Difficult Discharge in Pediatric Rehabilitation Medicine Causing Moral Distress.
An ethical dimension exists in nearly all decisions made. Yet, there are clinical decisions in which the ethical dilemma is so difficult for the clinician that it results in moral distress. We present one example of a morally distressing situation in which care was provided for a child who had altered physical abilities after a trauma and was being discharged to a suboptimal family environment. Caring for a child with an acquired spinal cord injury requires significant resources. When a family is able to physically care for the child, but has demonstrated incomplete follow-through, the team is at risk for experiencing significant moral distress.
J Soc Work Disabil Rehabil
Attitude of Health Personnel; Child; Disabled Children; Humans; Male; Needs Assessment; Patient Discharge; Spinal Cord Injuries; Stress, Psychological
Difficult discharge; difficult discharge pediatric rehabilitation; difficult discharge spinal cord injury; ethics and rehabilitation; moral distress; ethical issues; spinal cord injury
Green, M., Carter, B. S., Lasky, A. Difficult Discharge in Pediatric Rehabilitation Medicine Causing Moral Distress. J Soc Work Disabil Rehabil 15, 42-51 (2016).