HCS 335 Week 5 Ethical Considerations in Neonatal Care

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To be a fruitful medical services laborer, it is important to know about every one of the regulations and guidelines that are forced for the medical services industry and explicitly for the specialists. It is essential to have a thorough understanding of the company’s policies. In today’s world of controversial individuals, the patients, the public, and the safety of other healthcare professionals must adhere to regulations and procedures while carrying out their responsibilities. The Neonatal Intensive Care Unit of the Child’s Specialty Clinic has a newborn with anencephaly. Anencephaly is an inherent brain tube imperfection where a part of the mind, skull, and scalp are absent. The only part of the brain that is present is the brain stem.

The newborn, who is known as the “Baby Bundle,” does not have a cerebrum, so the autonomic functions and reflex actions are supported by the brain stem. The frontal cortex separates us as people and empowers discourse, thinking and thinking, judgment, critical thinking, feelings, and learning. Baby Bundle is unable to think for herself, be aware of her surroundings, or hear or see. The Morals Board is investigating the dad’s choice to stop clinical treatment while the mother needs to proceed with the medicines. Baby Bundle, the parents, members of the Ethics Committee, the committee chair, ICU doctors, nurses, Nurse Practitioners, the Chief Medical Officer, and pediatric ICU doctors are the primary stakeholders in this instance. Child Pack is the focal point of this case. 

HCS 335 Week 5 Ethical Considerations in Neonatal Care

The concern is for the life and well-being of Baby Bundle. Child Pack and Family set up no high-level mandate to aid this issue. The parents were told by the doctors that the baby would have a terrible future and that treatment should end. This case is based on “Personal satisfaction.” A variety of objectively quantifiable life conditions can be considered the sum of the quality of life. That is, an individual’s satisfaction across a scope of spaces can be dependent on friendly connections, actual well-being, and individual conditions. ( 2019 Celestine). In the Child Groups case, his satisfaction is dependent on actual well-being conditions. In light of the specialist’s information for this situation, the child is for all time oblivious because he misses the mark on the frontal cortex, and instances of Anencephaly are consistently lethal.

Anyway, the Morals Board doesn’t pursue a definitive choice however can and will offer exhortation alongside the clinical group to the relatives. The ability to make medical decisions on behalf of a child typically falls to the child’s parents because young children are unable to make complex decisions for themselves. Definitive leaders for this situation are Child Packs guardians, which right now have two distinct choices on the consideration of the kid. However, the child’s best interests should guide parental decision-making, and decisions that are not in the child’s best interests should be challenged (Diekema, 2018). Because neither parent is on the same page, this case is slightly more challenging; The mother wants to continue treatment, but the father wants to stop all of it. When parental decisions are potentially harmful to the child’s health, imprudent, neglectful, or abusive, medical caregivers have an ethical and legal responsibility to advocate for the child’s best interests.

HCS 335 Week 5 Ethical Considerations in Neonatal Care

When parental decisions place the child at significant risk of serious harm, medical caretakers and others should challenge them. According to Diekema (2018), it may be necessary to seek the assistance of a state child protection agency or a court order when a satisfactory resolution cannot be achieved through respectful discussion and ethics consultation. Child Group’s privileges for this situation are to get the most ideal clinical consideration, to have his folks safeguard his inclinations, and to be liberated from any type of damage or abuse.

According to the Hedonic theory, an individual’s states of awareness, consciousness, or experience determine the quality of their life. Bliss or delight, but those terms are definitive to be characterized, are the sine qua non of personal satisfaction. Because different things make different people happy, this allows for a lot of individual variation in determining a person’s good quality of life. However, it also allows for some kind of common metric—at least on the negative side—because there are seemingly universal negative states of pain, suffering, or unhappiness that all (normal) people avoid. Philosophers who belong to this school of theorizing tend to emphasize the capacity of human beings to express and experience meaning in social relationships of intimacy, friendship, and cooperation, although this can be said to be a generalization. The capacity to think rationally and to plan a life that leads to self-realization and fulfillment; the capacity for self-reliance and independence. 

Furthermore, the human requirement for a fitting social and social climate that gives the different individual sorts of assets — material, representative, profound — is important to carry on with a formatively human existence and to meet both fundamental and optional necessities. ( (Jones, n.d.) Child Group’s case falls under the hypothesis of personal satisfaction. He was born with a chronic illness that made it impossible for him to live a full life. He is, for all time, oblivious, has no mental capacities or mindfulness, can’t see or hear, feels tormented, and is enduring while getting treatment. He will never enjoy a high standard of living. In light of the child’s personal satisfaction, the dad feels that halting treatment and making him agreeable as of now is the best choice.

HCS 335 Week 5 Ethical Considerations in Neonatal Care

The moral principles that apply to Baby Bundle’s situation are paternalism, beneficence, non-maleficence, justice, and beneficence. The advantage is the commitment of the guardians and clinical group to act to the greatest advantage of Child Pack. The duty to avoid harm is called non-maleficence. The obligation to treat Baby Bundle fairly and to ensure that any decisions made are justifiable is justice. The medical team and his parents must assume responsibility for his health and well-being out of paternalism.

My responsibility as the ethics committee’s health care manager is to advise the committee impartially and objectively. To help the committee make the right decision about the case. I assist the committee in arriving at a decision that is in Baby Bundle’s best interest by utilizing my knowledge of ethical theory and principles. In addition, I guarantee that Baby Bundle, the parents, and the medical team will be given the chance to express their opinions so that the committee can make an educated decision. Given that Baby Bundle’s parents disagree with the treatment, I would suggest that the committee consider a few options before making a decision. Consideration of Baby Bundle’s best interests, additional research into the potential outcomes of the future treatment, and a discussion with the parents to try to reach an agreement are all part of these steps. In addition, the healthcare manager should ensure that any decisions are made by the moral principles of beneficence, nonmaleficence, justice, and paternalism and that they are supported by evidence and logic.

References:

Celestine, N. (2019, August). 5 Quality of Life Questionnaires and Assessments.

https://positivepsychology.com/quality-of-life-questionnaires-assessments/

Diekema, MD, D. (2018). Parental Decision Making.

https://depts.washington.edu/bhdept/ethicsmedicine/bioethics-topics/detail/72

Jennings, B. (n.d.). Quality Of Life, Philosophical and Ethical Dimensions.

https://www.encyclopedia.com/education/encyclopedias-almanacs-transcripts-and-maps/quality-lifephilosophical-and-ethical-dimensions