Thread subject: NEPI :: Consent

Posted by stemlyns on 03-11-2007 02:02
#5

Scenario 1

Reasons why parents not happy to get the suturing done

1.Worried that the child will be subjected to lot of Pain during the procedure.
2.May think that the benefits of sututing outweigh risks of the procedure.

---I think dealing with child is main issue here.
If the child is 9yr old he is old enough to know about suturing the pain.
I would start with child and spend good time with him explaining him the procedure(in his language and IQ level) and try and understand if he gets the concept.
I would reassure the child that there will be no pain during the procedure,try and alleviate his fears by demonstrating the small mock procedure.

---Dealing with parents
Good explanation of the procedure(I prefer Ketamine as it is short and quick)

I presume most of the parents want the procedure to be done as long as the child is not in distress.If still parents are adamant then we need to think of other aspects like financial issues or are they not happy with the overall care and would be nice to know what their expectations are.

Parents have got duty towards the child not rights.It is their duty to ensure that the child gets proper treatment and if the conflict is about the treatment(not life threatening)then there should be agreement and if they still adamant then i would involve the Socail services/Police.

Law of Land:
The age for consent for medical treatment is not officially laid down. There are obscure provisions made in Indian penal code section (IPC87 and 88), which refers to the validity of consent, which may occur from any act done in good faith and for individual benefit. Perhaps, these provisions are not specifically directed at medical treatment. When both the IPC (Sections 87 & 88) are combined, one can conclude that there is an implication that parental consent is necessary for medical treatment or surgical procedures on the minor.

Scenario 2
I think the answer for that question is in the above paragraph.

Looks like there is a majour overhaul needed in the LAW