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Involving Children and Adolescents in Medical Decision Making: Developmental and Clinical Considerations
Authors:McCabe   Mary Ann
Affiliation:Children's National Medical Center

2All correspondence should be addressed to Mary Ann McCabe, Department of Hematology/Oncology, Children's National Medical Center, 111 Michigan Avenue, NW, Washington DC 20010

Abstract:Outlined the issues in informed consent, as well as goals forinvolving children and adolescents in decisions regarding theirown medical treatment. This paper reviews the developmentaland clinical considerations, and provides recommendations, fordetermining particular children's level of involvement. Finally,there are distinct roles for pediatric psychologists in thisprocess, which are described. As medical treatment becomes increasinglysophisticated, there is an obligation for pediatric psychologiststo appreciate the ethical and clinical issues in medical decisionmaking for families.
Keywords:adolescents   children   cognitive development   informed consent   medical decision making   social development.
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