NSG 3127 Lecture Notes - Lecture 6: Paradigm Shift, Palliative Care, Canadian Paediatric Society

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Childhood ethics: children as moral objects vs moral subjects, treated as possessions, property of parents. Dentists: paediatric dentists are trained in techniques you can implement to manage childhood behaviour (ex. In france the doctor has the authority to make decisions: parents (family or parental decisional autonomy) Not disclosing entire story, only enough to control risk: what special considerations are required for newborns, excessive and dismissive practices, ex. If parent has cultural preferences child is assumed the same: since parents are such key players, how do you negotiate this, culture is an obstacle to the child, family and communities have an important role in heritage, values, Immigrant children inadequate access to required health and social services. Indigenous children increased serious health risks: pediatric palliative care, many challenges, exceptions of the duty to provide life-sustaining treatment. Irreversible death: treatment clearly ineffective or harmful, unpreventable distress and suffering, limitation allows greater palliative care.

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