Ethics in Child Health – Chapter 22: Can’t you just do therapy? (ebook)


Chapter 22 of the book – Can’t you just do therapy? When there is disagreement about discharge from therapy

In their compelling vignette, the authors present a story that illustrates the potential ethical dilemmas associated with continuing to provide therapy for a 15-year-old with significant impairment for whom functional improvement is an illusory goal, but for whom hard-to-measure comfort care may be achievable at a cost. They identify both the professional guidelines by which they are constrained and the human dilemmas faced by the family of the young woman whose story is the focus of the chapter, as well as the expectations of the community-based physician seeking to advocate for their patient. They describe the approach they took to reconcile these disparate needs.

About the complete book

Have you ever:

  • Wondered how to deal with a family that repeatedly fails to keep clinic appointments?
  • Disagreed with colleagues over a proposed course of treatment for a child?
  • Considered ways to ‘bump’ a child on a waiting to speed up their assessment?

These are a few of the scenarios faced by clinicians in neurodisability on a daily basis. Ethics in Child Health explores the ethical dimensions of these issues that have either been ignored or not recognised. Each chapter is built around a scenario familiar to clinicians and is discussed with respect to how ethical principles can be utilised to inform decision-making. Useful ‘Themes for Discussion’ are provided at the end of each chapter to help professionals and students develop practical ethical thinking. Ethics in Child Health offers a set of principles that clinicians, social workers and policy-makers can utilise in their respective spheres of influence.


Readership: clinicians and paediatricians in neurodisability, service providers in neurodisability, community-based health professionals,  and health policy makers.

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