Clinical and psychosocial considerations influence how oncologists approach discussing sperm banking with adolescent patients who are about to undergo chemotherapy and with the parents of those patients.
A close study of a literary memoir can help resident physicians understand the complex, inextricable relationship between a patient’s autonomy and his vulnerability.
Basic information about the two principal instruments used for assessing patients' decision-making competence and learn why both fall short of reliable, objective assessment.
Chris Feudtner, MD, PhD, MPH, David Munson, MD, and Wynne Morrison, MD
The way that we choose how to frame the conversation with parents about halting or continuing such therapy for their children who will not recover has special importance in medicine and in society.
Physicians should recognize that patients’ beliefs may cause them to have non-medical explanations for their illnesses and that shared explanations should be negotiated if treatment plans are to be successful.
Physicians need to manage expectations and clearly explain the prognosis of ICU patients to their families, particularly when the outcome is a negative one.
Parents' ability to make medical decisions for their children can be limited by state law if it is determined that the child's best interest is not being met.