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首页> 外文期刊>International journal of osteopathic medicine: IJOM >Consent, competence and confidentiality for children and young people: Case problems from osteopathic practice
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Consent, competence and confidentiality for children and young people: Case problems from osteopathic practice

机译：儿童和年轻人的同意，权限和保密：整骨疗法的案例问题

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Abstract Consent and confidentiality are important elements of osteopathic care, but for children and young people these issues are often more complicated. The ethics and law of consent and confidentiality for children are different from adults and they are often contradictory and counterintuitive. We present four clinical scenarios drawn from clinical experience to help illustrate the common difficulties of competence, consent and confidentiality for children. These include: an 11 year old boy consenting for himself; a 13 year old girl who discloses that she is sexually active; a 5 year old boy presenting with his father; and a 15 year old boy who requests information is not shared with his mother. Each case is followed by questions relating to the case, and the essential points of competence, consent and confidentiality for children and adolescents are discussed. In osteopathy all children who are mature enough to understand the diagnosis and osteopathic treatment and make reasoned decisions about their care should be considered Gillick competent and be able to consent to treatment, refuse treatment, and have a right to confidentiality.
机译：摘要同意和保密是整骨疗法的重要组成部分，但是对于儿童和年轻人来说，这些问题通常更为复杂。儿童的同意和保密的道德和法律与成年人不同，通常是矛盾和违反直觉的。我们从临床经验中得出四种临床情况，以帮助说明儿童在能力，同意和保密方面的常见困难。其中包括：一个11岁男孩同意他自己;一个13岁的女孩，透露自己有性活动;一个5岁的男孩和他的父亲在一起;要求信息的15岁男孩不会与他的母亲共享。每个案例后面都有与案例相关的问题，并讨论了儿童和青少年的能力，同意和保密的要点。在骨病患者中，所有足够成熟以了解诊断和骨病治疗并做出合理护理决定的孩子都应被视为吉利克有能力，并能够同意治疗，拒绝治疗并享有保密权。

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