What is an ethics consultation?
In an ethics consult, two or three members of the Clinical Ethics Committee meet with the family and the patient’s health care team. The idea is to think through, together, what is the best care for this patient in this condition. Members respect the dignity of all and give special attention to the patient and the family. They do not take sides.
Ethics committee members try to:
- Make sure each person is heard.
- Clarify the patient’s and family's values.
- Discuss the patient’s goals of care.
- Help each person answer this question: “What are the best choices we have in the care of this child?”
Examples of some problems or concerns that have come to the Clinical Ethics Committee:
- When the family and care team disagree about the best treatment for the child.
- When the family and care team disagree about how much a child should be told about his or her condition.
- When a recommended treatment goes against a family’s cultural or religious beliefs.
- When the family, or the care team, wants to know when to stop doing what no longer helps. In other words, “When is enough, enough?”
When should I request an ethics consultation?
Concerns often arise related to a patient’s values, quality of life, autonomy, confidentiality, or end-of-life care. Sometimes patients, families or health care team disagree about what is best and how to approach or resolve a particular situation. When difficult choices have to be made, it can be painful and frightening. You may feel alone. The Clinical Ethics Committee has an interdisciplinary team that you can turn to for help.
How do I request an ethics consult?
If you think an ethics consult would be helpful, call 202-476-5000 or email us at EthicsProgram@childrensnational.org. Ask the hospital operator to page the ethics team leader on call. An ethics team member is available 24 hours a day.
What will happen after I make the call?
If, after talking with the ethics team leader you decide to have a meeting, the team leader that person will get in touch with those who need to be involved. A day, time and place to meet will be scheduled, and you will be notified. If the patient is over 18 years old, he/she will automatically be included in the ethics meeting. (Most patients are under age and the parent or guardian will represent them.) We encourage families to bring with them any person they choose for support. This can be a relative, a close friend, or anyone they trust.
Your questions about the care of your child are important to us. When we meet, please let us know how we can help.
What is the Clinical Ethics Committee (CEC)?
Members of the CEC come from the hospital and the community. The committee exists to help improve the communication between patient and family, or between family and health care team. Our goal is to help those involved gain perspective and understanding and find an approach acceptable to all.