When a College Student Refuses Life-Sustaining Medical Treatment: Ethical Considerations for the College Health Clinician

When a College Student Refuses Life-Sustaining Medical Treatment: Ethical Considerations for the College Health Clinician

College students age 18 and over are considered autonomous adults, capable of making decisions about medical care they accept or reject. Their choices may put them at risk for severe adverse consequences. When confronted with these choices, clinicians working from multiple disciplines may not have applicable guidelines to follow. Due to privacy concerns, parents are not routine partners in the medical decision-making process. Ethical principles will be presented to create a plan for action.

This webinar is partially sponsored by the American College Health Foundation Josh Kaplan Fund for Clinical Medicine.

Session Information

Format: Self-paced, recorded webinar 
Original Recording Date: August 11, 2020

Release Date: August 11, 2020
Expiration Date: May 19, 2022
After the expiration date, this webinar will no longer be accessible for viewing or downloading.
CE Credit must be requested by the expiration date.

Cost: 
$25 for ACHA individual members
$50 for nonmembers

Fees are nonrefundable.

Speaker(s)

Eleanor Davidson, MD, MA
Case Western Reserve University

Intended Audience

• Administrator 
• Advanced Practice Clinicians
• Dietitian/Nutritionist
• Health Information Management Professional
• Mental Health Professional
• Nurse
• Physician

Learning Objectives

After this session, participants should be able to:

1. Describe two ethical decision making principles for the under 18 age group.
2. Describe ethical guidelines for decision-making in those 18 and older.
3. Describe cultural considerations that might modify autonomy as an overriding standard for medical decisions making.
4. Describe the role of specialty medical organizations with regard to ethical practice guidelines.

Program Planning Committee

Resolution of Potential Conflicts of Interest — Program Planning Committee
Committee members have completed conflict of interest statements regarding relationships with commercial entities.

• Melanie Trost, MD, has disclosed that her spouse owns general stock in Gilead Sciences.
• Ryan Patel has disclosed that he owns stock in Pfizer, GSK, Celgene, and Abbvie.

All other Program Planning Committee members have reported no relevant conflicts of interest.

• Annual Meeting Program Planning Committee Roster

Credit and Disclosures

Types of Credit Available

Refer to the Continuing Education Key.

• CME: 1.0 
• CNE: 1.0
• PsyCE: 1.0
• CPEU: 1.0
• CHWP: This activity counts as one elective towards completion of the CHWP certification program.

Instructions for Obtaining Credit (or certificate of attendance)

Select the "Contents" tab above (registered users only) for access to the following components. It is estimated that it will require one hour to view the webinar and complete the post-test. Credit must be requested by the program expiration date (see "Overview" tab above).

Step 1:  View the webinar video in its entirety.

Step 2:  Complete the mandatory Post-test for CE Credit.

Step 3:  Select the certificate for the type of credit you are requesting. Select "Certificate of Attendance" if no credit is being requested. 

Statements and Disclosures

Continuing Education 

The American College Health Association (ACHA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

ACHA designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim credit commensurate with the extent of their participation in the activity.

This continuing nursing education activity was approved by the Pennsylvania State Nurses Association Approver Unit, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 

ACHA is approved by the American Psychological Association to sponsor continuing education for psychologists. ACHA maintains responsibility for this program and its content. This program has been awarded 1.0 hour of continuing education for psychologists.

This activity has been approved by the Commission on Dietetic Registration for 1.0 CPEUs. 

Successful Completion/Post Test

It is the policy of the American College Health Association that when a post-test is required upon completion of a continuing education activity, participants must receive a passing grade of 80%. If participants receive a grade lower than 80%, they will be given the opportunity to re-take the post-test one time. If they receive 80% or higher the second time, they will be awarded continuing education credits/contact hours for the activity. We encourage participants to complete the post-test immediately after viewing the download.

Conflicts of Interest
A conflict of interest occurs when an individual has an opportunity to affect educational content about health-care products or services of a commercial company with which she/he has a financial relationship.

All planners and presenters of this activity have disclosed no relevant financial relationships with any commercial companies pertaining to this activity.

Off-Label Product Use
This educational activity does not include any unannounced information about off-label use of a product for a purpose other than that for which it was approved by the Food and Drug Administration (FDA).