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ForwardL102226 Clinical Ethics Case Review - Teen Angst: Ethical issues in caring for teenagers
This Clinical Ethics Case Review will examine three recent cases where ethical questions emerged involving teenage patients.
Case 1: 18 y/o with sickle cell anemia admitted for splenic sequestration. A blood transfusion is recommended by the hematologist to decrease risk of death. The patient, who is a Jehovah's Witness, initially said he wanted it but now declines with parents at bedside The patient's father requests EPO which may have some benefit but won't affect the acute issue, however, the patient does not want it. The physician consults clinical ethics to ask how to navigate decision-making, patient autonomy, and clinician obligations to benefit the patient.
Case 2: 16 y/o patient who has developmental delay (IQ50) and seizure disorder currently admitted awaiting community placement. She is a ward of the state and has run away from her last group home. She has behaviors related to menstruation and her attending believes she will benefit from a long-acting contraceptive for this and given her age and vulnerability. The attending contacts ethics to consider whether this is ethically appropriate and what ethical considerations around assent and consent exist given the patient's situation.
Case 3: 16 y/o is admitted to the ICU with sepsis. He does not live at home and his 19 y/o girlfriend, who he lives with along with their 2 children, is at bedside. The patient's mother is involved. Currently, the patient needs help with decisions given his critical status. The ICU RN consults ethics regarding appropriate decision-maker and potential obligations around vulnerability.
Clinical Ethics Case Review will explore real cases to help clinicians understand how to identify, approach, and manage ethical issues. Every other month we will present a real case and review the ethical issues, provide ethical analysis, and discuss ways to approach these in practice. This educational opportunity will be beneficial for all clinical staff and especially for early career clinicians.
These activities will be held bi-monthly, virtual, 4th Thursday from 12:00 - 1:00 pm OR 1:00 - 2:00 pm.
Target Audience
Children's Minnesota healthcare providers and staff caring for pediatric patients and their families.
Learning Objectives
- Discuss ethical questions that arise in caring for teenagers
- Examine unique ethical considerations and principles that apply to teenage medical care
- Describe how to navigate ethical questions in caring for teenagers
Course summary
- 1.00 ACPE
- 1.00 ACPE Pharmacy technician
- 1.00 AMA PRA Category 1 Credit™
- 1.00 ANCC
- 1.00 Attendance
- 1.00 Approved AMA PRA Category 1 Credit™
Moderators: Ian Wolfe, PhD, RN, HEC-C & Shika Kalevor, MBE, RN, HEC-C
DISCLOSURE STATEMENT:
It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.
Planning committee members and presenter(s) have disclosed they have no relevant financial relationships with ineligible companies whose primary business is producing, marketing selling re-selling, or distributing healthcare products used by or on patients and have disclosed that no conflict of interest exists with the presentation/educational event.
Accreditation Statement:
In support of improving patient care, Children’s Minnesota is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Children’s Minnesota takes responsibility for the content, quality and scientific interest of its accredited continuing education events.
Credit Statement:
AMA
Children’s Minnesota designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent to their participation in the activity.
ANCC
Children's Minnesota designates this live activity for a maximum of 1.0 ANCC nursing contact hour. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
Pharmacists and Pharmacy Techs will have their attendance reported in the CPE Monitor for ACPE credits provided they have entered their NABP-ePID and birth month and day where indicated when setting up their profile.
This program offers 1.0 contact hours of continuing education. Most medical professional organizations accept AMA PRA Category 1 Credits™. It is the individual’s responsibility to determine whether an education activity meets the continuing education requirements of their respective licensures and/or professional boards. Go to your respective organization’s website for more detailed information regarding credit requirements.
Available Credit
- 1.00 ACPE
- 1.00 ACPE Pharmacy technician
- 1.00 AMA PRA Category 1 Credit™
- 1.00 ANCC
- 1.00 Attendance
- 1.00 Approved AMA PRA Category 1 Credit™
Please make sure to click the TAKE COURSE button to complete your registration for this event.
Children's Minnesota employees only
To add this event to your calendar, please follow these steps:
- Open your confirmation email from this course
- Click the add to calendar link (this will download the .ics file to your computer)
- Open your Outlook calendar
- Select "Add calendar" from the left pane just above My Calendars
- Select "Upload from file" in the Add calendar window.
- Select Browse, go to your Downloads folder and select the .ics file.
- Select the Calendar you want the appointment to show up in, typically Calendar and then select Import.
Required Hardware/software
You will need a computer or phone with either internet or Wi-Fi access.