#ir #peds
Capacity & consent
- Capable if
- Able to UNDERSTAND info relevant to making decision re: tx
- Eg I’ll lose my leg if I don’t manage my DM
- And able to APPRECIATE consequences of a decision
- Eg of no appreciation: That’s in the future so I don’t care if I’ll lose my leg, I want to live my life now
- Assume everyone’s capable.
- Don’t assume incapability b/c
- Age, Refusal/Disagreement w/ tx, Request for alt tx, Psych/neuro dx, Disability
- Healthcare decisions for ped pts should be made jointly by health care team, parents, & child/adoles to varying deg
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Confidentiality
Age not a factor Unless teen is
Suicidal, homicidal, has thoughts of self-harm/harming others <16yo w/ hx of current/past abuse Disclosure of abuse & children <16yo in home
<span>Capacity & consent
Capable if
Able to UNDERSTAND info relevant to making decision re: tx
Eg I’ll lose my leg if I don’t manage my DM
And able to APPRECIATE consequences of a decision
Eg of no appreciation: That’s in the future so I don’t care if I’ll lose my leg, I want to live my life now
Assume everyone’s capable.
Don’t assume incapability b/c
Age, Refusal/Disagreement w/ tx, Request for alt tx, Psych/neuro dx, Disability
Healthcare decisions for ped pts should be made jointly by health care team, parents, & child/adoles to varying deg
Assent = children given info they understand & some appropriate choice in tx
Sexual consent (Ontario): 12-13yo ± 2, 14-15yo ± 5, 16yo (no porn, prostitution, autho Summary
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