¨ Invazívna operácia by sa mala vykonávať v situáciách, ktoré ohrozujú život, a nie len pre „vylepšenie“ života. Táto operácia sa už nedá spätne zvrátiť - implantát sa síce dá vybrať, ale „narušenie“ alebo akékoľvek poškodenie, ktoré spôsobil už nie).

¨ Implantujú sa deti aj napriek tomu, že zatiaľ nevieme, či implantát nemá vedľajšie efekty, ktoré sa objavia po dlhšej dobe.

¨ Môže sa stať, že dieťa by si neprialo mať implantát.

¨ Operácia vyžaduje od dieťaťa záväzok na celý život – kontroly implantátu a rečového procesora, dlhodobá rehabilitácia sluchu.

¨ Implantujú sa deti a to aj napriek obmedzeniam a rizikám implantátu.

¨ Na deti sú v snahe, aby zreteľne orálne komunikovali a tak sa integrovali do komunity počujúcich, kladené veľké nároky a stres a to často na úkor času, ktorý by inak venovali detským hrám, prirodzenému učeniu sa a práci.

¨ Veľký emočný tlak na rodičov pred implantáciou (tlak verejnosti), ale aj po implantácii (nutnosť dokázať, že dieťa má úžitok z implantátu, aby sa „potvrdila“ správnosť rozhodnutia rodičov - strach z pomalého napredovania alebo neúspechu - koho je to vina?)

¨ Rodičom sa často jednostranne prezentuje implantát ako prostriedok minimalizácie izolácie z dôvodu hluchoty. Rodičia potom psychologicky nemajú skutočnú slobodu rozhodovania (Kto by si predsa prial aby jeho dieťa bolo izolované?)

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