Permissibility vs Advisability : Clinical Decision making with Families – A Practical Framework

ICNC2024
Symposia: Paediatric Neuropalliative Medicine - Providing Holistic Care To Families

Permissibility vs Advisability : Clinical Decision making with Families – A Practical Framework
Lauren Treat

Paediatric neurologists commonly have an active role in supporting families through decision making in the clinical setting. In the modern era of deference to patient / family autonomy, clinicians may feel reluctant to provide direct opinions about the appropriate course of action for fear of communicating bias or pessimism. In this presentation, a paediatric neurologist with dual-training in paediatric palliative medicine will outline a practical framework for classifying medical interventions according to both their degree of ethical permissibility as well as their degree of advisability given the clinical context. This framework will then be applied to common circumstances facing patients with chronic or acute serious neurological conditions or life limiting illnesses in childhood. This talk will thus provide the audience with the tools required to assist families navigate the challenges they face when caring for a child with life limiting illnesses and will include clinical scenarios and examples from clinical settings to achieve its objective.

Other Lectures in this symposium
Avoiding and Managing Conflict in the PICU
Clinicial Vignettes in Paediatric NeuroPalliative care