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.
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The examiner opens with a 4-year-old with newly diagnosed acute lymphoblastic leukaemia whose parents refuse chemotherapy, then escalates through the definitions, the Diekema harm-principle threshold, the separation of access-based neglect from deliberate refusal, the stepped negotiate-to-escalate management, the specific refusal scenarios, and a twist involving a competent adolescent. [1] [9]
You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.
References11Show ledgerHide ledger
- [1]Diekema DS Parental refusals of medical treatment: the harm principle as threshold for state intervention. Theor Med Bioeth, 2004.PMID 15637945
- [2]Jenny C Recognizing and responding to medical neglect. Pediatrics, 2007.PMID 18055690
- [3]Boos SC, Fortin K Medical neglect. Pediatr Ann, 2014.PMID 25369577
- [4]Ward MGK, Baird B Medical neglect: Working with children, youth, and families. Paediatr Child Health, 2022.PMID 36200106
- [5]Dubowitz H Neglect in children. Pediatr Ann, 2013.PMID 23556521
- [6]Conti A, Capasso E, Casella C, et al. Blood transfusion in children: the refusal of Jehovah's Witness parents. Open Med (Wars), 2018.PMID 29666843
- [7]Phadke VK, Bednarczyk RA, Salmon DA, et al. Association between vaccine refusal and vaccine-preventable diseases in the United States: a review of measles and pertussis. JAMA, 2016.PMID 26978210
- [8]Sahni V, Lai FY, MacDonald SE Neonatal vitamin K refusal and nonimmunization. Pediatrics, 2014.PMID 25136042
- [9]Caruso Brown AE, Slutzky AR Refusal of treatment of childhood cancer: a systematic review. Pediatrics, 2017.PMID 29146622
- [10]Coleman DL, Rosoff PM The legal authority of mature minors to consent to general medical treatment. Pediatrics, 2013.PMID 23530175
- [12]Salter EK, Hester DM, Vinarcsik L, et al. Pediatric decision making: consensus recommendations. Pediatrics, 2023.PMID 37555276