Parents’ refusal of medical treatment based on religious and/or cultural beliefs: The law, ethical principles, and clinical implications Author links open overlay panel Luanne Linnard-Palmer EdD, CPON, RN a b Susan Kools PhD, RN b Parents' refusal of medical treatment based on religious and/or cultural beliefs: the law, ethical principles, and clinical implications When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. Our data, although limited, suggest that treatment refusals are not only based on weighing the pros and cons of treatment, but also on the patient's personal circumstances, beliefs, preferences, values and feelings. USA.gov. Theor Med Bioeth. 2018 Sep 12;17(1):107. doi: 10.1186/s12904-018-0360-y. On the … Some of the most common involve those whose religious beliefs forbid transfusions or any blood products or by-products. patient should be able to refuse treatment if the refusal was based on a (mis)interpretation of religious doctrine. Luanne Linnard-Palmer. The bill prohibits both direct discrimination, treating another person less favourably based on religion, and indirect discrimination, where … Learn more. Religious objection to standard medical therapy is often legally valid when the treatment is more likely to fail than succeed. Available at SSRN: Using Religion to Refuse Treatment . The end result of a court battle over the provision of medical treatment depends on the type of objection—religious or secular, the proposed treatment and the prognosis for survival with and without treatment. https://doi.org/10.1016/j.pedn.2004.05.014. NIH You should involve the child in a way appropriate to their age and maturity. Parents' refusal of medical treatment for cultural or religious beliefs: an ethnographic study of health care professionals' experiences. Medicine vs. prayer: the case of Kara Neumann. If a refusal to treat cannot be justified, then possible sanctions may include: disciplinary action and possible dismissal as a result of breach of your employment contract; a negligence action initiated by the patient if they suffer harm; if you are reported to the NMC, they may take an action against you which could result in removal from the register. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Parents’ refusal of medical treatment based on religious and/or cultural beliefs: The law, ethical principles, and clinical implications. 2015 Apr;54(2):731-44. doi: 10.1007/s10943-014-9971-7. Journal of Contemporary Health Law and Policy, Vol. Some parents’ reasons for refusing medical treatment are based on their religious or spiritual beliefs. Search Google Scholar for this author, Susan Kools, PhD, RN. In early 2018, the administration proposed its broader religious refusal rule, expanding health care workers’ ability to discriminate and deny people care. Because religious exemptions to child abuse and neglect laws do not equally protect all children and may harm some children … A case study from the perspective of medical ethics: refusal of treatment in an ambulance. With in this article, the legal, ethical and professional aspects associated with this dilemma are presented and discussed from the … Mother may I ... live? … conscientious refusal conscientious objection . Linnard-Palmer, L, Kools, S (2004) Parents’ refusal of medical treatment based on religious and/or cultural beliefs: The law, ethical principles, and clinical implications.   The two main denominations offer clear guidelines for making that determination. J Relig Health. Living in hope and desperate for a miracle: NICU nurses perceptions of parental anguish. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. If … “The U.S. values religious freedom to the point where states are willing to grant parents the right to refuse even life-saving medical treatments for their children if … Court of Appeal , 1992-08-07 ) It is not always possible to meet all of the goals, and at times may only be … COVID-19 is an emerging, rapidly evolving situation. Adults may rely … When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. J Pediatr Oncol Nurs. Lawry, Slomka, and Goldfarb (1996) have noted that conflicts with mainstream medical practice can create tension for clinicians when they try to honor different religious perspectives while carrying out what … The principal question of this paper is: Why are religious values special in refusal of lifesaving medical treatment? Please enable it to take advantage of the complete set of features! If following a discussion of all the options you … 6. For example, members of the Followers of Christ refuse all medical treatment in favor of prayer, anointing with oil, and the laying on of hands.12 Christian Sci-entists may use dentistsand physicians for “mechanical” procedures, such as Respect for religion has forced courts to recognize that medical decisions are not always scientific—many people rely on faith to heal them. Here is a collection of guidance for providers of health and spiritual care, for working effectively and sensitively with persons of various religious beliefs. The goals of medicine establish the purposes of treatment. Traditions vary in the scope of medical treatments they refuse.  |  informed refusal refusal of treatment after one has been informed about it in an effort to gain informed consent . Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Treatment has to be reasonable, this means that it has to be effective and that the benefits need to be in proportion to the burden for the patient of undergoing the treatment. Parental refusal of life-sustaining medical treatment for children based on religious objections. Doctors could refuse to treat patients because of their religious beliefs; other health care workers could … An ethnographic study was conducted to investigate the impact of parental treatment refusal on the bedside interactions between pediatric … Jehovah's Witnesses and Christian Scientists, plus a few non-affiliated churches in different parts of the United States, may be willing to undergo some forms of treatment, but restrict or refuse other forms based on their religious beliefs. 2019 Feb;40(1):43-61. doi: 10.1007/s11017-019-09480-1. Medical care is considered one of the most basic of all human needs, and yet parents may elect to apply religious or cultural beliefs in place of traditional Western medical care for their children. BMC Palliat Care. Medical ethics: blood transfusions Medical ethics: blood transfusions. 