TY - JOUR T1 - Parents who wish no further treatment for their child JF - Journal of Medical Ethics JO - J Med Ethics SP - 195 LP - 200 DO - 10.1136/medethics-2013-101395 VL - 41 IS - 2 AU - Mirjam A de Vos AU - Antje A Seeber AU - Sjef K M Gevers AU - Albert P Bos AU - Ferry Gevers AU - Dick L Willems Y1 - 2015/02/01 UR - http://jme.bmj.com/content/41/2/195.abstract N2 - Background In the ethical and clinical literature, cases of parents who want treatment for their child to be withdrawn against the views of the medical team have not received much attention. Yet resolution of such conflicts demands much effort of both the medical team and parents. Objective To discuss who can best protect a child's interests, which often becomes a central issue, putting considerable pressure on mutual trust and partnership. Methods We describe the case of a 3-year-old boy with acquired brain damage due to autoimmune-mediated encephalitis whose parents wanted to stop treatment. By comparing this case with relevant literature, we systematically explored the pros and cons of sharing end-of-life decisions with parents in cases where treatment is considered futile by parents and not (yet) by physicians. Conclusions Sharing end-of-life decisions with parents is a more important duty for physicians than protecting parents from guilt or doubt. Moreover, a request from parents on behalf of their child to discontinue treatment is, and should be, hard to over-rule in cases with significant prognostic uncertainty and/or in cases with divergent opinions within the medical team. ER -