Jecker_Cases_Enhancement Lecture Slides

Four box analysis medical indications patient

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Four Box Analysis Medical Indications Patient Preferences Quality of Life Contextual Features Case 3 Ken is a short 11 year-old boy with low GH levels and a predicted adult height without GH treatment of 5’ 3”. Billy is short too, but has normal GH levels; his predicted height is 5’ 3”. Tina and Peter both have diagnoses likely to result in short stature (Tina has Turner Syndrome; Peter Prader-Willi syndrome.) These children were referred to Dr. Nolan, a pediatric endocrinologist, and seen in clinic. Dr. Nolan asks the ethics committee for help. What degree of short stature warrants treatment? Up to what height? Does the cause of short stature matter? * Case adapted from Allen, and Fost, “HGH for short stature: ethical issues. Journal of Pediatrics 144(5), 2004: 648-52) Ethics Committee Analysis Develop a policy to guide the use of hGH at your institution. Policy Statement: boxshadowdwn How should Ken, Billy, Tina, Peter, and children like them be treated? box3 What degree of short stature warrants treatment and up to what height? box3 Does the cause of short stature matter? Ethical Backing: What ethical principles support your guidelines?
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  • Spring '13
  • NancyS.Jecker
  • Ethics , Human height, Cleft lip and palate, stature warrants treatment

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