Decision‐making at the borderline of viability: Who should decide and on what basis?
نویسندگان
چکیده
Parents and medical staff usually agree on the management of preterm labour at borderline viability, when there is a relatively high risk of long-term neurodevelopmental problems in survivors. If delivery is imminent and parents and staff cannot agree on the best management, however, who should decide what will happen when the baby is delivered? Should the baby be resuscitated? Should intensive care be initiated? Three ethicists, one of whom is also a neonatologist, discuss this complex issue.
منابع مشابه
Metacognition and Decision Making in Management Accounting Students
Competitive and skilled management accountants are needed for the companies' survival in an ever-changing world and also a world without borders. Therefore, the problem is what components in a decision maker brings out the best decision. Since learning is continuous and continuous learning is essential in an ever changing world in order for the company to survive. The aim of this study is to de...
متن کاملDesigning a decision support system to predict the success of research centers with discriminatory analysis DEA
Research centers have an important place in promoting science and technology nationwide. On the other hand, given the limitations in allocating the funds and the facilities needed to establish these centers, it is important to decide on the selection of priority centers. In this decision - making process, several factors, such as requirements, priorities and strategies, capabilities, and balanc...
متن کاملWorld Experiences of Inter-basin Water Transfer Projects and the Necessity of Developing Decision Making Criteria in Iran
When categorizing water management alternatives, to meet water needs, water transfer is seen as an option that tends to supply more water. Most developing countries where limited water resources are available with high spatiotemporal dispersion, favor this option. The numbers of such projects that have been proposed, implemented, and operated in recent years evidence the desirability of this al...
متن کاملI-18: The Ethics of Managing Extremely Premature Neonates(EPRN) between 22-24 Weeks
When faced with a preterm delivery of an extremely premature neonate between 22-24 weeks (EPRN), doctors are confronted by a three-fold uncertainty of age, viability and prognosis that influence their decision whether or not to resuscitate the neonate. Firstly, in the delivery room the preterm neonate’s age is seldom precisely known, and successful resuscitation depends on the neonate’s accurat...
متن کاملHeart transplants: three views. The power over life and death.
The emergence of heart transplant surgery late m 1967 has confronted us with historic moral and religious issues. To begin, there are fundamental theological scruples regarding heart transplantation related to such doctrines as the physical resurrection of the dead and the Jemish objection to the desecration of a dead body. There are fundamental biological questions as well. What is death? When...
متن کامل