Bioethics In The Pediatric Icu Ethical Dilemmas Encountered In The Care Of Critically Ill Children

Author : Laura Miller-Smith,Ásdís Finnsdóttir Wagner,John D. Lantos
Publisher : Springer
Page : 164 pages
File Size : 43,6 Mb
Release : 2019-03-13
Category : Philosophy
ISBN : 9783030009434

Get Book

Bioethics in the Pediatric ICU: Ethical Dilemmas Encountered in the Care of Critically Ill Children by Laura Miller-Smith,Ásdís Finnsdóttir Wagner,John D. Lantos Pdf

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.

Author : Eduard Verhagen,Annie Janvier
Publisher : Springer
Page : 96 pages
File Size : 44,5 Mb
Release : 2015-10-06
Category : Philosophy
ISBN : 9789401773607

Get Book

Ethical Dilemmas for Critically Ill Babies by Eduard Verhagen,Annie Janvier Pdf

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?

Author : Nico Nortjé,Johan C. Bester
Publisher : Springer Nature
Page : 476 pages
File Size : 53,5 Mb
Release : 2021-12-01
Category : Philosophy
ISBN : 9783030861827

Get Book

Pediatric Ethics: Theory and Practice by Nico Nortjé,Johan C. Bester Pdf

This book assists health care providers to understand the specific interplay of the roles and relationships currently forming the debates in pediatric clinical ethics. It builds on the fact that, unlike adult medical ethics, pediatric ethics begins within an acutely and powerfully experienced dynamic of patient-family-state-physician relationship. The book provides a unique perspective as it interacts with established approaches as well as recent developments in pediatric ethics theory, and then explores these developments further through cases. The book first focuses on setting the stage by introducing a theoretical framework and elaborating how pediatric ethics differ from non-pediatric ethics. It approaches different theoretical frameworks in a critical manner drawing on their strengths and weaknesses. It helps the reader in developing an ability to engage in ethical reasoning and moral deliberation in order to focus on the wellbeing of the child as the main participant in the ethical deliberation, as well as to be able to identify the child’s moral claims. The second section of the book focuses on the practical application of these theoretical frameworks and discusses specific areas pertaining to decision-making. These are: the critically ill child, new and enduring ethical controversies, and social justice at large, the latter of which includes looking at the child’s place in society, access to healthcare, social determinants of health, and vaccinations. With the dynamic changes and challenges pediatric care faces across the globe, as well as the changing face of new technologies, no professional working in the field of pediatrics can afford not to take due note of this resource.

Author : Bonnie (Professor Emerita of the Department of Philosophy Steinbock, Professor Emerita of the Department of Philosophy University at Albany),Professor Emerita of the Department of Philosophy Bonnie Steinbock,Paul T. (Professor of Philosophy Emeritus Menzel, Professor of Philosophy Emeritus Pacific Lutheran University),Professor of Philosophy Emeritus Paul T Menzel
Publisher : Oxford University Press
Page : 329 pages
File Size : 40,8 Mb
Release : 2023-02-17
Category : Electronic
ISBN : 9780197657997

Get Book

Bioethics by Bonnie (Professor Emerita of the Department of Philosophy Steinbock, Professor Emerita of the Department of Philosophy University at Albany),Professor Emerita of the Department of Philosophy Bonnie Steinbock,Paul T. (Professor of Philosophy Emeritus Menzel, Professor of Philosophy Emeritus Pacific Lutheran University),Professor of Philosophy Emeritus Paul T Menzel Pdf

The questions and dilemmas of bioethics touch everyone. Should people who refuse to be vaccinated be treated for COVID-19, even if that displaces vaccinated patients with other serious conditions? What restrictions on abortion should there be, if any? Should women be paid to donate eggs? Bioethics: What Everyone Needs to Know ® discusses these and other similar questions facing the public today--as well as providing a way for thinking deeply about them. Steinbock and Menzel first examine major moral theories and how they can be used to analyze bioethical issues. They then provide historical background to the birth of bioethics and explain how it shifted from a paternalistic doctor knows best approach to respect for autonomy, a fundamental value in contemporary bioethics. Subsequent chapters cover advance directives, experimentation on human subjects, the definition of death, physician-assisted dying, abortion, disability, just healthcare systems, the allocation of scarce resources, pharmaceutical drug pricing, assisted reproductive technology, egg donation, surrogate motherhood, sex selection, and the genetic modification of humans. Race and gender are considered throughout, as are the ethical issues raised by pandemics. Steinbock and Menzel consider the controversial questions that surface in the public sphere, explaining the facts, and then evaluating different approaches to resolving them.

Author : Lorry R. Frankel,Amnon Goldworth,Mary V. Rorty,William A. Silverman
Publisher : Cambridge University Press
Page : 317 pages
File Size : 44,9 Mb
Release : 2009-08-20
Category : Medical
ISBN : 9781139446266

Get Book

Ethical Dilemmas in Pediatrics by Lorry R. Frankel,Amnon Goldworth,Mary V. Rorty,William A. Silverman Pdf

Children in precarious health present particular problems for healthcare 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.

Author : Gautam Kulkarni
Publisher : JP Medical Ltd
Page : 134 pages
File Size : 44,7 Mb
Release : 2023-03-10
Category : Medical
ISBN : 9781787791770

Get Book

Recent Advances in Paediatrics - 29 by Gautam Kulkarni Pdf

Recent Advances in Paediatrics-29 features an outstanding collection of articles relevant to paediatricians and health professionals working with children and adolescents across the world. The book reflects the changing landscape in paediatrics, with significant emphasis on adolescent health, both physical and mental, and references the role of technology and innovations such as conversational artificial intelligence (AI) and ChatGPT in improving outcomes. Other topics include prenatal screening and diagnosis of genetic defects, advances in neonatal care, a systematic approach towards orthopaedic management of cerebral palsy, bone health and osteoporosis, as well as advances in surgery and urology. The text features chapters on “safer care for sick children” with the role of safety checklists and escalation of care using hub and spoke models covered in depth to encourage universal high standards of care. This book is a compelling read for medical students explaining aspects of paediatrics often not covered in conventional textbooks, and furthermore provides an effective revision tool for DCH and MRCPCH examinations. It will also be of interest to practising clinicians wishing to keep up to date with the latest advances in their field. All chapters are written by expert authors ensuring authoritative and accurate content, and full colour photographs supplement enhance the comprehensive text.

Author : Betty R. Ferrell
Publisher : Hpna Palliative Nursing Manual
Page : 161 pages
File Size : 42,5 Mb
Release : 2015-08-31
Category : Medical
ISBN : 9780190244187

Get Book

Pediatric Palliative Care by Betty R. Ferrell Pdf

'Pediatric Palliative Care', the fourth volume in the 'HPNA Palliative Nursing Manuals' series, addresses paediatric hospice, symptom management, paediatric pain, the neonatal intensive care unit, transitioning goals of care between the emergency department and intensive care unit, and grief and bereavement in paediatric palliative care.

Author : Cassidy
Publisher : CRC Press
Page : 236 pages
File Size : 50,9 Mb
Release : 1996-06-01
Category : Medical
ISBN : 3718657562

Get Book

Pediatric Ethics - from Princ- by Cassidy Pdf

Pediatric Ethicshas been written by experienced pediatric caregivers. All the most difficult and challenging pediatric issues are faced, from truth-telling for the child to confidentiality for the adolescent and from 'futility' in intensive care to conflicting interests in the private office. This book has been specifically designed to enhance the practitioner's ability to identify, evaluate and manage the real ethical problems that arise in caring for children and their families.

Author : Mary Fran Hazinski
Publisher : Elsevier Health Sciences
Page : 1174 pages
File Size : 51,8 Mb
Release : 2012-05-08
Category : Medical
ISBN : 9780323020404

Get Book

Nursing Care of the Critically Ill Child by Mary Fran Hazinski Pdf

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.

Author : Giacinto Bagetta,Maria Tiziana Corasaniti,Tsukasa Sakurada,Damiana Scuteri,Paolo Tonin
Publisher : Frontiers Media SA
Page : 216 pages
File Size : 43,6 Mb
Release : 2021-05-25
Category : Science
ISBN : 9782889668045

Get Book

Novel Pain Therapeutics: From Basic Research to Clinical Translation and Rehabilitation by Giacinto Bagetta,Maria Tiziana Corasaniti,Tsukasa Sakurada,Damiana Scuteri,Paolo Tonin Pdf

Author : Dominic Wilkinson,Julian Savulescu
Publisher : Elsevier Health Sciences
Page : 192 pages
File Size : 41,6 Mb
Release : 2018-08-05
Category : Medical
ISBN : 9780702077821

Get Book

Ethics, Conflict and Medical Treatment for Children E-Book by Dominic Wilkinson,Julian Savulescu Pdf

