Death Or Disability?: The 'Carmentis Machine' and Decision-making for Critically Ill Children
In ancient Rome parents would consult the priestess Carmentis shortly after birth to obtain prophecies of the future of their newborn infant. Today, parents and doctors of critically ill children consult a different oracle. Neuroimaging provides a vision of the child's future, particularly of the nature and severity of any disability. Based on the results of brain scans and other tests doctors and parents face heart-breaking decisions about whether or not to continue intensive treatment or to allow the child to die. Paediatrician and ethicist Dominic Wilkinson looks at the profound and contentious ethical issues facing those who work in intensive care caring for critically ill children and infants. When should infants or children be allowed to die? How accurate are predictions of future quality of life? How much say should parents have in these decisions? How should they deal with uncertainty about the future? He combines philosophy, medicine and science to shed light on current and future dilemmas.
What people are saying - Write a review
We haven't found any reviews in the usual places.
Other editions - View all
Death or Disability?: The 'Carmentis Machine' and decision-making for ...
No preview available - 2013
able abnormal adult affected allow appears argument artificial nutrition assessment basal ganglia benefits best interests birth asphyxia brain injury burdens Carmentis machine cerebral palsy Chapter Charlotte Wyatt continue Treatment Council on Bioethics critically ill decision-making develop disability encephalopathy end-of-life decisions ethical euthanasia example existence experience factors fetus framework future guidelines impact individual infants or children intensive care unit intolerable judgement life-sustaining treatment magnetic resonance imaging McMahan mechanical ventilation ment moral uncertainty neonatal neonatologists neuroethics newborn infants newborn intensive Nuffield Council older child outcome outweigh pain patients Pediatrics perhaps persistent vegetative Peter Singer physical impairment possible potentially predicted premature infants problem prognosis question reason referred relevant replacement resuscitation risk self-fulfilling prophecy severe cognitive impairment severe impairment significant studies suffering survival time-relative interests treatment decisions treatment limitation decisions values well-being withdraw or withhold withdrawal of artificial withdrawing treatment worth living zero point