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Related Experiment Videos

Decision making on critically ill infants by parents.

J F Watchko

    American Journal of Diseases of Children (1960)
    |August 1, 1983
    PubMed
    Summary

    Two decision-making models for critically ill infants exist: a forum approach and a parent-physician approach. A third model, the matrix paradigm, offers a more inclusive solution for complex ethical dilemmas.

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    Area of Science:

    • Medical Ethics
    • Pediatric Critical Care

    Background:

    • Disagreement exists on who should make decisions for critically ill infants.
    • Current models include a forum-based approach and a parent-physician dyad.

    Purpose of the Study:

    • To examine and contrast existing decision-making models for critically ill infants.
    • To propose a novel, more inclusive decision-making framework.

    Main Methods:

    • Comparative analysis of two established ethical decision-making frameworks.
    • Development of a new theoretical model through dialectical reasoning.

    Main Results:

    • Existing models present limitations in addressing complex conflicts.
    • A third alternative, the matrix paradigm, is identified.

    Conclusions:

    • The matrix paradigm offers a more comprehensive approach to decision-making for critically ill infants.
    • This model better accommodates the needs of all participants during difficult ethical conflicts.
    Keywords:
    Death and Euthanasia

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