Hello Professor and Classmates,
Issue: A mother who is HIV positive has passed the virus to her adolescent child. The mother is refusing to disclose the virus to her adolescent daughter out of fear of ruining the childs chance at a normal childhood.
Discussion: While the mother has every right to protect her daughter, this is a situation where the daughter is at an age where she should know the truth about her health. This is not an easy situation to deal with by any means and the way this situation is handled will determine the impact that it has on the childs mental health condition. Although the daughter is not at an age where she can handle her own medical treatment, I believe she has the right to know about her condition. In some cases a minor can consent to treatment but this is often regulated by state and HIPAA defaults to whatever guidelines that are outlined by the state regarding adolescent consent. In the aforementioned situation the child has no clue that they are HIV positive. Most people would conclude that the mother should tell the child because it will help the child cope with being HIV positive early on rather than find out about it later on in life where it will have a greater impact on the childs mental health. In some cases the doctors may be worried as well about the mothers reaction if they tell the child that she has HIV. Physician assurances of confidentiality may increase an adolescents willingness to disclose information but this may not work out in favor of the physician if they disclose to the child that she is HIV positive (Berlan E. D., Bravender T., 2009).
This scenario is a doubled edge sword because the child has the right to know about her condition and the mother has a right to privacy. The mother is right in her regard to be worried because there is a chance that people will judge her because of her daughters condition. Protecting a persons dignity has been a part of medical practice since the early 1900s (Elsayyad, A., 1960). I believe the staff could do a better job of explaining the condition to the child so that the mother does not have to but it is the mothers decision at this time to disclose the information to the child. The mother decisions will have both negative and positive results regardless of her decision to withhold the condition from the child. Making an ethically sound decision in this case is difficult because it is not a decision that can be made on the spot, there are second and third order effects that will take place and they must be accounted for before a decision is made.
Plan of Action: For now, the staff should abide by the mothers wishes and treat the daughter as they have been, but they should come up with a plan of action with a counselor, psychologist or psychiatrist to sit with the mother and weigh the pros and cons of withholding the condition from the child. I would recommend and / or take the following actions to assist the family in aforementioned situation.
Develop a plan of action with a counselor, psychologist or psychiatrist:
1. Plan of Action: I would speak with a counselor to determine the best approach to use to convince the mother that explaining the condition to the child is in the childs best interest. When a child understands the seriousness of their health condition they are more apt to abide by the rules outlined by the doctor. The daughter in this scenario may began to understand that it is imperative she takes her medicine. There are a few benefits that the mother can obtain from this as well because she has been living with the condition and is able to manage it as an adult. A counselor will be able to help the family understand that there are other families living with the condition and are able to live a normal life. The may be able to place them in contact with focus groups as well to help gain support as well. I believe that the aforementioned plan of action is a solid enough approach for the staff to take, at the least it will be a start in what I believe is the right direction.
2. Counseling: The mother and daughter will both need to undergo counseling. Initially the family may attend counseling together but each party will eventually need to undergo one-on-one counseling with a licensed practitioner in order to address their individual struggles with living HIV positive.
3. Recommend Focus Groups: I would research and find focus groups so that the family can have support. It is important to interact with individuals who understand delicate conditions enough to not judge individuals for their conditions. These focus groups may include activities like sporting events and other social events with other people or families who are HIV positive. This is likely very important for finding dates as well.
4. AIDS: The last and likely the most important aspect of this treatment is to let the child know that it is not her fault that she has this condition (Mabuka J., Nduati R., Odem-Davis K., Peterson D., Overbaugh J., 2012). The mother will need to have this addressed as well because she may continually blame herself for the childs condition when at the end of the day it is a condition that a lot of people suffer from regardless of how it was contracted. Making the best of a bad situation is the most important aspect that the family should take from this plan of action (just not in those words).
I do not believe that I need more information that what was provided. I believe that the mothers concerns are normal. I believe that her reasoning for with-holding information form the child is logical to a point, but is not in the best interest of the child. I believe that the plan of action is ethical and that no further information is needed.
Carl D. Nelson Jr.
Berlan E. D., Bravender T. (2009). Confidentiality, consent, and caring for the adolescent patient. Curr Opin Pediatr. (Links to an external site.)Links to an external site. 450-6. doi: 10.1097/MOP.0b013e32832ce009.
Elsayyad, A. (1960). “Informed Consent for Comparative Effectiveness Trials” (Links to an external site.)Links to an external site.. New England Journal of Medicine. 370: 19581960. doi (Links to an external site.)Links to an external site.:10.1056/NEJMc1403310 (Links to an external site.)Links to an external site..
Mabuka J, Nduati R, Odem-Davis K, Peterson D, Overbaugh J (2012). Desrosiers RC, ed. “HIV-Specific Antibodies Capable of ADCC Are Common in Breastmilk and Are Associated with Reduced Risk of Transmission in Women with High Viral Loads” (Links to an external site.)Links to an external site.. doi (Links to an external site.)Links to an external site.:10.1371/journal.ppat.1002739 (Links to an external site.)Links to an external site.. PMC (Links to an external site.)Links to an external site. 3375288 (Links to an external site.)Links to an external site.. PMID (Links to an external site.)Links to an external site. 22719248 (Links to an external site.)Links to an external site..
ReplyReply to Comment
Why Work with Us
Top Quality and Well-Researched Papers
We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Professional and Experienced Academic Writers
We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.
Free Unlimited Revisions
If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.
24/7 Customer Support
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.
Admission Essays & Business Writing Help
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.
Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.