Gillick Competency: The Case Study Of Amira

Running head: GILLICK COMPETENCY: THE CASE STUDY OF AMIRA
GILLICK COMPETENCY: THE CASE STUDY OF AMIRA (ABSTRACT)
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GILLICK COMPETENCY: THE CASE STUDY OF AMIRA1
Abstract
Introduction
The following paper and presentation will briefly discuss on the critical aspects of child
and family centered care with respect to the Gillick competence and the case of Amira – a 13
year old refugee from Syria who has refused treatment with regards to acute appendicitis.
Aims
 To critically compare and contrast the practice of child centered care in pediatric nursing,
with respect to the Gillick competence and the case study of Amira.
 To critically compare and contrast the practice of family centered care in pediatric
nursing with respect to the Gillick competence and the case study of Amira.
 To provide key recommendations with respect to the child and family centered
approaches to be considered in the case of Amira as well as underlying philosophical and
professional standards underlying associated with the same.
Discussion
There is no mention on the standards and measurements to be considered with respect to
understanding the level of maturity and intelligence in a child. Another key aspect in the Gillick
competency is the lack of consideration of the influence or impact of the clinical issue upon the
child’s decision to refuse to consent. Additionally, there is no mention of the role of health
literacy or cultural influences. Further, it is the professional as well as legal obligation of the
nurse to consider decisions of multiple individuals which brings forth the nursing need to not just
practice person or child centered practice but also family centered practice. Thus, it is