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Paper Information

Journal:   JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE   JANUARY 2016 , Volume 8 , Number 5; Page(s) 10 To 19.
 
Paper: 

AN ETHICAL APPROACH TO PROVIDING MEDICAL, SUPPORTIVE AND PALLIATIVE SERVICES FOR INFANTS WITH CHRONIC RENAL FAILURE AND THEIR FAMILIES

 
 
Author(s):  KADIVAR MALIHEH, MADANI MANSOUREH, MARDANI HAMOOLEH MARJAN*, GHASEMZADEH NAZAFARIN
 
* 
 
Abstract: 

Chronic renal failure in infants is a life-threatening condition that can also severely affect their families. Patients and their families are under great physical, mental and social pressure, and therefore require medical, palliative and supportive care. Moreover, ethics has an important role in care for these infants and their families. The purpose of this study was to identify an ethical approach to providing medical, supportive and palliative services for infants with chronic renal failure and their families. The study was based on a case report in the Medical Ethics Grand Rounds of the Children's Medical Center in Tehran, Iran. The case pertained to a male newborn infant with diagnosis of renal failure. Assessments indicated severe bilateral hydronephrosis and multicystic dysplastic kidneys accompanied by high creatinine levels. The patient underwent surgery but further evaluations revealed a low glomerular filtration rate accompanied by elevated blood pressure. The physicians suggested insertion of a catheter for CAPD (continuous ambulatory peritoneal dialysis) after the initial peritoneal dialysis until a kidney transplant was performed. The proposal, however, was rejected by the parents and the patient was discharged by their consent. A few weeks later, the infant expired at home. It seems that health professionals need effective ethical strategies to offer medical, supportive and palliative services for infants with chronic renal failure and their families.

 
Keyword(s): ETHICAL DECISION MAKING, SUPPORTIVE AND PALLIATIVE SERVICES, CHRONIC RENAL FAILURE, ABORTION
 
 
References: 
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APA: Copy

KADIVAR, M., & MADANI, M., & MARDANI HAMOOLEH, M., & GHASEMZADEH, N. (2016). AN ETHICAL APPROACH TO PROVIDING MEDICAL, SUPPORTIVE AND PALLIATIVE SERVICES FOR INFANTS WITH CHRONIC RENAL FAILURE AND THEIR FAMILIES. JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE, 8(5), 10-19. https://www.sid.ir/en/journal/ViewPaper.aspx?id=507822



Vancouver: Copy

KADIVAR MALIHEH, MADANI MANSOUREH, MARDANI HAMOOLEH MARJAN, GHASEMZADEH NAZAFARIN. AN ETHICAL APPROACH TO PROVIDING MEDICAL, SUPPORTIVE AND PALLIATIVE SERVICES FOR INFANTS WITH CHRONIC RENAL FAILURE AND THEIR FAMILIES. JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE. 2016 [cited 2021July31];8(5):10-19. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=507822



IEEE: Copy

KADIVAR, M., MADANI, M., MARDANI HAMOOLEH, M., GHASEMZADEH, N., 2016. AN ETHICAL APPROACH TO PROVIDING MEDICAL, SUPPORTIVE AND PALLIATIVE SERVICES FOR INFANTS WITH CHRONIC RENAL FAILURE AND THEIR FAMILIES. JOURNAL OF MEDICAL ETHICS AND HISTORY OF MEDICINE, [online] 8(5), pp.10-19. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=507822.



 
 
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