Litcius/Paper detail

How Should Adolescent Health Decision-Making Authority Be Shared?

Kimberly E. Sawyer, Abby R. Rosenberg

2020The AMA Journal of Ethic26 citationsDOIOpen Access PDF

Abstract

Shared decision making (SDM) is used in adult and pediatric practice for both its ethical and its practical benefits. However, its use is complicated with adolescents whose emerging and relational autonomy is distinct from that of adults, who make decisions independently, and children, whose parents make decisions for them. This hypothetical case scenario and commentary provide clinicians with a practical and stepwise approach to SDM with adolescents as well as guidance when SDM breaks down.

Topics & Concepts

PsychologyEthics and Legal Issues in Pediatric HealthcareEthics in medical practicePalliative Care and End-of-Life Issues