Paeds Vivas · child-safety-and-social-paediatrics

Medical neglect and refusal of care — branching viva

Branching viva on the omission-versus-rejection definitions, the Diekema harm-principle threshold, the four classic refusal scenarios (vaccines, vitamin K, Jehovah's Witness blood transfusion, cancer chemotherapy), separating access-based neglect from deliberate refusal, the stepped negotiate-to-escalate management, the mature-minor doctrine, and a safeguarding conversion.