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Families Face Ethical Challenges More Often Than They Change a G Tube - Rethinking Our Care

OPENPediatrics via YouTube

Overview

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Explore the prevalence and impact of ethical challenges faced by families caring for children with chronic conditions in this Complex Care Journal Club podcast episode. Join Dr. Miriam Shapiro, Ms. Kate Detwiler, and Dr. Vanessa Madrigal as they discuss groundbreaking survey research revealing that families encounter ethical dilemmas more frequently than routine medical procedures like G-tube changes. Examine the survey findings that document the types of ethical challenges parents experience in their child's healthcare journey, from treatment decision-making conflicts to communication breakdowns with medical teams. Learn about the sources of support families turn to during these difficult situations and understand the lasting psychological distress these ethical challenges can create. Discover the implications for clinical practice, including how healthcare providers can better recognize, address, and prevent ethical conflicts in pediatric complex care settings. Gain insights into the research methodology used to capture parent perspectives on ethical challenges and explore the next steps for improving family-centered care in pediatric medical complexity. Understand how this research contributes to the broader conversation about ethics in pediatric healthcare and the importance of supporting families navigating complex medical decisions for their children.

Syllabus

Shapiro MC, Detwiler K, Shepard J, Bernhard T, Li X, Boss RD, Madrigal VN. Ethical Challenges in Pediatric Medical Complexity: A Survey of Parents. J Pediatr. 2025 Apr;279:114478. doi: 10.1016/j.jpeds.2025.114478. Epub 2025 Jan 27. PMID: 39864504; PMCID: PMC12013584.

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OPENPediatrics

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