Termination of Life Support After Severe Child Abuse: The Role of a Guardian ad Litem
| Autor: | Julie Akiko Gladsjo, David Sine, Joni Oak, John Breding, Robert J. Wells, Sheila Fallon Friedlander, Sharon Kalemkiarian, Angela S. Vieira |
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| Rok vydání: | 2004 |
| Předmět: |
Parents
Child abuse medicine.medical_specialty education Psychological intervention Poison control Suicide prevention California Occupational safety and health Legal Guardians Professional-Family Relations Legal guardian Humans Medicine Child Abuse Psychiatry business.industry Persistent Vegetative State Conflict of interest Infant Human factors and ergonomics Prognosis medicine.disease Life Support Care Withholding Treatment Pediatrics Perinatology and Child Health Female Medical emergency Ethics Committees Clinical business Medical Futility |
| Zdroj: | Pediatrics. 113:e141-e145 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.113.2.e141 |
| Popis: | Discontinuation of life-sustaining interventions often raises ethical concerns. In cases of severe child abuse with poor prognosis for recovery, accused parents may have a conflict of interest regarding medical decision-making for their child, because the outcome of such decisions may impact legal charges filed against them. The recently issued American Academy of Pediatrics guidelines for addressing such cases recommended the appointment of a guardian ad litem for medical decision-making. We present the case of an 8-month-old infant who was abused severely by her father, resulting in a persistent vegetative state. We describe our experience with appointing a guardian ad litem and the ethical issues involved. |
| Databáze: | OpenAIRE |
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