Four Box Quadrant Model Ethical Analysis

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Ethical Analysis
Four Box (Quadrant) Model For this discussion, Jenny will be used as a retroactive case example. The Four Box Jonson Model is a useful tool for the ethical analysis and discussion of pediatric cancer fertility preservation. It allows for a more thorough investigation of the current data as well as the separation of fact from personal values. It was created by three clinical ethicists, Jonsen, Siegler, and Winslade, to mimic the History and Physical workup approach practitioners and nurses follow when diagnosing patients and deciding treatment options. The four boxes, or quadrants, can be seen in Table 3, each contain their own heading, depicting the ethical topics deemed vital to an ethical argument. These topics include:
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Therefore, institutional review boards can require both consent and assent for participation. With this requirement, adolescents would give their agreement of treatment after age and intellectual competency appropriate information regarding the procedure and expected outcome, while their parent or legal guardian would then be asked to authorize consent legally. The process of assent and consent provides a joint decision making process and highlights the respect for adolescent’s desire to be part of their own treatment planning process (Dudzinski, 2004; Stegmann, …show more content…
Here topics of current or future desires of quality of life can be argued. It is also important to note who is making the assertion of quality of life, and their personal biases. Quality of life can be interpreted from many settlings, which need to be noted and discussed adequately (Jonsen et al., 2010). In terms of fertility preservation treatments in children with cancer, quality of life can be viewed very different between the patient, parents, and health care team. For some, the inability to have biological children can be life altering. However, it is important to understand any biased that might be reflected in this area. As a health care professional, it is vital to take note if increased quality of life is equated to having biological children for the patient, or biological grandchildren for the parents (Stegmann,