The Dilemma Of Children With Critical Condition

1709 WordsApr 4, 20177 Pages
Tragic Dilemma in Children with Critical Condition Despite of the increasing knowledge in healthcare and bioethics, care for critically ill children remains understudied in Canadian contexts. The prevailing theories in ethics, primarily ethics of justice, do not adequately address the complex moral problems involved in the care of vulnerable children. Patients often find themselves in a distressing situation with two unfavorable options. In a tragic dilemma, health care professionals must guide patient in making informed decisions that reflect the goal and values of the patient. Using ethical concepts and theories, I will discuss the complex case of Mary Jane Peirce and formulate a comprehensive ethical decision using the steps outlined…show more content…
Feasible Alternatives of Treatment and Care The existing North American legal norms recognize parents as children’s guardians and therefore the legitimate decision-maker (Carnevale, 2007). However, parental authority is not absolute as the government has the right to intervene in the cases of neglect or abuse (Carnevale, 2007). The ministry should have to assess the competency of the parents to act as the primary decision-maker before making an action. The legal guardian must then decide for the best interest of the child. On one hand, full resuscitation measures could be maintained to ensure Mary Jane’s survival and try to reduce permanent injury as much as possible. On the other hand, therapy could be partially or fully limited. The parents can decide to limit any form of treatment or to discontinue all current treatment on the basis that it is inflicting harm without a reasonable prospect of benefit. Thus, the parents face a dilemma: to continue all resuscitating treatment and hope for Mary Jane’s best possible recovery or withdraw life support and allow her to die. Evaluating Alternatives Using Ethics Resources The Feasible options are each supported by theories in ethics: Deontology, Utilitarianism and Ethics of Care. Full resuscitation care is morally correct in the theory of deontology. In deontological ethics, the action is ethically correct
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