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40
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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July 2018 List
Text
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Citation List Month
July 2018 List
URL Address
<a href="http://doi.org/10.1111/apa.14394" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/apa.14394</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Low prevalence of palliative care and ethics consultations for children with chronic critical illness
Publisher
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BMC Infectious Diseases
Date
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2018
Creator
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Xu L; Gao H; Zeng J; Liu J; Lu C; Guan X; Qian S; Xie Z
Identifier
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<a href="http://doi.org/10.1111/apa.14394" target="_blank" rel="noreferrer noopener">10.1111/apa.14394</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Description
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Medical advances over the past two decades have increased the numbers of children who survive serious conditions. Mortality from pre-mature birth and genetic syndromes has improved such that more clinicians offer, and more families request, interventions to prolong their child’s life. While some interventions promise cure, others result in chronic disease states that require ongoing medical care. Paediatric intensive care units (ICUs) across the United States (U.S.) report increasing numbers of children with prolonged and recurrent hospitalisations and medical complexity(1). We have suggested that this population be considered ‘chronically critically ill (CCI)’ (2).The CCI designation for adult ICU patients signals to families and clinicians alike that thepatient’s prognosis is poorer than predicted by their primary diagnosis alone. Nelson et al. (3) have argued that palliative care can enhance care planning, communication and quality of life for patients with CCI. The ethical challenges that can arise for these patients, for example, conflicting values and treatment burdens, also highlight an obvious role for ethics consultation.
2018
BMC Infectious Diseases
Gao H
Guan X
July 2018 List
Liu J
Lu C
Qian S
Xie Z
Xu L
Zeng J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
April 2016 List
Dublin Core
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Title
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Ethical Issues In Neonatal Intensive Care Units.
Publisher
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Journal Of Maternal, Fetal And Neonatal Medicine
Date
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2016
Subject
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Adult; Attitude Of Health Personnel; Child; Europe; Euthanasia Passive/ethics; Humans; Infant Newborn; Intensive Care Neonatal/ethics; Italy; Morals; Parents; Withholding Treatment/ethics
Creator
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Liu J; Chen X; Wang XL
Description
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Recent progress in neonatal care have significantly improved the prognosis and chances of survival of critically ill or extremely preterm neonates and have modified the limits of viability. However, in some circumstances, when the child's death can only be briefly postponed at the price of severe suffering, or when survival is associated with severe disabilities and an intolerable life for the child and his/her parents, the application of the full armamentarium of modern neonatal intensive care may not be appropriate. In such circumstances the limitation of intensive treatments (withholding or withdrawing) and shift towards palliative care, can represent a more humane and reasonable alternative. This article examines and discusses the ethical principles underlying such difficult decisions, the most frequent situations in which these decisions may be considered, the role of parents in the decisional process, and the opinions and behaviours of neonatologists of several European neonatal intensive units as reported by the EURONIC study.
Identifier
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DOI: 10.4415/ANN_11_03_06
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Adult
April 2016 List
Attitude Of Health Personnel
Chen X
Child
Europe
Euthanasia Passive/ethics
Humans
Infant Newborn
Intensive Care Neonatal/ethics
Italy
Journal of Maternal, Fetal and Neonatal Medicine
Liu J
Morals
Parents
Wang XL
Withholding Treatment/ethics