Ethical issues in the use of life-prolonging interventions for an infant with trisomy 18.
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Biomedical subjects
Publications and source records attributed to J J Paris.
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This article is a review of recent court cases concerned with appropriate treatment of dying or irreversibly comatose patients, specifically, withholding of nutrition and fluids. In these cases the various courts relied on the advice first found in the Hippocratic corpus and expanded on through the centuries. The statement found in the exhortation of the California Court of Appeal in Bouvia: "Provide as large a measure of dignity, respect, and comfort as possible to every patient for the remainder of his days, whatever be their number" should be our guide in caring for the infants entrusted to us.
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We must decide as a society how much we can afford, or at least are willing to spend, on health care as opposed to other goods. More importantly, how shall we decide which individual medical needs are to be met?
Ethics committees have emerged as a way for institutions to evaluate and resolve some of the difficult decisions facing critical care medicine. This article examines their origin, scope, function, and potential problems.
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