionals' experiences. We use cookies to help provide and enhance our service and tailor content and ads. 2004;25(4):265-76. doi: 10.1007/s11017-004-3137-7. Medical care is considered one of the most basic of all human needs, and yet parents may elect to apply religious or cultural beliefs in place of traditional Western medical care for their children. informed refusal refusal of treatment after one has been informed about it in an effort to gain informed consent . With in this article, the legal, ethical and professional aspects associated with this dilemma are presented and discussed from the … Adults may rely … An ethnographic study was conducted to investigate the impact of parental treatment refusal on the bedside interactions between pediatric … | The rule finalized Thursday allows health care workers who have a "religious or conscience" objection to medical procedures such as birth control or sterilization … Here is a collection of guidance for providers of health and spiritual care, for working effectively and sensitively with persons of various religious beliefs. The right to refuse treatment extends to all medical treatment including but not limited to ventilation, cardio-pulmonary resuscitation (CPR), dialysis, antibiotics and artificial feeding and hydration. Previous literature describes how these complex situations lead to emotional distress and strained relationships between health care provider and family members. 2005 Oct;25(5):312-27. Because memberships in religious groups that have beliefs concerning prayer and health care for children are increasing, the topic is of great importance for pediatric health professionals. A patient has the right to refuse any treatment based on information required by this paragraph, except as otherwise provided by law. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Parents’ refusal of medical treatment based on religious and/or cultural beliefs: The law, ethical principles, and clinical implications. Parental refusal to consent for medical and surgical consent can present children's nurses with a professional dilemma and can potentially negatively impact the care provided for the both the paediatric patient and their family. Acta Otorhinolaryngol Ital. Parental refusal of life-sustaining medical treatment for children based on religious objections. When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. Court of Appeal , 1992-08-07 ) 2019 Feb;40(1):43-61. doi: 10.1007/s11017-019-09480-1. My God My Choice: The Mature Minor Doctrine and Adolescent Refusal of Life-Saving or Sustaining Medical Treatment Based Upon Religious Beliefs (2006). Using Religion to Refuse Treatment . It is not always possible to meet all of the goals, and at times may only be … In their recent article, Erbay et al considered whether a seriously injured patient should be able to refuse treatment if the refusal was based on a … J Pediatr Oncol Nurs. 22, No. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. hasanerbay@yahoo.com This paper will examine a sample case encountered by ambulance staff in the context of the basic principles of medical … If a refusal to treat cannot be justified, then possible sanctions may include: disciplinary action and possible dismissal as a result of breach of your employment contract; a negligence action initiated by the patient if they suffer harm; if you are reported to the NMC, they may take an action against you which could result in removal from the register. By continuing you agree to the use of cookies. Linnard-Palmer, L, Kools, S (2004) Parents’ refusal of medical treatment based on religious and/or cultural beliefs: The law, ethical principles, and clinical implications. Theor Med Bioeth. Traditions vary in the scope of medical treatments they refuse. 2015 Apr;54(2):731-44. doi: 10.1007/s10943-014-9971-7. The central value cited in defence of honouring such a patient's refusal is autonomy. Medicine vs. prayer: the case of Kara Neumann. If it has not been, they asserted that Would you like email updates of new search results? … Copyright © 2004 Elsevier Inc. All rights reserved. Use the link below to share a full-text version of this article with your friends and colleagues. Parents’ Refusal of Medical Treatment for Cultural or Religious Beliefs: An Ethnographic Study of Health Care Professionals’ Experiences Show all authors. This article describes parental refusal of medical care, and it discusses the legal, ethical, and clinical implications. Treating a person who has validly refused treatment could constitute an assault or … 2018 Sep 12;17(1):107. doi: 10.1186/s12904-018-0360-y. Treatment has to be reasonable, this means that it has to be effective and that the benefits need to be in proportion to the burden for the patient of undergoing the treatment. When faced with patients in need of surgery requiring blood, doctors have turned to the courts to try … 6. In early 2018, the administration proposed its broader religious refusal rule, expanding health care workers’ ability to discriminate and deny people care. From a civil rights perspective, Cassell is probably in the clear. Because religious exemptions to child abuse and neglect laws do not equally protect all children and may harm some children … Some parents’ reasons for refusing medical treatment are based on their religious or spiritual beliefs. Doctor to Legislators: Refusing Medical Care Isn't Religious Freedom "Bad Faith" by Dr. Paul Offit looks at why Americans often tolerate religions that allow people to pary instead of … “The U.S. values religious freedom to the point where states are willing to grant parents the right to refuse even life-saving medical treatments for their children if … Method. Exploring the vagueness of Religion & Spirituality in complex pediatric decision-making: a qualitative study. Search Google Scholar for this author, Susan Kools, PhD, RN. The refusal of medical treatment for children is a complex phenomenon that can have profound impacts on the child, family, and health care providers. The end result of a court battle over the provision of medical treatment depends on the type of objection—religious or secular, the proposed treatment and the prognosis for survival with and without treatment. Child welfare versus parental autonomy: medical ethics, the law, and faith-based healing. Parents' refusal of medical treatment based on religious and/or cultural beliefs: the law, ethical principles, and clinical implications When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. Once autonomy is isolated from other … Pediatric Nursing 19(5): 351 – 356 . 