Ethical dilemma teenage substance abuse and pregnancy
The provider can work to make certain that the method of allocation is objective and applied consistently. Infants exposed to drugs in utero may have a milder phenotype with appropriate environment input.
Just as with any chronic medical condition, physicians should counsel their patients with substance use disorder and refer them to an appropriate treatment resource when available, even if there might be a low likelihood of response to treatment.
One might conclude that there is a whole drug culture; that the problem is not confined to the young, the poor, the disadvantaged, or even to the criminal; that existing attitudes are at least inconsistent, possibly hypocritical.
Harm Reduct J ; Concerns about breaching confidentiality and causing harms through disclosure can be appropriately addressed by including only accurate and medically necessary information in the medical record and informing the patient why and how this information will be included.
This requires an understanding of countertransference--one's conscious and unconscious reactions to what the client may present in treatment.
Social use of drugs
Developmental models should also take into account the effects of polydrug exposure. There are some differences, however, between knowingly transmitting HIV and murder. Respect for Autonomy Respect for autonomy directs that patients have the right to full information about their health and health care and the power to make their own health care decisions. Note that the CEM 3, article 73, prohibits the physician to disclose fact that has com to their knowledge in the exercise of his profession, except for a just reason, legal duty or consent in writing of the patient. In addition, the effects were observed at less than 7 cigarettes per day, which is below the threshold of 10 cigarettes per day typically reported for the effects on birth weight. The limitation of this approach is that it does not lend itself to study drug exposure as part of a developmental model in which the goal is to predict child outcome with ATID as one of many contributing factors. Neonatal drug withdrawal. It is inappropriate to avoid treating acute pain because of concerns for opioid addiction, although alternative and complementary pain relief modalities also should be considered. Thus, from the public health perspective, the impact of substance use during pregnancy extends far beyond maternal health to that of a large number of the unborn population. Maternal self-report of drug use is problematic because of the fear of the consequences of admitting to the use of drugs such as Child Protective Services CPS involvement and the threat of child removal, or because it is socially unacceptable. Therefore, understanding these potential pathways will give us one model for understanding the developmental effects of polydrug use. Adults being drug users has important implications in terms of the expectations, roles, values, and rewards of the social order, but society as a whole does not accept drug use as an escape from responsibility, and this is a fact of fundamental importance in terms of youth. Retrieved April 22, Drug addiction research and the health of women. In this study it was observed that health professionals face difficulties in the health care of adolescents, since physicians should not lead the patient's history according to their values, but always do a self-reflection to be at the patient's service, not their own
Women who do still smoke are smoking fewer cigarettes than they did in [ 84 ]. J Subst Abuse Treat ;—9.
Ethical dilemma teenage substance abuse and pregnancy
If basic principles seem to be compromised, the clinician should stop and evaluate further. Maternal self-report of drug use is problematic because of the fear of the consequences of admitting to the use of drugs such as Child Protective Services CPS involvement and the threat of child removal, or because it is socially unacceptable. The Centers for Disease Control and Prevention suggests that all patients be asked about alcohol and substance use regularly and in plain language 7. Basic Ethical Principles The study of ethics has produced an abundance of writings, and many standards and principles have been brought forth. Dual Relationships Dual relationships pose another dilemma that clinicians may find themselves in. As previously noted, when a legal or medical obligation exists for physicians to test patients for substance use disorder, there is an ethical responsibility to notify patients of this testing and make a reasonable effort to obtain their informed consent. There is also overlap between licit and illicit drugs. The contract assumes that the counselor will work to resolve the client's concerns and that information will be shared in a truthful manner between the counselor and the client. This approach is based on our understanding of the mechanisms of action of ATID, as well as on preclinical and clinical studies, and enables us to study the potential pharmacological and toxic effects of the drugs per se. Cultural transitions notwithstanding, the dominant social order has strong negative feelings about any nonsanctioned use of drugs that contradicts its existing value system. Developmental models should also take into account the effects of polydrug exposure. Fertil Steril ;—3.
ISSN X Alcohol abuse and other substance use disorders: ethical issues in obstetric and gynecologic practice. Because of the highly charged emotional nature of the substance abuse treatment field, providers should possess the tools to explore ethical dilemmas objectively.
based on 58 review