How Forcefully Should Clinicians Encourage Treatment When Disagreement Persists About Obesity Risk?
| Autor: | Samuels SL; A pediatric endocrinology fellow at Children's Hospital of Philadelphia and a candidate in the Master of Science in Translational Research program at the University of Pennsylvania in Philadelphia, Pennsylvania., Rossi WC; An attending endocrinologist at Children's Hospital of Philadelphia (CHOP) and a clinical professor of pediatrics at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, Pennsylvania. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | AMA journal of ethics [AMA J Ethics] 2018 Dec 01; Vol. 20 (12), pp. E1126-1132. Date of Electronic Publication: 2018 Dec 01. |
| DOI: | 10.1001/amajethics.2018.1126 |
| Abstrakt: | Pediatric obesity is a major public health problem, and weight reduction in children and adolescents with obesity is associated with improvement in health outcomes. This case of an adolescent diagnosed with obesity whose mother disagrees with the diagnosis illustrates challenges often encountered in clinical practice, including (1) diagnosing a disease in an asymptomatic patient whose future risk for negative health outcomes is uncertain, (2) addressing ethical implications of naming a stigmatizing disease, and (3) resolving conflicting goals and opinions of a patient, caregiver, and physician. Suggestions for navigating disagreement and implementing courses of action are discussed. (© 2018 American Medical Association. All Rights Reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|