Reasonableness as a Relational Principle: An Integrated Framework for Pediatric Decision-Making

D Micah Hester; Erica K Salter

doi:10.1016/j.jpeds.2022.06.002

Reasonableness as a Relational Principle: An Integrated Framework for Pediatric Decision-Making

J Pediatr. 2022 Dec:251:30-35. doi: 10.1016/j.jpeds.2022.06.002. Epub 2022 Jul 3.

Authors

D Micah Hester¹, Erica K Salter²

Affiliations

¹ Department of Medical Humanities & Bioethics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, AR. Electronic address: Hesterdm@uams.edu.
² Center for Health Care Ethics, Saint Louis University, St Louis, MO.

PMID: 35787377
DOI: 10.1016/j.jpeds.2022.06.002

Abstract

We modified and applied the surrogate decision-making framework of Buchanan and Brock for pediatrics, and present an integrated framework of pediatric health care decision-making, specifying authority and intervention principles, 2 guidance principles, and an additional category of relational principles, governing stakeholder interactions.

Keywords: best interest standard; harm principle; parental authority; pediatric decision-making; reasonableness.

MeSH terms

Child
Decision Making*
Humans
Parents
Pediatrics*