King’s College London Student Clinical Ethics Committee case discussion: A family requests that their grandmother,who does not speak English,is not informed of her terminal diagnosis
Restricted accessCase reportFirst published online March, 2016
King’s College London Student Clinical Ethics Committee case discussion: A family requests that their grandmother,who does not speak English,is not informed of her terminal diagnosis
Members of the Student Clinical Ethics Committee discussed the ethical and legal issues arising in a case referred for consideration – the family of a very elderly non-English speaking Asian lady did not want her to be informed that she had incurable lymphoma. The case study summarises the reflections of the Committee and focusses on: the role of cultural norms in healthcare decision making; the extent to which the views of the family about what is best for the patient should be respected, whether the patient should have been informed of her terminal diagnosis and the role of the clinician in navigating complex family dynamics.
In the case of Re A (A child: wardship: fact finding: domestic violence) [2015] EWHC 1598 (Fam) Mrs Justice Pauffley stated that when considering whether parents, newly arrived in this country from India, inflicted punitively harsh treatment on their child by slapping him ‘proper allowance must be made for what is, almost certainly, a different cultural context’ (paragraph 67).
2.
KitzingerC. Withdrawing artificial nutrition and hydration from minimally conscious and vegetative patients: family perspectives. J Med Ethics2015; 41: 157–160.
3.
WongJPoonYHuiE. I can put the medicine in his soup, Doctor!. J Med Ethics2005; 31: 262–265.
4.
FittsWTRavdinIS. What Philadelphia physicians tell patients with cancer. JAMA1953; 153: 901–904.
