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Decisions concerning resuscitation and end-of-life care in neonates. Bioethical aspects (Part II)
Gonzalo Mariani1, Marcela Arimany2
1Hospital Italiano de Buenos Aires, Instituto Universitario del Hospital Italiano, City of Buenos Aires, Argentina.
Insights
Navigating the death of a newborn requires careful consideration of end-of-life decisions, family communication, and care. This analysis explores neonatal bioethics in end-of-life care for infants, focusing on therapeutic futility and decision-making.
Area of Science:
- Neonatal Bioethics
- Pediatric End-of-Life Care
Background:
- Coping with neonatal death necessitates specific training.
- End-of-life care for newborns involves complex ethical considerations.
Purpose of the Study:
- To analyze key aspects of neonatal bioethics in end-of-life situations for newborns.
- To examine therapeutic futility, care redirection, and family rights in neonatal end-of-life care.
Main Methods:
- Review of neonatal bioethical principles.
- Analysis of end-of-life decision-making processes in neonatal care.
- Exploration of communication strategies with families.
Main Results:
- Discussion of therapeutic futility and criteria for redirection of care.
- Examination of patient and family rights in neonatal end-of-life scenarios.
- Analysis of communication and decision-making complexities.
Conclusions:
- Effective end-of-life care for newborns requires ethical training and reflection.
- Understanding bioethical principles is crucial for managing neonatal end-of-life situations.
- Improved communication and decision-making processes enhance care for dying infants and their families.
Abstract:
Coping with the death of a newborn infant requires training and reflection regarding the end-of-life decision-making process, communication with the family, and the care to be provided. The objective of this article is to analyze in depth the salient aspects of neonatal bioethics applied to end-of-life situations in newborn infants. Part I describes notions of therapeutic futility, redirection of care criteria, patient and family rights, and concepts about the value of life. Part II analyzes situations that deserve considering the redirection of care and delves into aspects of communication and the complex process of end-of-life decision-making in newborn infants.
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