Document Detail

Physician counseling, informed consent and parental decision making for infants with hypoplastic left-heart syndrome.
MedLine Citation:
PMID:  22678145     Owner:  NLM     Status:  Publisher    
Until the development in 1980 by William Norwood of a staged palliative surgical procedure for hypoplastic left heart syndrome (HPLHS), there was no treatment for that condition. With medical developments in the 1980s, parents had the option of the Norwood procedure, transplantation or comfort care for a child born with HPLHS. With an improvement in the survival rate for the Norwood procedure from an initial 30% to now better than 80%, some physicians believe that comfort care should no longer be an option. If, however, medically sophisticated parents, who know the neurological and motor skills impairments that accompany HPLHS, object to the surgery, they are allowed to opt for comfort care. This two-pronged approach to medical treatment seems to violate the norms on equity and fairness in the care of the patient. Parents need to be informed about long-term neurological and motor skill development as well as survival rates to give informed consent.Journal of Perinatology advance online publication, 7 June 2012; doi:10.1038/jp.2012.72.
J J Paris; M P Moore; M D Schreiber
Related Documents :
22732285 - Sustained effectiveness of a primary-team-based rapid response system.
6887825 - The development of monitoring techniques in mobile coronary care.
22510055 - Dentists' attitude to provision of care for people with learning disabilities in udaipu...
1392455 - Measuring patient anxiety in coronary care. part 1.
20123185 - 2020 vision for a high-quality, high-value maternity care system.
10873255 - Promoting innovative nursing practice during radical health system change.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-07
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  -     ISSN:  1476-5543     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1] S.J. Walsh Professor of Bioethics, Boston College, Chestnut Hill, MA, USA [2] Visiting Professor, Center for Clinical Ethics, Stanford University School of Medicine, Stanford, CA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Identifying mothers of very preterm infants at-risk for postpartum depression and anxiety before dis...
Next Document:  Total hip replacement rate in a cohort of patients affected by symptomatic hip osteoarthritis follow...