Download Children, Ethics, and Modern Medicine by Richard B. Miller PDF

By Richard B. Miller

"Because the self-discipline of scientific ethics has constructed with autonomy as its starting place, the sector has neglected pediatric ethics. The ebook is resoundingly winning in its attempt to rectify this problem.... [A] excitement to read." ―Eric D. Kodish, M.D., Director, Rainbow middle for Pediatric Ethics, Case Western Reserve University

Using a kind of scientific ethnography to enquire various pediatric contexts, Richard B. Miller assessments the healthy of other moral ways in a number of clinical settings to reach at a brand new paradigm for a way most sensible to deal with little ones. Miller contends that the primary of beneficence needs to take precedence over autonomy within the therapy of kids. but what's top for the kid is a call that medical professionals can't make on my own. In making and enforcing such judgements, Miller argues, medical professionals needs to turn into a part of a "therapeutic alliance" with households and the kid present process therapy to come back up with the simplest solution.

Children, Ethics, and sleek medication combines robust philosophical argumentation with firsthand wisdom of the problems dealing with little ones and households in pediatric care. This booklet should be a useful asset to scientific ethicists and practitioners in pediatric care, in addition to mom and dad being affected by moral matters within the care in their children.

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Extra info for Children, Ethics, and Modern Medicine

Sample text

For now, I want to focus on a feature of that narrative that provides an important backdrop for imagining the ordeals that parents such as Adrienne often face when confronted by their child’s infirmity. Indeed, these challenges are so important and profound that they invite religious interpretation. Norms and paradigms for pediatric medical ethics I subsequently develop in this book are framed by the poetics of parental responsibility that is exercised in fear and trembling. As told in Genesis 22, the story of Abraham and Isaac is as follows: God tested Abraham.

Autonomy is justified philosophically by the principle of respect for persons and the equality of all human beings. 29 In practical terms, physicians, nurses, and house staff are to seek the patient’s benefit according to the informed consent of patients when they are competent. Informed consent enshrines a commitment to treat patients out of respect for their (equal) humanity. When a competent patient provides valid consent to or dissent from treatment, health care professionals are presumptively obligated to heed the patient’s wishes.

To listen to me, to answer me. The doctors and nurses are doing a very great job. Jean is in their hands. I ask them to give me my son back. My hope for Jean, I would like to have him back. Back home sleeping with him, feeding him, playing with him. ”1 Throughout his stay in the ICU, Jean’s condition remained precarious. His nutritional situation left his bones so brittle that his hip and shoulder were fractured on separate occasions during routine examinations. Moreover, house staff feared that removing ventilation support would require him to burn up much-needed calories in his attempt to breathe, thereby diminishing his low body weight.

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