Ethical Dilemmas in Pediatrics

Part I. Therapeutic Misalliances: 1a. Unconventional medicine in the pediatric intensive care unit Chester Randle; 1b. Role of responsibility in pediatrics: appeasing or transforming parental demands? Richard B. Miller; 2a. The extremely premature infant at the crossroads Ronald Cohen, Eugene Kim; 2b. The extremely premature infant at the crossroads: ethical and legal considerations Simon Whitney; 3a. Munchausen syndrome by proxy Manuel Garcia-Careaga and John Kerner; 3b. Conceptual and ethical issues in Munchausen syndrome by proxy F. M. Kamm; Part II. Medical Futility: 4a. Letting go: a study in pediatric life-and-death decision making Lawrence H. Mathers; 4b. Near drowning, futility and the limits of shared decision making Simon Whitney; 5a. Long-term ventilation in a child with severe central nervous system impairment Ronald M. Perkin, Robert Orr and Stephen Ashwal; 5b. Autonomy, community and futility: Moral paradigms for the long-term ventilation of severely impaired child Anita Silvers; 6a. Complexities in the management of a brain dead child Lorry Frankel and Chester Randle; 6b. The moral arena in the management of a brain dead child Amnon Goldworth; Part III. Life By Any Means: 7a. Where should a child die? Roger Burne; 7b. Where should a child (in the U.S.) die? William A. Silverman; 8a. Infant heart transplantation and hypoplastic left heart syndrome: what are the ethical issues? Clifford Chin; 8b. Infant heart transplantation and hypoplastic left heart syndrome: a response Joel E. Frader; 9a. Liver and intestinal transplantation Manuel Garcia-Careaga, Ricardo Orlando Castillo and John Kerner; 9b. Transplantation and adolescents Rosamond Rhodes; Part IV. Institutional Impediments to Ethical Action: 10a. Ethics problems encountered with oncology and bone marrow transplant patients Lorry R. Frankel and Joseph V. DiCarlo; 10b. Ethical problems encountered in the intensive care unit with oncology and bone marrow transplant patients Linda Granowetter; 11a. Nursing perspectives on withholding food and fluids in pediatrics Joy Penticuff; 11b. Ethics and clinical decision making: withholding food and information Mary V. Rorty; 12a. Ethics and managed care Douglas S. Diekema; 12b. Challenging fidelity: physicians' role in rationing Nancy S. Jecker; Glossary of terms; Index.