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Essay / Research Paper Abstract
An 8 page research paper that discusses end-of-life ethical issues in regards to neonates in the NICU. This discussion of medical ethics is framed by a scenario that concerns providing nursing care for a premature neonate with multiple congenital anomalies who is on full life support management, infant Clara. This discussion uses the facts of this scenario as a springboard to considering broader ethical issues. Bibliography lists 7 sources.
Page Count:
8 pages (~225 words per page)
File: D0_khclnicu.rtf
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life support management, infant Clara. This discussion uses the facts of this scenario as a springboard to considering broader ethical issues. The first ethical issue raised by this scenario
concerns the appropriateness of the nurses reaction to a recommendation for surgery. The nurse attending Clara states that she bonded with the baby, and with her young parents, while caring
for her in the neonatal intensive care unit (NICU). When this nurse returned to duty on day five of Clara life, the neonate had developed a severely distended abdomen, which
caused the consultant on-call to suggest a surgical intervention to relieve the tense abdomen. This prompted the nurse to question whether or not this would be in the best interest
of the child and the consultant suggested that the nurse was too emotional. Nursing theory requires that nurses should always be advocates for their patents and express concern for
their best interests. Research shows that NICU nurses identified "suffering, pain, humane treatment, futile treatment, withdrawing treatment and quality of life" as ethical issues relating to the NICU (Kodadek
and Feeg, 2002, p. 333). Rather than being overly emotional in regards to Infant Clara, this nurse was demonstrating the highest level of ethical concern and nursing practice. The nurses
evaluation of the situation was substantiated later that day when confirmation came that an ethical review of Claras situation had judged her situation to be incompatible with life. The scenario
says that after discussion with the parents, life support was terminated and the baby died in her mothers arms twenty minutes later, with the surgical review canceled. The conclusion of
this scenario brings up several ethical issues. It is inevitable that some infants who enter the NICU will die. The history of neonatology indicate that as physicians become better
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