儿童即将死亡的捐赠:这是道德上的吗?
Gabriel Chain1, Laura Pucillo2, Mindy Dickerman3
1Division of Palliative Medicine, Nemours Children's Health, Wilmington, Delaware.
Journal of pain and symptom management
|August 23, 2025
概括
迫在眉的死亡捐赠 (IDD) 探索在生命支持撤回之前的器官捐赠. 儿科IDD提出了复杂的道德挑战,特别是在未成年人和同意方面,具体案例说明了这一点.
科学领域:
- 医学伦理
- 移植
- 儿童重症监护
背景情况:
- 迫在眉的死亡捐赠 (IDD) 是一个潜在的器官捐赠途径,发生在维持生命技术 (WOLST) 退出之前.
- 当循环死亡 (DCD) 后的捐赠不可行时,可以考虑IDD.
- 儿科器官捐献,尤其是未成年人的活体捐献,需要严格的道德考虑和标准.
研究的目的:
- 提出一个复杂的案例, 父母要求从一个患有严重无氧性脑损伤的儿童患者捐赠脏.
- 探索围绕儿科IDD的伦理考虑和不同的临床观点.
- 突出现有捐赠指南应用于独特的儿科重症护理场景的挑战.
主要方法:
- 案例报告的展示.
- 从重症监护,移植手术,息治疗和医院伦理委员会的伦理观点的讨论.
- 分析患者的临床状况与DCD以及死亡的神经学标准.
主要成果:
- 这名儿科患者不符合神经学标准的死亡标准,
- 患者预计在WOLST后的几个小时到几天内存活,
- 在临床团队和伦理委员会之间出现了相互矛盾的观点,
结论:
- 儿童即将死亡的捐赠带来了深刻的伦理复杂性,特别是关于未成年人的同意和潜在的利益.
- 当标准捐赠途径不适用时,个别案件的伦理审议至关重要.
- 在儿童终身护理和器官捐献的讨论中,要平衡家庭的愿望与伦理原则和患者福利至关重要.
相关概念视频
Ethical Issues
1.2K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.2K
Kidney Transplant I: Introduction
60
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
60
Ethical Dilemmas I
1.0K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.0K
Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K
Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
Ethics and Bioethics
1.5K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.5K


