TABLE 2

Practical Aspects of Assent by Pediatric Patients for Medical Decision-Making

• Help the patient achieve a developmentally appropriate awareness of the nature of his or her condition
• Tell the patient what he or she can expect with tests and treatments
• Make a clinical assessment of the patient’s understanding of the situation and the factors influencing how he or she is responding (including whether there is inappropriate pressure to accept testing or therapy)
• Solicit an expression of the patient’s willingness to accept the proposed care