{"id":297,"date":"2016-06-04T09:50:35","date_gmt":"2016-06-03T23:50:35","guid":{"rendered":"https:\/\/blogs.rch.org.au\/alumni\/?p=297"},"modified":"2016-07-14T09:43:08","modified_gmt":"2016-07-13T23:43:08","slug":"when-doctors-and-patients-disagree-thinking-through-the-ethics","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/alumni\/when-doctors-and-patients-disagree-thinking-through-the-ethics\/","title":{"rendered":"When doctors and patients disagree: thinking through the ethics"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>A lunchtime meeting on July 12th was well attended and led to some interesting discussion: <strong><a href=\"https:\/\/blogs.rch.org.au\/alumni\/in-the-news\/lunchtime-meeting-july-12th\">SEE MORE<\/a><\/strong><\/p>\n<p>A\u00a0recent case in WA has drawn pubic attention to a rare but difficult ethical challenge in paediatric health care: parents\u2019 refusal of medically recommended for their child in a life- threatening situation. More broadly, parents and doctors can disagree in a range of situations &#8211; about diagnostic tests, management of chronic conditions, experimental therapies, continuation of ventilation in a child with a neuro-degenerative condition, to name just some. All of these raise the ethical question of when and to what extent doctors should do what parents want, or should seek to go against parent\u2019s wishes. In this presentation, we will describe and discuss the Zone of Parental Discretion (ZPD), an ethical tool for dealing with entrenched disagreements between parents and doctors. We will use the ZPD to ethically analyse some cases, and invite your input into the discussion.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-299 alignleft\" src=\"https:\/\/blogs.rch.org.au\/alumni\/files\/2016\/06\/Lyn-Gillam-1.jpg\" alt=\"Lyn Gillam\" width=\"146\" height=\"173\" \/>Prof Lynn Gillam is a clinical ethicist, and Academic Director of the Children\u2019s Bioethics Centre at the Royal Children\u2019s Hospital. Lynn has been actively involved in paediatric clinical ethics case consultation for over 10 years, and has written widely in the field.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-300 alignleft\" src=\"https:\/\/blogs.rch.org.au\/alumni\/files\/2016\/06\/Rosalind-McDougall.jpg\" alt=\"Rosalind McDougall\" width=\"144\" height=\"172\" \/>Dr Rosalind McDougall (left) is an ethicist at the Children\u2019s Bioethics Centre, Royal Children\u2019s<br \/>\nHospital, and the Centre for Health Equity, University of Melbourne. She has published widely<br \/>\nin clinical ethics and reproductive ethics. Her current research project focuses on ethical issues when doctors and parents have conflicting views about a child\u2019s medical treatment.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If we cannot agree with parents&#8217; decisions?<\/p>\n","protected":false},"author":108,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[14,6],"tags":[],"class_list":["post-297","post","type-post","status-publish","format-standard","hentry","category-events","category-in-the-news"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts\/297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/users\/108"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/comments?post=297"}],"version-history":[{"count":6,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts\/297\/revisions"}],"predecessor-version":[{"id":338,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts\/297\/revisions\/338"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/media?parent=297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/categories?post=297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/tags?post=297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}