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Withdrawing treatment from a critically-ill child

C Purcell1

  • 1Paediatric Intensive Care Unit, Southampton University Hospitals NHS Trusts, Hampshire, UK.

Intensive & Critical Care Nursing
|April 1, 1997
PubMed
Summary

Pediatric nurses need ethical and legal knowledge to make informed decisions about withdrawing treatment from critically ill children. This knowledge enhances their contribution to complex end-of-life care discussions.

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Area of Science:

  • Medical Ethics
  • Pediatric Nursing
  • Healthcare Law

Background:

  • Critically ill children present complex ethical and legal challenges in pediatric intensive care units.
  • Paediatric nurses often rely on intuition for sensitive decisions like treatment withdrawal.
  • Technological, political, and economic factors are increasing the focus on ethical and legal issues in pediatric intensive care.

Purpose of the Study:

  • To examine the ethical and legal implications of withdrawing treatment from critically ill children.
  • To highlight the need for enhanced knowledge among paediatric nurses regarding ethical theories, principles, and law.
  • To support nurses' contributions to critical decision-making processes in pediatric intensive care.

Main Methods:

  • This paper examines ethical and legal implications through a review of relevant literature and case considerations.
  • Pseudonyms are used to protect patient confidentiality.

Main Results:

  • Paediatric nurses require a strong foundation in ethical theories and legal principles to navigate treatment withdrawal decisions.
  • Intuitive decision-making by nurses, while common, can be significantly enhanced by formal knowledge.

Conclusions:

  • Equipping paediatric nurses with ethical and legal knowledge is crucial for improving decision-making in pediatric intensive care.
  • Further attention to ethical and legal frameworks is necessary in pediatric intensive care settings.
  • Enhanced nurse education in ethics and law can positively impact end-of-life care for critically ill children.
Keywords:
Death and Euthanasia

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