382 Irwin St., San Rafael, CA [email protected] See all articles by this author. | Mother may I ... live? Shareable Link. This site needs JavaScript to work properly. Many cases in which courts have been asked to order medical treatment have involved patients who refused to give consent based upon religious beliefs. You should involve the child in a way appropriate to their age and maturity. Re T (Refusal of Medical Treatment) -- Medical Treatment-Refusal of Medical Treatment- Adult- Refusal on Religious Grounds Donaldson, M.R. Superdock AK, Barfield RC, Brandon DH, Docherty SL. In cases in which treatment is likely to prevent death or serious disability or relieve severe pain, children’s health and future autonomy should be protected. Luanne Linnard-Palmer, EdD, RN, CPON. The responsible provider shall document any such refusal. HHS Parents' refusal of medical treatment based on religious and/or cultural beliefs: the law, ethical principles, and clinical implications. If the patient is a child who lacks capacity to make a decision, and both parents 16 refuse treatment on the grounds of their religious or moral beliefs, you must discuss their concerns and look for treatment options that will accommodate their beliefs. patient should be able to refuse treatment if the refusal was based on a (mis)interpretation of religious doctrine. The two main denominations offer clear guidelines for making that determination. On the … Religious objection to standard medical therapy is often legally valid when the treatment is more likely to fail than succeed. Medical ethics: blood transfusions Medical ethics: blood transfusions. NLM Jehovah's Witnesses and Christian Scientists, plus a few non-affiliated churches in different parts of the United States, may be willing to undergo some forms of treatment, but restrict or refuse other forms based on their religious beliefs. medical treatment is religious or spir-itual. 2005 Jan-Feb;22(1):48-57. doi: 10.1177/1043454204270263. The principal question of this paper is: Why are religious values special in refusal of lifesaving medical treatment? ( England. The bill prohibits both direct discrimination, treating another person less favourably based on religion, and indirect discrimination, where … Lawry, Slomka, and Goldfarb (1996) have noted that conflicts with mainstream medical practice can create tension for clinicians when they try to honor different religious perspectives while carrying out what … For example, members of the Followers of Christ refuse all medical treatment in favor of prayer, anointing with oil, and the laying on of hands.12 Christian Sci-entists may use dentistsand physicians for “mechanical” procedures, such as Living in hope and desperate for a miracle: NICU nurses perceptions of parental anguish. Therefore, the religion does not condone the use of any drugs, implants, skin grafts or medical dressings that contain parts of pigs or bovines. They argued that in such a case 'what is important…is whether the teaching or philosophy used as a reference point has been in fact correctly perceived' (p 653). The goals of medicine establish the purposes of treatment. Theor Med Bioeth. https://doi.org/10.1016/j.pedn.2004.05.014. If … 5. This question is approached through a critical examination of a common kind of refusal of treatment case, one involving a rational adult. Available at SSRN: USA.gov. J Relig Health. There are two aspects of the refusal of life-sustaining treatment. This article describes parental refusal of medical care, and it discusses the legal, ethical, and clinical implications. Doctors could refuse to treat patients because of their religious beliefs; other health care workers could … When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. If following a discussion of all the options you … Our data, although limited, suggest that treatment refusals are not only based on weighing the pros and cons of treatment, but also on the patient's personal circumstances, beliefs, preferences, values and feelings. conscientious refusal conscientious objection . Copyright © 2021 Elsevier B.V. or its licensors or contributors. Erbay H(1), Alan S, Kadıoğlu S. Author information: (1)Department of Deontology and History of Medicine, Cukurova University, Adana, Turkey. Further research is needed into these other factors and also into how personal values and judgments are communicated in a medical context. A patient in a health care facility has the right to know what facility rules and regulations apply to patient conduct. Learn more. 2, 2006; Mississippi College School of Law Research Paper. COVID-19 is an emerging, rapidly evolving situation. NIH refusal of treatment: [ re-fu´zal ] a declining to do something or to accept something. Some of the most common involve those whose religious beliefs forbid transfusions or any blood products or by-products. Because memberships in religious groups that have beliefs concerning prayer and health care for children are increasing, the topic is of great importance for pediatric health professionals. Luanne Linnard-Palmer. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Clipboard, Search History, and several other advanced features are temporarily unavailable. Medical care is considered one of the most basic of all human needs, and yet parents may elect to apply religious or cultural beliefs in place of traditional Western medical care for their children. Please enable it to take advantage of the complete set of features! Cookies to help provide and enhance our service and tailor content and ads are... 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