Navigation Links
Parents' views critical at the end of a child's life
Date:2/14/2013

More emphasis should be given to parents' needs when deciding whether or not to withdraw life support from critically ill children, according to a new book written by a University of Adelaide academic.

The book, published by Oxford University Press, deals with advances in brain scans and other technologies, and their influence on decisions about life support for children in intensive care.

It recommends the development of new international guidelines for the medical profession when making decisions about withdrawing life support for children. These include very premature babies, those with severe brain damage or developmental problems, or those that have suffered major injuries.

"Existing guidelines for decision-making about infants and children are vague and difficult to apply in practice, even when we know what the child's outcome will be," says author Dr Dominic Wilkinson, Associate Professor of Neonatal Medicine and Bioethics with the University of Adelaide's Robinson Institute.

In his book, Death or Disability? The 'Carmentis Machine' and decision‐making for critically ill children, Associate Professor Wilkinson builds on his years of experience in newborn and pediatric intensive care.

"Unfortunately for parents and guardians, current guidelines are ambiguous about the role they play in decisions. They seem to imply that parents should be involved, but because the guidelines are focused on the child's best interests, they discourage doctors from seeking parents' views, or considering the best interests of the family as a whole.

"We need to make sure that the parents' decision-making role is formalized in guidelines, and that they have a real say in what happens to their child. Parents also need greater support in this role," he says.

Associate Professor Wilkinson's book sets out a framework for decision-making, and identifies an upper and lower threshold for parents to make decisions about extending their child's life or withdrawing life support.

"While the parents' wishes are very important, there also needs to be a point at which clinicians are able to say: this child's outlook is so poor that we should not prolong his or her life with advanced medical technology, even if the parents wish us to; or that despite the parents' wishes to withdraw life support, we think that treatment would help the child and should be provided," Associate Professor Wilkinson says.

"Thanks to technological advances, our ability to sustain life is greater than it has ever been, and this will improve as advances continue. However, this also raises serious ethical questions about extending life, and what that means for the quality of life of both the child and the family. Improved guidelines for the medical profession would go some way towards addressing this."


'/>"/>
Contact: Dr Dominic Wilkinson, University of Adelaide
dominic.wilkinson@adelaide.edu.au
61-881-617-631
University of Adelaide
Source:Eurekalert  

Related medicine news :

1. Parents of Kids With Cancer No More Likely to Break Up
2. Gay Adults Rejected by Parents Have Worse Health, Study Finds
3. Nearly 1 in 4 grandparents store prescription medicines where children can easily find them
4. A physicians guide for anti-vaccine parents
5. Parents poor math skills may lead to medication errors
6. Friends Parents Can Sway Teens Odds for Drinking, Smoking
7. Study: Kids Who Sleep in Parents Bed Less Likely to Be Overweight
8. Many Parents of Kids With Autism Dont Put Faith in Pediatricians
9. Pediatric epilepsy impacts sleep for the child and parents
10. Parents are happier than non-parents, new research suggests
11. Parents Often Lose Sleep Over Childs Epilepsy, Study Finds
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Parents' views critical at the end of a child's life
(Date:2/5/2016)... ... February 05, 2016 , ... The American public tends to feel ... be safer than regular municipal or well water. The recent experience with lead contaminated ... could go a long way toward increasing public acceptance of recycled waste water as ...
(Date:2/5/2016)... , ... February 05, 2016 , ... Boar’s Head Brand®, ... in time for this weekend’s Big Game. Take the stress out of your party ... keep your guests happy at every stage of the game. , “The key to ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... Dr. Justin ... announce their 2nd Annual No Cost Dental Day to individuals in need. The event ... purpose of this No Cost Dental Day is to provide dental care to community ...
(Date:2/5/2016)... ... 05, 2016 , ... Colorize is a web theme package created ... next using Colorize's dynamic moving camera. Colorize is perfect for personal and web related ... environment with 1 to 5 focus points per scene, stage floor scene presets that ...
(Date:2/5/2016)... ... ... California Mobile Kitchens , a company that designs ... kitchen model, featuring customizable stainless steel interiors and a new, 26-foot unit. , ... in the U.S. Many of their units can be seen at sporting events, ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... BIRMINGHAM, Ala. , Feb. 5, 2016  Patients in ... invasive high intensity focused ultrasound (HIFU) therapy no longer have ... pleased to announce its partnership with Urology Centers of ... includes the newly FDA-cleared procedure for qualifying patients. ... for their expertise in the treatment of prostate cancer using ...
(Date:2/5/2016)... Feb. 5, 2016  Venice,s newest laser clinic, ... first of its kind in the area and ... advanced laser treatment. The physician-owned and operated laser ... Suncoast by storm with its revitalizing skin care ... multi-wavelength Astanza Trinity technology. http://photos.prnewswire.com/prnh/20160204/329957 ...
(Date:2/5/2016)... February 5, 2016 --> ... research report "Fetal (Labor & Delivery) and Neonatal Care ... Incubator, Pulse Oximeter, Phototherapy/Jaundice Management Devices, CPAP, Capnograph, & ... This report studies the global market over the forecast ... at USD 6.28 Billion in 2015 and is poised ...
Breaking Medicine Technology: