Theoretical Medicine and Bioethics 28 (5):393-412 (2007)
|Abstract||There is a broadly held view that neonatologists are ethically obligated to act to override parental nontreatment decisions for imperiled premature newborns when there is a reasonable chance of a good outcome. It is argued here that three types of uncertainty undercut any such general obligation: (1) the vagueness of the boundary at which an infant’s deficits become so intolerable that death could be reasonably preferred; (2) the uncertainty about whether aggressive treatment will result in the survival of a reasonably healthy child or, alternatively, the survival of a child with intolerable deficits; and (3) the inability to determine an acceptable ratio between the likelihoods of those two outcomes. It is argued that the broadly held view accords insufficient weight to the fact that newborn intensive care increases the likelihood of harm to the child by effecting survival with intolerable deficits. Though treatment may offer a reasonable chance of a good outcome, it is argued that there are situations in which neonatologists should nonetheless defer to parental nontreatment decisions.|
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
Annie Janvier, Karen Lynn Bauer & John D. Lantos (2007). Are Newborns Morally Different From Older Children? Theoretical Medicine and Bioethics 28 (5):413-425.
Michael Gill, Picu Prometheus: Ethical Issues in the Treatment of Very Sick Children in Paediatric Intensive Care.
Joseph DeMarco, Douglas Powell & Douglas Stewart (2011). Best Interest of the Child: Surrogate Decision Making and the Economics of Externalities. [REVIEW] Journal of Bioethical Inquiry 8 (3):289-298.
Douglas Diekema (2004). Parental Refusals of Medical Treatment: The Harm Principle as Threshold for State Intervention. Theoretical Medicine and Bioethics 25 (4):243-264.
Dominic Wilkinson (2009). The Self-Fulfilling Prophecy in Intensive Care. Theoretical Medicine and Bioethics 30 (6):401-410.
M. F. Jonas & S. J. Thornley (2011). Smoky Rooms and Fuzzy Harms: How Should the Law Respond to Harmful Parental Practices? Public Health Ethics 4 (2):129-142.
Tony Hope, John Mcmillan & Elaine Hill (2010). Intensive Care Triage: Priority Should Be Independent of Whether Patients Are Already Receiving Intensive Care. Bioethics 26 (5):259-266.
Kath M. Melia (2004). Health Care Ethics: Lessons From Intensive Care. Sage Publications.
Dominic Wilkinson (2011). Should We Replace Disabled Newborn Infants? Journal of Moral Philosophy 8 (3):390-414.
Added to index2009-01-28
Total downloads16 ( #81,653 of 722,700 )
Recent downloads (6 months)1 ( #60,006 of 722,700 )
How can I increase my downloads?