In the ethical dilemma of the six year old with meningitis whose divorced parents have opposing beliefs of the best course of action, the six step decision making model can be utilized. In the first step, it is crucial to gather all relevant data such as the clinical indications for treatment and the prognosis of treating verses withholding treatment from the child, the parent's relationship and if they have tried to discuss the situation, and identifying any possible communication barriers. Also, identifying the legal implications regarding the situation. Even though the mother is non-biological, she is still the legal custodian of the child and therefore has equal right in the decision making process as the father. The father, even though in another state, also has an equal right in determining the medical care his son receives. However, it would be crucial for the nurse to obtain a copy of the custody papers to determine both parents' rights in the decision making of the child instead of going on their word alone. Legally, consent is only needed from one parent. Although this case does not state the type of Meningitis or the type of treatment the doctor wants to initiate, based from his symptoms of high fever, seizures, and violent vomiting, one can assume it is Bacterial Meningitis (CDC, 2014). Treatment for Bacterial Meningitis includes beginning appropriate antibiotic therapy as soon as possible, treatment of seizures, and fluid resuscitation (CDC, 2014). Bacterial Meningitis is usually severe and withholding treatment can cause serious complications such as hearing loss, brain damage, learning disabilities, and death (CDC, 2014). The second step of the process includes identifying the ethical problem and degree of moral distress. The ethical issue is that due to the fact the child is a minor he cannot legally make his own decision about treatment and therefore his parents must give consent.
