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Ethical Dilemmas in Pediatrics
Cases and Commentaries

$54.99

Chester Randle, Richard B. Miller, Ronald Cohen, Eugene Kim, Simon Whitney, Manuel Garcia-Careaga, John Kerner, F. M. Kamm, Lawrence H. Mathers, Simon Whitney, Ronald M. Perkin, Robert Orr, Stephen Ashwal, Anita Silvers, Lorry R. Frankel, Amnon Goldworth, Roger Burne, William A. Silverman, Clifford Chin, Joel E. Frader, Ricardo Orlando Castillo, John Kerner, Rosamond Rhodes, Joseph V. DiCarlo, Linda Granowetter, Joy Penticuff, Mary V. Rorty, Douglas S. Diekema, Nancy S. Jecker
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  • Date Published: August 2009
  • availability: Available
  • format: Paperback
  • isbn: 9780521118613

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About the Authors
  • Children in precarious health present particular problems for healthcare professionals because of their intimate relation to their family, and because of the family's need to provide major long-term source of support and to be actively involved in the decisions about their children's care. This collection of cases and commentaries in pediatrics highlights the difficult ethical dilemmas that can arise during high-tech hospital care of children in precarious circumstances. It serves as a teaching tool for clinical ethics and as an introduction for medical students and residents. Clinical cases are described in detail by the physicians involved, who focus on the ethical issues arising during treatment. Each case is then commented on in detail by a philosopher or other bioethicist. It thus serves well as an introduction to contemporary clinical bioethics, but with a firm grounding in the practicalities of real-life pediatric care in the hospital setting.

    • In-depth and detailed cases by physicians with an ethical analysis and commentary on each
    • An outstanding team of authors who reflect the variety of approaches typical of contemporary health care
    • Retains a practical clinical focus
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    Reviews & endorsements

    "I encourage you to read this book. It is well-written and thought-provoking."
    Hospital Doctor

    Ethical Issues in Pediatrics is a wonderful addition to the body of bioethics literature. It is a well organized presentation of some of the ethical issues that can arise in the context of pediatric medicine.
    Andrew Brei, Metapsychology Online Reviews

    "The case-based approach provides a helpful launching point for each chapter, and readers are likely to find most of the chapters both informative and thought-provoking. Most of them are focused on common dilemmas that occur in children's hospitals, and these dilemmas will resonate with experienced clinicians. As the field of pediatric eithics matures, I hope that more books of this quality will be published and widely read. In this way, pediatric ethics may help to transform the field of bioethics in the 21st century." The New Journal of Medicine Eric Kodish, M.D.

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    Product details

    • Date Published: August 2009
    • format: Paperback
    • isbn: 9780521118613
    • length: 316 pages
    • dimensions: 244 x 170 x 17 mm
    • weight: 0.51kg
    • availability: Available
  • Table of Contents

    Part I. Therapeutic Misalliances:
    1a. Unconventional medicine in the pediatric intensive care unit Chester Randle
    1b. Role of responsibility in pediatrics: appeasing or transforming parental demands? Richard B. Miller
    2a. The extremely premature infant at the crossroads Ronald Cohen, Eugene Kim
    2b. The extremely premature infant at the crossroads: ethical and legal considerations Simon Whitney
    3a. Munchausen syndrome by proxy Manuel Garcia-Careaga and John Kerner
    3b. Conceptual and ethical issues in Munchausen syndrome by proxy F. M. Kamm
    Part II. Medical Futility:
    4a. Letting go: a study in pediatric life-and-death decision making Lawrence H. Mathers
    4b. Near drowning, futility and the limits of shared decision making Simon Whitney
    5a. Long-term ventilation in a child with severe central nervous system impairment Ronald M. Perkin, Robert Orr and Stephen Ashwal
    5b. Autonomy, community and futility: Moral paradigms for the long-term ventilation of severely impaired child Anita Silvers
    6a. Complexities in the management of a brain dead child Lorry Frankel and Chester Randle
    6b. The moral arena in the management of a brain dead child Amnon Goldworth
    Part III. Life By Any Means:
    7a. Where should a child die? Roger Burne
    7b. Where should a child (in the U.S.) die? William A. Silverman
    8a. Infant heart transplantation and hypoplastic left heart syndrome: what are the ethical issues? Clifford Chin
    8b. Infant heart transplantation and hypoplastic left heart syndrome: a response Joel E. Frader
    9a. Liver and intestinal transplantation Manuel Garcia-Careaga, Ricardo Orlando Castillo and John Kerner
    9b. Transplantation and adolescents Rosamond Rhodes
    Part IV. Institutional Impediments to Ethical Action:
    10a. Ethics problems encountered with oncology and bone marrow transplant patients Lorry R. Frankel and Joseph V. DiCarlo
    10b. Ethical problems encountered in the intensive care unit with oncology and bone marrow transplant patients Linda Granowetter
    11a. Nursing perspectives on withholding food and fluids in pediatrics Joy Penticuff
    11b. Ethics and clinical decision making: withholding food and information Mary V. Rorty
    12a. Ethics and managed care Douglas S. Diekema
    12b. Challenging fidelity: physicians' role in rationing Nancy S. Jecker
    Glossary of terms
    Index.

  • Editors

    Lorry R. Frankel, Stanford University, California

    Amnon Goldworth, Stanford University, California

    Mary V. Rorty, Stanford University, California

    William A. Silverman, Columbia University, New York

    Contributors

    Chester Randle, Richard B. Miller, Ronald Cohen, Eugene Kim, Simon Whitney, Manuel Garcia-Careaga, John Kerner, F. M. Kamm, Lawrence H. Mathers, Simon Whitney, Ronald M. Perkin, Robert Orr, Stephen Ashwal, Anita Silvers, Lorry R. Frankel, Amnon Goldworth, Roger Burne, William A. Silverman, Clifford Chin, Joel E. Frader, Ricardo Orlando Castillo, John Kerner, Rosamond Rhodes, Joseph V. DiCarlo, Linda Granowetter, Joy Penticuff, Mary V. Rorty, Douglas S. Diekema, Nancy S. Jecker

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