Is there a particular pediatric otolaryngology ethic?

International Journal of Pediatric Otorhinolaryngology
Paul Walker

Abstract

This paper proposes that there is a specific pediatric otolaryngology ethic. In support of this contention, traditional ethical frameworks are considered, before ethical issues specific to pediatric otolaryngology are addressed. First, there is a difference between child flourishing and family flourishing, parents have parental virtue (as parents), and where autonomy as a moral agent is vested, is contested. Parents act as both proxy decision-makers and as autonomous decision-makers for our patients. We are aware of the open future of a child. We worry about unvoiced and unvoicable concerns and distress in children. Second, we treat the not-yet-born and the recently born, so we need a philosophical understanding of what is a person, and when we become one. Third, traditional approaches to decision-making in medical ethics in Western settings are based upon the frameworks of duty and rules, or of consequences and outcomes, or are virtue-based. In our contemporary era, characterized by pronounced value pluralism, these ethical approaches no longer provide sufficient guidance in the complex milieu of our pediatric otolaryngology practice. In contemporary pediatric otolaryngology, a moral philosophical approach is needed to add mea...Continue Reading

References

May 6, 2014·The Medical Journal of Australia·Rosalind J McDougall, Lynn Gillam
Oct 12, 2014·Medicine, Health Care, and Philosophy·Paul Walker, Terence Lovat
Jan 6, 2015·Journal of Social Philosophy·Joseph Millum
Aug 19, 2016·Journal of Bioethical Inquiry·Paul Walker, Terry Lovat
Apr 27, 2017·ANZ Journal of Surgery·Paul Walker

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