How should neonatal clinicians act in the presence of moral distress?

被引:4
|
作者
Prentice, Trisha M. [1 ,2 ,3 ]
Gillam, Lynn [2 ,4 ]
Janvier, Annie [5 ]
Davis, Peter G. [6 ,7 ]
机构
[1] Royal Childrens Hosp, Neonatal Med, Melbourne, Vic, Australia
[2] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia
[3] Murdoch Childrens Res Inst, Neonatal Res, Melbourne, Vic, Australia
[4] Royal Childrens Hosp, Childrens Bioeth Ctr, Melbourne, Vic, Australia
[5] Univ Montreal, Pediat & Clin Eth, Montreal, PQ, Canada
[6] Univ Melbourne, Dept Obstet & Gynaecol, Melbourne, Vic, Australia
[7] Royal Womens Hosp, Newborn Res, Parkville, Vic, Australia
关键词
D O I
10.1136/fetalneonatal-2019-317895
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Hannah was born at 23+1 weeks. At 2 weeks of age, Hannah developed severe necrotising enterocolitis requiring extensive resection of her small bowel. She remains ventilated and dependent on inotropes. Additionally, Hannah is known to have bilateral grade IV intraventricular haemorrhages. The doctors and nurses caring for her believe that it is very unlikely she will survive and if she does, major disability is almost inevitable. The treating team has communicated its concerns to her parents several times over the past 48 hours and has suggested discontinuing life-sustaining interventions. Her parents understand the recommendation but have requested that 'everything be done to save their baby's life'. This leads to considerable distress among many team members who believe ongoing life-sustaining treatment is no longer in Hannah's interests.
引用
收藏
页码:F348 / F349
页数:2
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