Ethical Dilemmas for Critically Ill Babies

This book covers important ethical questions that arise in neonatal intensive care units.

Ethical Dilemmas for Critically Ill Babies

Author: Eduard Verhagen

Publisher: Springer

ISBN: 9401773602

Page: 96

View: 300

Most neonates who now survive intensive care would have died 50 years ago, and “nature” would have decided the outcomes, making ethical discussions about initiating or withholding resuscitation irrelevant. Medical developments in neonatology have changed the way we respond to diseases of neonates, to their illness, and to their parents. Not only as physicians, but also as a society. Decisions on when to start, withhold, or withdraw life-saving interventions in critically ill neonates are among the most difficult decisions in pediatric practice. These decisions are fraught with ethical dilemmas, for example deciding whether withholding intensive care –leading to death- is superior to uncertain survival with a risk of disability and the additional burden of intensive care. This book covers important ethical questions that arise in neonatal intensive care units. Questions such as, whether to intervene medically and whether we are good at predicting the outcome of fragile neonates; whether a medical intervention should be withheld or withdrawn, and who should be primarily responsible for these decisions and how?

Bioethics in the Pediatric ICU Ethical Dilemmas Encountered in the Care of Critically Ill Children

This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU).

Bioethics in the Pediatric ICU  Ethical Dilemmas Encountered in the Care of Critically Ill Children

Author: Laura Miller-Smith

Publisher: Springer

ISBN: 3030009432

Page: 164

View: 141

This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU). It supports pediatricians, nurses, residents, and other providers in their daily management of critically ill children with the dilemmas that arise. It begins by examining the evolution of pediatric critical care, and who is now impacted by this advancing medical technology. Subsequent chapters explore specific ethical concerns and controversies that are commonly encountered. These topics include how to conduct end-of-life discussions with families facing a myriad of challenging choices. It goes on to explore the concept of futility, and what that does and does not mean in the pediatric ICU setting. Controversial subjects such as children as organ donors, particularly using donation after cardiac death, in addition to issues surrounding the declaration of brain death are covered. Additional chapters address resource allocation, and also analyze the use of long-term technology in chronically critically ill children. Chapters include case examples with guidance on how to work through similar difficulties and decision-making. While this book is specifically targeted for care providers at the ICU bedside, it is also of benefit to medical students, students in bioethics, practicing ethical consultants and families who are dealing with critically ill children.

Literature Search

Fost N. Ethical issues in the treatment of critically ill newborns. Pediatr Ann 1981
Oct;10(10):16-22 Fost N. Treatment of seriously ill and handicapped newborns.
Crit Care Clin 1986 Jan;2(1):149-59 Frader JE. Forgoing life-sustaining food and
 ...

Literature Search

Author: National Library of Medicine (U.S.)

Publisher:

ISBN:

Page:

View: 167

Bioethics Reporter

Coburn , Stephen P. “ Non - treatment of defective Newborn Babies . " Lancet I n .
... The Sanctity of Social Life : Physicians ' Treatment of Critically Ill Patients . New
York ... Ethical Issues in Treatment of Seriously Ill Newborns . ” Pediatric ...

Bioethics Reporter

Author:

Publisher:

ISBN:

Page:

View: 338

Nursing Care of the Critically Ill Child

The creation of an ethical working environment in the pediatric critical care unit is
a necessary precondition for addressing ethical issues involved in
cardiopulmonary resuscitation, the limitation or withdrawal of life-sustaining
treatment, and ...

