20. Ethical Considerations in Pediatric Oncology: A Case-Based Psychosocial Overview

  1. Shulamith Kreitler2,3,4,
  2. Myriam Weyl Ben-Arush5,6 and
  3. Andrés Martin7,8
  1. Ryan W. Blum1 and
  2. Andrés S. Martin7,8

Published Online: 1 JUL 2012

DOI: 10.1002/9781119941033.ch20

Pediatric Psycho-Oncology: Psychosocial Aspects and Clinical Interventions, Second Edition

Pediatric Psycho-Oncology: Psychosocial Aspects and Clinical Interventions, Second Edition

How to Cite

Blum, R. W. and Martin, A. S. (2012) Ethical Considerations in Pediatric Oncology: A Case-Based Psychosocial Overview, in Pediatric Psycho-Oncology: Psychosocial Aspects and Clinical Interventions, Second Edition (eds S. Kreitler, M. W. Ben-Arush and A. Martin), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781119941033.ch20

Editor Information

  1. 2

    School of Psychological Sciences, Tel-Aviv University, Israel

  2. 3

    Psychooncology Research Center, Sheba Medical Center, Tel Hashomer, Israel

  3. 4

    Faculty of Social Welfare and Health Sciences, University of Haifa, Israel

  4. 5

    Department of Pediatric Hematology Oncology, Meyer Children's Hospital, Israel

  5. 6

    Meyer Children's Hospital, Rambam Health Care Campus, Technion Israel-Institute of Technology, the Bruce Rappaport Faculty of Medicine, Haifa, Israel

  6. 7

    Child Study Center, Yale University School of Medicine, USA

  7. 8

    Smilow Cancer Hospital at Yale-New Haven, New Haven, CT, USA

Author Information

  1. 1

    AB Yale School of Medicine, Yale Child Study Center, Yale Pediatric Ethics Program, CT, USA

  2. 7

    Child Study Center, Yale University School of Medicine, USA

  3. 8

    Smilow Cancer Hospital at Yale-New Haven, New Haven, CT, USA

Publication History

  1. Published Online: 1 JUL 2012
  2. Published Print: 27 JUL 2012

ISBN Information

Print ISBN: 9781119998839

Online ISBN: 9781119941033

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Keywords:

  • bioethics;
  • clinical ethics;
  • decision-making;
  • healthcare law;
  • oncology;
  • pediatrics;
  • social history

Summary

The practice of pediatric oncology is thick with moral dilemmas and potential dilemmas about who is responsible for a child's wellbeing, how a child or adolescent may become involved in their care though they may possess only undeveloped tools of autonomous decision-making, and how to manage the grief of parents while supporting humane end-of-life care for young patients. Through a handful of case discussions, the chapter presents the scope of ethical concerns in pediatric oncology and the value of a psychosocially-attuned approach to analysis and clinical mediation, focused both on the daily practice of pediatric oncology as well as in critical situations such as those that might involve clinical ethics consultation.