Free Delivery Over $100
|
|
|||
|
||||
OverviewNeonatal intensive care has been one of the most morally controversial areas of medicine during the past thirty years. This study examines the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. The authors assert that a dramatic shift in societal attitudes toward newborns and their medical care was a stimulus for and then a result of developments in the medical care of newborns. They divide their analysis into three eras of neonatal intensive care. The first, characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982, established neonatal care as a legitimate specialty of medical care, separate from the rest of pediatrics and medicine. During this era, legal scholars and moral philosophers debated the relative importance of parental autonomy, clinical prognosis, and children's rights. The second era, beginning with the Baby Doe case (a legal battle that spurred legislation mandating that infants with debilitating birth defects be treated unless the attending physician deems efforts to prolong life ""futile""), stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of ""futility"" and of ""inhumane"" treatment. In the third era, a consistent set of decision-making criteria and policies was established. These policies were the result of the synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal care. Tracing the field's recent history, notable advances, and considerable challenges yet to be faced, the authors present neonatal bioethics as a paradigm of complex conversation among physicians, philosophers, policy makers, judges, and legislators which has led to responsible societal oversight of a controversial medical innovation. Full Product DetailsAuthor: John D. Lantos, MD (Director of Pediatric Bioethics, Professor of Pediatrics, Children's Mercy Hospital) , William L. Meadow, MD PhD (Professor, University of Chicago)Publisher: Johns Hopkins University Press Imprint: Johns Hopkins University Press Dimensions: Width: 15.20cm , Height: 1.90cm , Length: 22.90cm Weight: 0.408kg ISBN: 9780801883446ISBN 10: 080188344 Pages: 192 Publication Date: 11 August 2006 Recommended Age: From 17 Audience: Professional and scholarly , Professional and scholarly , Professional & Vocational , Postgraduate, Research & Scholarly Format: Hardback Publisher's Status: Active Availability: In Print  This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us. Table of ContentsAcknowledgments 1. Overview and Introduction 2. Some Facts about Infant Mortality and Neonatal Care 3. The Era of Innovation and Individualism, 1965–1982 4. The Era of Exposed Ignorance, 1982–1992 5. The End of Medical Progress, 1992 to the Present 6. Economics of the NICU 7. Four Discarded Moral Choices 8. The Possibility of Moral Progress Notes IndexReviews<p>An engaging history and philosophical analysis... A clearly written reflection that has broad implications and insights for all of medicine.--Jon F. Watchko JAMA (01/01/0001) With neonatology as a case study, they take us well beyond the confines of this new field to examine broader issues in medical innovation... Insightful and thought provoking. -- John W. Sparks, M.D. New England Journal of Medicine 2007 An engaging history and philosophical analysis... A clearly written reflection that has broad implications and insights for all of medicine. -- Jon F. Watchko JAMA 2006 Recounting the concise history of modern neonatology and the evolution of its attendant ethical questions, John Lantos-a recognized ethicist and pediatrician-and William Meadow-an experienced neonatologist-give us a lens through which many in neonatology may engage in a self-examination of their own history, practice, and specialty. But more than a historical recounting, this book brings the reader to an awareness of the integral relationships between applied science and medical innovation, clinical advances in patient care, social values, public policy, economics and clinical ethics. -- B. Carter Journal of Perinatology 2007 There are not too many bioethical books that successfully unite philosophical competence in ethical judgment with seasoned medical expertise. This... is one of them. -- Claus Dierksmeier Metapsychology 2007 Recommended. Choice 2006 An excellent addition to the growing body of literature in health care ethics... While health care professionals within neonatal medicine will find the book most useful, it has relevance for a much wider audience, including other health care professionals, medical and nursing students and ethicists. Health Progress 2009 Recounting the concise history of modern neonatology and the evolution of its attendant ethical questions, John Lantos -- a recognized ethicist and pediatrician -- and William Meadow -- an experienced neonatologist -- give us a lens through which many in neonatology may engage in a self-examination of their own history, practice, and specialty. But more than a historical recounting, this book brings the reader to an awareness of the integral relationships between applied science and medical innovation, clinical advances in patient care, social values, public policy, economics and clinical ethics. -- B. Carter, Journal of Perinatology Author InformationJohn D. Lantos, M.D., is a professor of pediatrics at the University of Chicago and holds the John B. Francis Chair in Bioethics at the Center for Practical Bioethics in Kansas City. He is the author of The Lazarus Case: Life-and-Death Issues in Neonatal Intensive Care (Johns Hopkins University Press, 2001). William L. Meadow, M.D., Ph.D., is a board-certified neonatologist with twenty-five years of experience in neonatal intensive care and a professor of pediatrics and medicine and co-chief of neonatology at the University of Chicago. Tab Content 6Author Website:Countries AvailableAll regions |
||||