Nursing Care of the Critically Ill Child

Author: Mary Fran Hazinski

Publisher: Elsevier Health Sciences

ISBN: 0323020402

Page: 1140

View: 358

Now completely up to date to meet the needs of today's pediatric nurses, Mary Fran Hazinski's Nursing Care of the Critically Ill Child, 3rd Edition, remains the foundational text of pediatric critical care nursing. Known for its outstanding organization and clear descriptions, this comprehensive reference details the unique care required for critically ill children with thorough discussions of physiology, pathophysiology, pharmacology, collaborative management, and nursing management. Ten new chapters, new advanced practice content, and new nurse contributors and reviewers ensure that this classic text continues to be the essential resource for the care of critically ill children. Details differences in caring for critically ill children as compared with caring for adults: how to modify assessment procedures, consider aspects of psychosocial development, and examine developmental aspects of various body systems. Provides comprehensive coverage of physiology, pathophysiology, pharmacology, and nursing management related to care of the critically ill child. Includes detailed Nursing Care Plans for select disorders. Contains helpful appendices such as pediatric drug dosages, central venous catheter care, and pediatric fluid requirements. Features Evolve online resources with additional content for further study of related topics, including tables for ease of recollection of material and additional references. Contains 10 all-new chapters, including Pharmacokinetics and Pharmacodynamics; Shock, Cardiac Arrest, and Resuscitation; Mechanical Support of Cardiopulmonary Function; Fluid, Electrolyte, and Endocrine Problems; Immunology and Infectious Disorders; Transplantation and Organ Donation; Toxicology/Poisonings; Fundamentals of Quality Improvement and Patient Safety; Clinical Informatics; and Ethical Issues in Pediatric Critical Care Features nurse contributors and reviewers for every chapter, making this edition a truly collaborative text. Provides information vital to the advanced practice nurse, such as assessment tools and severity of illness management. Includes numerous Pearls that highlight practical wisdom from experts in pediatric critical care nursing.

Nursing Care of the Critically Ill Child E Book

The creation of an ethical working environment in the pediatric critical care unit is
a necessary precondition for addressing ethical issues involved in
cardiopulmonary resuscitation, the limitation or withdrawal of life-sustaining
treatment, and ...

Nursing Care of the Critically Ill Child   E Book

Author: Mary Fran Hazinski

Publisher: Elsevier Health Sciences

ISBN: 0323086039

Page: 1168

View: 339

Now completely up to date to meet the needs of today's pediatric nurses, Mary Fran Hazinski's Nursing Care of the Critically Ill Child, 3rd Edition, remains the foundational text of pediatric critical care nursing. Known for its outstanding organization and clear descriptions, this comprehensive reference details the unique care required for critically ill children with thorough discussions of physiology, pathophysiology, pharmacology, collaborative management, and nursing management. Ten new chapters, new advanced practice content, and new nurse contributors and reviewers ensure that this classic text continues to be the essential resource for the care of critically ill children. Details differences in caring for critically ill children as compared with caring for adults: how to modify assessment procedures, consider aspects of psychosocial development, and examine developmental aspects of various body systems. Provides comprehensive coverage of physiology, pathophysiology, pharmacology, and nursing management related to care of the critically ill child. Includes detailed Nursing Care Plans for select disorders. Contains helpful appendices such as pediatric drug dosages, central venous catheter care, and pediatric fluid requirements. Features Evolve online resources with additional content for further study of related topics, including tables for ease of recollection of material and additional references. Contains 10 all-new chapters, including Pharmacokinetics and Pharmacodynamics; Shock, Cardiac Arrest, and Resuscitation; Mechanical Support of Cardiopulmonary Function; Fluid, Electrolyte, and Endocrine Problems; Immunology and Infectious Disorders; Transplantation and Organ Donation; Toxicology/Poisonings; Fundamentals of Quality Improvement and Patient Safety; Clinical Informatics; and Ethical Issues in Pediatric Critical Care Features nurse contributors and reviewers for every chapter, making this edition a truly collaborative text. Provides information vital to the advanced practice nurse, such as assessment tools and severity of illness management. Includes numerous Pearls that highlight practical wisdom from experts in pediatric critical care nursing.

Critical Care Nursing of Infants and Children

Fleishman A , Nolan K , Dubler N et al : Caring for gravely ill children . Pediatrics
94 ... Healthcare professionals who work in critical care units have been
expected to be experts in the moral issues that surround life and death .
Unfortunately ...

