Pediatric Bioethics by Geoffrey Miller

By Geoffrey Miller

This quantity bargains a theoretical and useful assessment of the ethics of pediatric medication. It serves as a basic instruction manual and source for pediatricians, nurses, citizens in education, graduate scholars, and practitioners of ethics and healthcare coverage. Written through a workforce of top specialists, Pediatric Bioethics addresses these tricky moral questions in regards to the medical and educational perform of pediatrics, together with an method of spotting obstacles while faced with concerns resembling finish of lifestyles care, life-sustaining remedy, severe prematurity, pharmacotherapy, and examine. Thorny themes corresponding to what constitutes top pursuits, personhood, or distributive justice and public overall healthiness matters akin to immunization and baby genetic screening also are addressed.

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Yet CAPTA’s Baby Doe rules offer a different guidance principle for infants, singling them out for an inflexible policy that adults reject for themselves. Thus, in fairness, the policies for all, young and old alike, should be the same unless someone can make a good case that age is a relevant consideration. Some have argued that age is relevant because older patients losing capacity are on a well-understood trajectory and a mistake would not be a mistake for a lifetime, while errors in the care of an infant might make the difference between a brief and a long life.

First, in discussing how surrogate decision makers must reach decisions for nonautonomous patients, Tom L. Beauchamp and James F. Childress write: Under the Best Interests Standard a surrogate decision maker must determine the highest net benefit among the available options, assigning different weights to the interest the patient has in each option and discounting or subtracting inherent risks or costs. The term Best is used because the surrogate’s obligation is to maximize benefit through a comparative assessment that locates the highest net benefit.

1988;318:677–683). But I have argued that both sets are substantially similar. * 32 Loretta M. Kopelman group for rules others do not want. This judgment is reinforced when we consider issues of justice. Justice As a matter of justice, we should treat similar cases similarly and different cases differently where the similarities and differences are relevant. Yet CAPTA’s Baby Doe rules offer a different guidance principle for infants, singling them out for an inflexible policy that adults reject for themselves.

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