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You Can’t Tell Him That! 

You Can’t Tell Him That!
You Can’t Tell Him That!

Elissa G. Miller

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date: 12 April 2021

Truth telling, also known as prognostic disclosure, is not always the norm in pediatric health care. With children who have limited understanding of illness and parents who make medical decisions on behalf of their children, pediatricians are accustomed to excluding their pediatric patients from medical discussions. However, as children become adolescents and adolescents become young adults, they have an increasing role in medical decision-making and therefore need increased prognostic disclosure. When dealing with a terminal prognosis, families may try to prevent providers from talking with their child about death. This chapter discusses the history and ethics of prognostic disclosure in pediatric health care with a focus on adolescents and families who are resistant to open conversation.

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