Critical Care Nursing of Infants and Children

Author: Martha A. Q. Curley

Publisher: Saunders

ISBN:

Page: 1128

View: 549

The new second edition of this valuable resource was written for clinicians by experts in the field. It addresses the increase of pediatric patients in adult ICUs and inpatient pediatric acuity. Two unique approaches are used: the Phenomena of Concern section addresses nursing care issues common to all critically ill pediatric patients; and Final Common Pathways cover patient problems related to specific disorders. This edition includes a new chapter on Clinical Pharmacology. SCCM admission guidelines have also been added to the practice guidelines section.

Pediatric Ethics

This work examines the many ethical issues related to health care in children.

Pediatric Ethics

Author: Alan R. Fleischman

Publisher: Oxford University Press

ISBN: 0199354472

Page: 256

View: 336

This book examines the many ethical issues related to health and health care in children. It describes the field of Pediatric ethics, a unique and important aspect of the discipline of bioethics, the study of moral conduct in health care and the rational process for determining the best course of action in the face of conflicting choices. The book begins with an exploration of what it means to be a child in America and the unique kinship relationships and obligations engendered by the decision of parents to have a child, and it examines ethical principles and professional obligations related to the care of children. Each of the chapters in the book focuses on important ethical concerns. It begins with ethical issues in creating babies using reproductive technologies, and then continues with an analysis of the ethical issues in labor and delivery of a child. The book continues with an in depth analysis of the many hard choices faced by families and clinicians in the care of critically ill neonates, and then goes on to describe current controversies in caring for older children who are dying and their families, as well as ethical issues concerning adolescents, research ethics as it relates to children, issues concerning genetic testing, screening and biobanking, and surgical and medical enhancement of children. Each chapter has case examples to illustrate the real life concerns of patients, families and clinicians. The book is intended for students in pediatrics and ethics, as well as for practicing clinicians, and interested families.

BioLaw

Note : Proxy Decisionmaking for the Terminally Ill : The Virginia Approach , 70 Va
. L. Rev. 1269 ( 1984 ) . ... Eng . J. Med . 75 ( 1975 ) . Fost , Ethical Issues in the
Treatment of Critically Ill Newborns , 10 Pediatric Annals 16 ( October 1981 ) .

BioLaw

Author:

Publisher:

ISBN:

Page:

View: 274

Bibliography of Bioethics

Bibliography of Bioethics

Author: LeRoy Walters

Publisher:

ISBN:

Page:

View: 775

Bibliography of works which discuss the ethical aspects of: physician patient relationship, health care, contraception, abortion, population, reproductive technologies, genetic intervention, mental health therapies, human experimentation, artificial and transplated organs are tissues, death and dying, and international dimensions of biology and medicine.

Ethical Issues in Modern Medicine

Englehardt , H. T. , Jr. " Ethical Issues in Aiding the Death of Young Children . " In
Beneficent ... Special Section on the Treatment of Handicapped Newborns . "
Journal of ... Shelp , Earl . Born to Die : Deciding the Fate of Critically Ill
Newborns .

Ethical Issues in Modern Medicine

Author: John D. Arras

Publisher: WCB/McGraw-Hill

ISBN:

Page: 585

View: 785

A textbook for undergraduates. Some 70 selections (more than half are new to this edition) follow an introductory essay. Current controversies (surrogacy, genetic engineering, proxy consent) are thoroughly covered. Annotation copyright Book News, Inc. Portland, Or.

Principles of Biomedical Ethics

... ethical debates about decisions regarding seriously ill newborns , see Robert
Weir , Selective Nontreatment of Handicapped Newborns : Moral Dilemmas in
Neonatal Medicine ( New York : Oxford University Press , 1984 ) ; Helga Kuhse
and ...

Principles of Biomedical Ethics

Author: Tom L. Beauchamp

Publisher: Oxford University Press, USA

ISBN:

Page: 470

View: 748

An attempt to provide a thorough introduction to ethical theory for health professionals, this book covers subjects such as autonomy, justice and beneficence.