What should happen when doctors and parents disagree about what would be best for a child? When should courts become involved? Should life support be stopped against parents’ wishes? The case of Charlie Gard, reached global attention in 2017. It led to widespread debate about the ethics of disagreements between doctors and parents, about the place of the law in such disputes, and about the variation in approach between different parts of the world. In this book, medical ethicists Dominic Wilkinson and Julian Savulescu critically examine the ethical questions at the heart of disputes about medical treatment for children. They use the Gard case as a springboard to a wider discussion about the rights of parents, the harms of treatment, and the vital issue of limited resources. They discuss other prominent UK and international cases of disagreement and conflict. From opposite sides of the debate Wilkinson and Savulescu provocatively outline the strongest arguments in favour of and against treatment. They analyse some of the distinctive and challenging features of treatment disputes in the 21st century and argue that disagreement about controversial ethical questions is both inevitable and desirable. They outline a series of lessons from the Gard case and propose a radical new ‘dissensus’ framework for future cases of disagreement. This new book critically examines the core ethical questions at the heart of disputes about medical treatment for children. The contents review prominent cases of disagreement from the UK and internationally and analyse some of the distinctive and challenging features around treatment disputes in the 21st century. The book proposes a radical new framework for future cases of disagreement around the care of gravely ill people.

Author : Randi Zlotnik Shaul
Publisher : Springer Science & Business
Page : 346 pages
File Size : 44,7 Mb
Release : 2014-04-16
Category : Medical
ISBN : 9781493903238

Get Book

Paediatric Patient and Family-Centred Care: Ethical and Legal Issues by Randi Zlotnik Shaul Pdf

This book provides the reader with a theoretical and practical understanding of two health care delivery models: the patient/child centred care and family-centred care. Both are fundamental to caring for children in healthcare organizations. The authors address their application in a variety of paediatric healthcare contexts, as well as an understanding of legal and ethical issues they raise. Each model is increasingly pursued as a vehicle for guiding the delivery of health care in the best interests of children. Such models of health care delivery shape health care policies, programs, facility design, resource allocation decisions and day-to-day interactions among patients, families, physicians and other health care professionals. To maximize the health and ethical benefits these models offer, there must be shared understanding of what the models entail, as well as the ethical and legal synergies and tensions they can create. This book is a valuable resource for paediatricians, nurses, trainees, graduate students, practitioners of ethics and health policy.

Author : Alan R. Fleischman
Publisher : Oxford University Press
Page : 257 pages
File Size : 46,9 Mb
Release : 2016
Category : Medical
ISBN : 9780199354474

Get Book

Pediatric Ethics by Alan R. Fleischman Pdf

This work examines the many ethical issues related to health care in children. It explores the moral obligations of families and clinicians facing hard choices for critically ill and dying children, ranging from neonates to adolescents. It also addresses the ethical concerns in research, genetic testing and screening, and surgical and medical enhancement

Author : Douglas S. Diekema,Mark R. Mercurio,Mary B. Adam
Publisher : Cambridge University Press
Page : 263 pages
File Size : 45,9 Mb
Release : 2011-09-08
Category : Medical
ISBN : 9781139501835

Get Book

Clinical Ethics in Pediatrics by Douglas S. Diekema,Mark R. Mercurio,Mary B. Adam Pdf

This volume provides a practical overview of the ethical issues arising in pediatric practice. The case-based approach grounds the bioethical concepts in real-life situations, covering a broad range of important and controversial topics, including informed consent, confidentiality, truthfulness and fidelity, ethical issues relating to perinatology and neonatology, end-of-life issues, new technologies, and problems of justice and public health in pediatrics. A dedicated section also addresses the topics of professionalism, including boundary issues, conflicts of interests and relationships with industry, ethical issues arising during training, and dealing with the impaired or unethical colleague. Each chapter contains a summary of the key issues covered and recommendations for approaching similar situations in other contexts. Clinical Ethics in Pediatrics: A Case-Based Textbook is an essential resource for all physicians who care for children, as well as medical educators, residents and scholars in clinical bioethics.

Author : Lori Wiener,Maryland Pao,Anne E. Kazak,Mary Jo Kupst,Robert J. Arceci,Andrea Farkas Patenaude
Publisher : Apos Clinical Reference Handbo
Page : 433 pages
File Size : 51,7 Mb
Release : 2015-03-04
Category : Medical
ISBN : 9780199335114

Get Book

Pediatric Psycho-Oncology by Lori Wiener,Maryland Pao,Anne E. Kazak,Mary Jo Kupst,Robert J. Arceci,Andrea Farkas Patenaude Pdf

Preceded by: Quick reference for pediatric oncology clinicians / senior editors, Lori S. Wiener, Maryland Pao. c2009.