2, 2006; Mississippi College School of Law Research Paper. This article describes parental refusal of medical care, and it discusses the legal, ethical, and clinical implications. My God My Choice: The Mature Minor Doctrine and Adolescent Refusal of Life-Saving or Sustaining Medical Treatment Based Upon Religious Beliefs (2006). A patient in a health care facility has the right to know what facility rules and regulations apply to patient conduct.  |  Shareable Link. Pediatric nurses working in acute care settings serving religious and culturally diverse families may encounter parents whose beliefs influence treatment decisions. Because memberships in religious groups that have beliefs concerning prayer and health care for children are increasing, the topic is of great importance for pediatric health professionals. Erbay H(1), Alan S, Kadıoğlu S. Author information: (1)Department of Deontology and History of Medicine, Cukurova University, Adana, Turkey. Luanne Linnard-Palmer, EdD, RN, CPON. Superdock AK, Barfield RC, Brandon DH, Docherty SL. This question is approached through a critical examination of a common kind of refusal of treatment case, one involving a rational adult. Further research is needed into these other factors and also into how personal values and judgments are communicated in a medical context. hasanerbay@yahoo.com This paper will examine a sample case encountered by ambulance staff in the context of the basic principles of medical … NLM HHS Child welfare versus parental autonomy: medical ethics, the law, and faith-based healing. 22, No. Clipboard, Search History, and several other advanced features are temporarily unavailable. The central value cited in defence of honouring such a patient's refusal is autonomy. Medical care is considered one of the most basic of all human needs, and yet parents may elect to apply religious or cultural beliefs in place of traditional Western medical care for their children. If the patient is a child who lacks capacity to make a decision, and both parents 16 refuse treatment on the grounds of their religious or moral beliefs, you must discuss their concerns and look for treatment options that will accommodate their beliefs. In their recent article, Erbay et al considered whether a seriously injured patient should be able to refuse treatment if the refusal was based on a … Acta Otorhinolaryngol Ital. Once autonomy is isolated from other … Previous literature describes how these complex situations lead to emotional distress and strained relationships between health care provider and family members. Therefore, the religion does not condone the use of any drugs, implants, skin grafts or medical dressings that contain parts of pigs or bovines. Parents’ Refusal of Medical Treatment for Cultural or Religious Beliefs: An Ethnographic Study of Health Care Professionals’ Experiences Show all authors. The right to refuse treatment extends to all medical treatment including but not limited to ventilation, cardio-pulmonary resuscitation (CPR), dialysis, antibiotics and artificial feeding and hydration. The responsible provider shall document any such refusal. The main … They argued that in such a case 'what is important…is whether the teaching or philosophy used as a reference point has been in fact correctly perceived' (p 653). Would you like email updates of new search results? 2004;25(4):265-76. doi: 10.1007/s11017-004-3137-7. When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. ( England. If it has not been, they asserted that Copyright © 2004 Elsevier Inc. All rights reserved. Many cases in which courts have been asked to order medical treatment have involved patients who refused to give consent based upon religious beliefs. 2005 Jan-Feb;22(1):48-57. doi: 10.1177/1043454204270263. Because memberships in religious groups that have beliefs concerning prayer and health care for children are increasing, the topic is of great importance for pediatric health professionals. Parental refusal to consent for medical and surgical consent can present children's nurses with a professional dilemma and can potentially negatively impact the care provided for the both the paediatric patient and their family. The rule finalized Thursday allows health care workers who have a "religious or conscience" objection to medical procedures such as birth control or sterilization … Doctor to Legislators: Refusing Medical Care Isn't Religious Freedom "Bad Faith" by Dr. Paul Offit looks at why Americans often tolerate religions that allow people to pary instead of … Exploring the vagueness of Religion & Spirituality in complex pediatric decision-making: a qualitative study. By continuing you agree to the use of cookies. Use the link below to share a full-text version of this article with your friends and colleagues. medical treatment is religious or spir-itual. 5. There are two aspects of the refusal of life-sustaining treatment. 382 Irwin St., San Rafael, CA [email protected] See all articles by this author. We use cookies to help provide and enhance our service and tailor content and ads. Pediatric Nursing 19(5): 351 – 356 . Parents' refusal of medical treatment based on religious and/or cultural beliefs: the law, ethical principles, and clinical implications. A patient has the right to refuse any treatment based on information required by this paragraph, except as otherwise provided by law. Re T (Refusal of Medical Treatment) -- Medical Treatment-Refusal of Medical Treatment- Adult- Refusal on Religious Grounds  Donaldson, M.R. In cases in which treatment is likely to prevent death or serious disability or relieve severe pain, children’s health and future autonomy should be protected. This article describes parental refusal of medical care, and it discusses the legal, ethical, and clinical implications. The refusal of medical treatment for children is a complex phenomenon that can have profound impacts on the child, family, and health care providers. When faced with patients in need of surgery requiring blood, doctors have turned to the courts to try … Treating a person who has validly refused treatment could constitute an assault or … Method. From a civil rights perspective, Cassell is probably in the clear. refusal of treatment: [ re-fu´zal ] a declining to do something or to accept something. Theor Med Bioeth. 2005 Oct;25(5):312-27. This site needs JavaScript to work properly.  |  Copyright © 2021 Elsevier B.V. or its licensors or contributors.