Selective Nontreatment of Handicapped Newborns

61 . Ibid . , p . 247 . 62 . Norman Fost , “ Counseling Families Who Have a Child
with a Severe Congenital Anomaly , ” Pediatrics 67 ( March 1981 ) : 324 . 63 . Ibid
. 64 . Norman Fost , “ Ethical Issues in the Treatment of Critically Ill Newborns ...

Selective Nontreatment of Handicapped Newborns

Author: Robert F. Weir

Publisher: Oxford University Press, USA

ISBN:

Page: 292

View: 413

Who decides, and on what basis, how to treat a child with severe birth defects? Any decisions made on such cases are painful and complex, and have far-reaching consequences for society at large. Addressing the medical, legal, and ethical aspects of the issue, Robert Weir presents the first serious survey of the major arguments regarding selective non-treatment, which have been advanced by physicians, attorneys, and the judicial system.

The Lazarus Case

In this volume, John Lantos weaves a story that captures the dilemmas of modern medical practice.

The Lazarus Case

Author: John D. Lantos

Publisher: JHU Press

ISBN: 9780801887703

Page: 183

View: 444

In this volume, John Lantos weaves a story that captures the dilemmas of modern medical practice. He draws on his experience in neonatal medicine, paediatrics and medical ethics to explore ethical dilemmas through one poignant representative situation.

Take This Book to the Pediatrician with You

Other parents who have made a hard choice to withhold treatment and allow their
baby to die may provide you with support in ... when ethical dilemmas cause
doctor and parents to substantially disagree over the care of a critically ill child .

Take This Book to the Pediatrician with You

Author: Charles B. Inlander

Publisher: Peoples Medical Society

ISBN: 9780962733468

Page: 271

View: 489

This step-by-step guide walks through all the issues a parent needs to know to make the right healthcare decisions and answers the questions that parents ask most about how to get the best healthcare for their children. "Inlander is dedicated to the cause of putting consumers in control of their own healthcare".--Washington Post Health. More than 200,000 copies of the Take This Book series have been sold.

Neonatology for the Clinician

ETHICAL ISSUES JOHN J . PARIS , SJ , PhD ERIC KODISH , MD Over a third of
the neonatologists surveyed in a recent study by Kopelman and ... A majority of
those surveyed agreed that critically ill infants are routinely overtreated . ... The
reason : the belief that the federal “ Baby Doe ” regulations required them to do
so .

Neonatology for the Clinician

Author: Jeffrey J. Pomerance

Publisher: McGraw-Hill/Appleton & Lange

ISBN:

Page: 586

View: 747

Your Critically Ill Child

However , like most attempts to legislate answers to difficult ethical questions ,
the so - called “ Baby Doe ” law was not helpful as a guide for how we should
resolve most of the complicated ethical dilemmas that face us in the PICU . We
must ...

Your Critically Ill Child

Author: Christopher Johnson

Publisher:

ISBN: 9780882822846

Page: 212

View: 738

Explains how and where to find medical treatments and technology how to navigate the medical labyrinth, and provides vital checklists and advice for parents.

Cumulated Index Medicus

or J Clin Oncol 1986 Mar ; 4 ( 3 ) : 440 J Med Ethics 1986 Jun ; 12 ( 2 ) : 104
ethical and legal problems . Steptoe P. Med Sci Law ... JAMA 1985 Dec 20,254 (
23 ) : 3339-43 17 ( 5 ) : 271 controversy on treating severely handicapped
newborns . On ethics and ... Shevory TC . critically ill and dying patients .
Winkenwerder W ...

Cumulated Index Medicus

Author:

Publisher:

ISBN:

Page:

View: 301

Death Dying 1985 Annual

A newborn with a serious birth defect , or one whose future is clouded by
acquired illness , sometimes confronts parents and physicians with a tragic
choice . " viewpoint Ethical Issues in the Treatment of Critically Ill Newborns boy
with Down ' s ...

Death Dying  1985 Annual

Author: Bruno Leone

Publisher: Greenhaven Press, Incorporated

ISBN: 9780899085111

Page: 115

View: 211

Annual supplement providing updated materials on death and dying.