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Ethical issues in high-risk infant care.

D L Harms, J Giordano

    Issues in Comprehensive Pediatric Nursing
    |January 1, 1990
    PubMed
    Summary

    Ethical debates surround the treatment of high-risk infants, including issues of personhood, autonomy, and quality of life. Advances in neonatal intensive care units (NICUs) present complex decisions for families and healthcare providers.

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    Area of Science:

    • Neonatal Ethics
    • Bioethics
    • Pediatric Care

    Background:

    • Significant ethical controversies exist regarding the medical intervention for high-risk infants.
    • Technological advancements in neonatal intensive care have intensified these ethical dilemmas.

    Purpose of the Study:

    • To address key ethical concerns in the care of high-risk infants.
    • To explore issues of personhood, autonomy, beneficence, parental rights, quality of life, and sanctity of life.

    Main Methods:

    • Historical overview of infanticide and neonatal intensive care units (NICUs).
    • Discussion of ethical principles including autonomy, beneficence, and parental authority.
    • Exploration of financial, legal, and nursing roles in high-risk infant care.

    Main Results:

    • Identified multifaceted ethical concerns in neonatal care.
    • Highlighted the impact of technology on treatment decisions for preterm and deformed infants.
    • Discussed the spectrum of treatment options: optional, obligatory, and wrong.

    Conclusions:

    • The care of high-risk infants involves complex ethical, legal, and financial considerations.
    • Understanding the history and ethical principles is crucial for navigating these challenging decisions.
    • The role of nurses is vital in supporting families of high-risk infants.
    Keywords:
    Death and EuthanasiaHealth Care and Public HealthProfessional Patient Relationship

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