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9780521118613

Ethical Dilemmas in Pediatrics: Cases and Commentaries

by
  • ISBN13:

    9780521118613

  • ISBN10:

    0521118611

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2009-08-20
  • Publisher: Cambridge University Press

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Summary

Children in precarious health present particular problems for health-care professionals because of their intimate relation to their family, and because of the family's need to provide major long-term source of support and to be actively involved in the decisions about their children's care. This collection of cases and commentaries in pediatrics highlights the difficult ethical dilemmas that can arise during high-tech hospital care of children in precarious circumstances. It serves as a teaching tool for clinical ethics and as an introduction for medical students and residents. Clinical cases are described in detail by the physicians involved, who focus on the ethical issues arising during treatment. Each case is then commented on in detail by a philosopher or other bioethicist. It thus serves well as an introduction to contemporary clinical bioethics, but with a firm grounding in the practicalities of real-life pediatric care in the hospital setting.

Table of Contents

Therapeutic Misalliances:
Unconventional medicine in the pediatric intensive care unit
Role of responsibility in pediatrics: appeasing or transforming parental demands?
The extremely premature infant at the crossroads
The extremely premature infant at the crossroads: ethical and legal considerations
Munchausen syndrome by proxy Manuel
Conceptual and ethical issues in Munchausen syndrome
Medical Futility:
Letting go: a study in pediatric life-and-death decision making
Near drowning, futility and the limits of shared decision making
Long-term ventilation in a child with severe central nervous system impairment
Autonomy, community and futility: Moral paradigms for the long-term ventilation of severely impaired child
Complexities in the management of a brain dead child
The moral arena in the management of a brain dead child
Life By Any Means:
Where should a child die?
Where should a child (in the U.S.) die?
Infant heart transplantation and hypoplastic left heart syndrome: what are the ethical issues?
Infant heart transplantation and hypoplastic left heart syndrome: a response
Liver and intestinal transplantation
Transplantation and adolescents
Institutional Impediments to Ethical Action:
Ethics problems encountered with oncology and bone marrow transplant patients
Ethical problems encountered in the intensive care unit with oncology and bone marrow transplant patients
Nursing perspectives on withholding food and fluids in pediatrics
Ethics and clinical decision making: withholding food and information
Ethics and managed care
Challenging fidelity: physicians' role in rationing
Glossary of terms
Index
Table of Contents provided by Publisher. All Rights Reserved.

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