Difficult Discharge in Pediatric Rehabilitation Medicine Causing Moral Distress.

Document Type

Article

Publication Date

1-1-2016

Identifier

DOI: 10.1080/1536710X.2016.1124253

Abstract

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.

Journal Title

J Soc Work Disabil Rehabil

Volume

15

Issue

1

First Page

42

Last Page

51

MeSH Keywords

Attitude of Health Personnel; Child; Disabled Children; Humans; Male; Needs Assessment; Patient Discharge; Spinal Cord Injuries; Stress, Psychological

Keywords

Difficult discharge; difficult discharge pediatric rehabilitation; difficult discharge spinal cord injury; ethics and rehabilitation; moral distress; ethical issues; spinal cord injury

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