Ethical challenges in paediatric care: Leveraging the Malaysian Child Act 2001 for life-saving decisions - A case report.

Q3 Nursing
Malaysian Family Physician Pub Date : 2025-03-02 eCollection Date: 2025-01-01 DOI:10.51866/cr.800
Muniandy Velkanthan, Lili Husniati Yaacob, Ahmad Imran, Ireny Mohd Nazri Norzarina
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引用次数: 0

Abstract

Refusal of medical treatment in paediatric case presents significant ethical and legal challenges, particularly when parental decisions conflict with a child's welfare. We report a case of life- threatening congenital diarrhoea in a neonate where the parents initially refused hospital admission despite extensive counselling. Given the severity of the child's condition, legal intervention under the Malaysian Child Act 2001 was necessary to ensure prompt medical care. This case underscores the importance of healthcare providers being well-versed in ethical principles and legal frameworks to protect vulnerable patients. Additionally, it highlights the need for clear national guidelines on invoking the Child Act in primary care settings to provide structured decision-making pathways for healthcare professionals. Ultimately, balancing parental autonomy with a child's best interests is essential in life-threatening conditions, reinforcing the role of legal mechanisms in safeguarding paediatric patients.

儿科护理中的伦理挑战:利用2001年马来西亚儿童法案作出拯救生命的决定-一个案例报告。
在儿科病例中,拒绝医疗提出了重大的道德和法律挑战,特别是当父母的决定与儿童的福利相冲突时。我们报告的情况下,危及生命的先天性腹泻,在新生儿的父母最初拒绝入院,尽管广泛的咨询。鉴于这名儿童的病情严重,必须根据《2001年马来西亚儿童法》进行法律干预,以确保及时得到医疗护理。这个案例强调了医疗保健提供者精通道德原则和法律框架以保护弱势患者的重要性。此外,报告强调需要制定关于在初级保健环境中援引《儿童法》的明确国家准则,为保健专业人员提供结构化的决策途径。最终,在危及生命的情况下,平衡父母的自主权与儿童的最大利益至关重要,从而加强法律机制在保护儿科患者方面的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Malaysian Family Physician
Malaysian Family Physician Medicine-Family Practice
CiteScore
1.20
自引率
0.00%
发文量
41
审稿时长
24 weeks
期刊介绍: The Malaysian Family Physician is the official journal of the Academy of Family Physicians of Malaysia. It is published three times a year. Circulation: The journal is distributed free of charge to all members of the Academy of Family Physicians of Malaysia. Complimentary copies are also sent to other organizations that are members of the World Organization of Family Doctors (WONCA).
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