Abstract

This chapter will explore the ethical issues that arise in the care of the adolescent transplant recipient. We will explore the dilemmas that arise in four clinical situations: (1) the adolescent who refuses transplant, (2) the non-adherent teen who is being considered for transplant, (3) contraception for female transplant recipients and (4) transition from pediatric to adult care. Ethical issues will include (1) adolescent decision-making and developing capacity (2) measuring adherence and using it as a criterion for transplant eligibility (3) maternal-fetal conflict in the use of drugs with teratogenic potential and (4) ethical concerns that arise during transition from pediatric to adult care.