治疗或不治疗:一个基于工具包的新生儿伦理咨询
Smriti Khanna1, Shruti Vyas2, Veronique Dinand3
1Department of Pain and Palliative Care, PD Hinduja Hospital and Medical Research Centre, Mumbai, INDIA.
Indian journal of medical ethics
|March 9, 2026
概括
先天性隔膜 (CDH) 带来了伦理挑战,特别是在伦理咨询很少的印度. 本案例报告展示了使用儿科伦理和Jonsen解决这些困境的方法.
科学领域:
- 儿科手术 儿科手术
- 医学伦理 医学伦理
- 新生儿护理 新生儿护理
背景情况:
- kongenital diaphragmatic hernia (CDH) 是一种严重的疾病,通常是在产前诊断出来的.
- 严重CDH的预后仍然很差,经常需要息治疗.
- 过渡到息护理带来了伦理上的困境,特别是利益相关者的冲突.
研究的目的:
- 描述在严重的CDH案件中解决道德困境的方法.
- 突出印度获得临床伦理咨询的挑战.
- 提出儿童息治疗中道德决策的框架.
主要方法:
- 案例报告的方法.
- 应用儿科伦理原则的应用.
- 使用Jonsen的四盒模型进行伦理分析.
主要成果:
- 在CDH管理中的道德困境可以有效地解决.
- 森的模型为复杂的伦理问题提供了一个结构化的方法.
- 儿科伦理原则指导了在息护理过渡中的决策.
结论:
- 在严重的CDH中,道德挑战可以在没有正式的伦理咨询的情况下进行导航.
- 拟议的框架支持在资源有限的环境中做出道德决策.
- 这种方法有助于在息护理过渡期间管理利益相关者冲突.
相关概念视频
Ethical Dilemmas II
2.7K
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:
2.7K
Nursing Ethical Principles II
2.4K
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...
2.4K
Ethical Dilemmas I
2.2K
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...
2.2K
Nursing Ethical Principles I
4.4K
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
4.4K
Ethical Issues
2.4K
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:
2.4K
Nursing Code of Ethics
5.5K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
5.5K


