|
|
Ethical concerns involving the care of infants at the threshold of viability
Zlatohlávková, Blanka ; Payne, Jan (advisor) ; Hoza, Jozef (referee) ; Kuře, Josef (referee)
Introduction: Resuscitation and intensive care from the 26 weeks of gestation is usually mandatory in developed countries because infants born at this week have a very high chance of survival without severe disabilities. The period between the 22-25 week of gestation is known as the grey zone, during which the results of care are uncertain and unpredictable in advance. Thesis: Decision-making about offering intensive care at the threshold of viability is done in uncertainty, whether or not such treatment is at the best interest of the newborn, for out of principle, it is impossible to predict whether the infant will survive at all and if so, if it will continue to live without severe disability. Viability of the fetus and the newborn: Determining the threshold of viability (the ability to survive outside the uterus) is the initial point in considering medical treatment. Viability depends - aside from the level of maturity of the fetus and its health condition - on the advancement of medical technology. It is also based upon given socio-economical, and cultural factors. The threshold of viability in regard of the possibility to be born alive and survive lies between the 22-24 weeks. An expert agreement on providing active care is based upon the probability of survival and survival without serious...
|
|
|
Informed Consent - Comparation of Legal and Ethical View.
Doležal, Adam ; Payne, Jan (advisor) ; Kuře, Josef (referee) ; Drozenová, Wendy (referee)
Informed consent can be considered, without any doubt, as a central issue in current bioethics and in medical law. The modern relationship between physician and patient has completely changed. Informed consent has dominated the theoretical discussions since the 1970s. Its importance is essential for both medical research and clinical practice. This work focuses mainly on clinical practice, on the relationship between a doctor (or more generally a healthcare professional) and a patient. The institute of informed consent has evolved similarly in medical ethics as well as in the medical law, but there are some significant differences. One of the basic issues of this work is to distinguish both positions and point out differences between legal and ethical aspects of this institute. The thesis sees the fundamental differences in the different purposes of both two key normative systems, in their function, in the values they represented and in the principles they emphasized. While trust and mutuality are essential to informed consent in ethics, the legal institute reflects more the protection of the subjects, especially the protection against abuse, thus providing legal certainty especially for the patient. The ethical level is primarily to ensure respect for the other person so that he or she is...
|
|
|
Ethical concerns involving the care of infants at the threshold of viability
Zlatohlávková, Blanka ; Payne, Jan (advisor) ; Hoza, Jozef (referee) ; Kuře, Josef (referee)
Introduction: Resuscitation and intensive care from the 26 weeks of gestation is usually mandatory in developed countries because infants born at this week have a very high chance of survival without severe disabilities. The period between the 22-25 week of gestation is known as the grey zone, during which the results of care are uncertain and unpredictable in advance. Thesis: Decision-making about offering intensive care at the threshold of viability is done in uncertainty, whether or not such treatment is at the best interest of the newborn, for out of principle, it is impossible to predict whether the infant will survive at all and if so, if it will continue to live without severe disability. Viability of the fetus and the newborn: Determining the threshold of viability (the ability to survive outside the uterus) is the initial point in considering medical treatment. Viability depends - aside from the level of maturity of the fetus and its health condition - on the advancement of medical technology. It is also based upon given socio-economical, and cultural factors. The threshold of viability in regard of the possibility to be born alive and survive lies between the 22-24 weeks. An expert agreement on providing active care is based upon the probability of survival and survival without serious...
|
guest ::
RSS feed.