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

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KADIVAR MALIHEH; MADANI MANSOUREH; MARDANI HAMOOLEH MARJAN; GHASEMZADEH NAZAFARIN

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Journal: Iranian Journal of Medical Ethics and History of Medicine Year:2016 | Volume:8 | Issue:5 Page(s): 10-19

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Title

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 | Issue Writer Certificate

Keywords

ETHICAL DECISION MAKINGQ3

SUPPORTIVE AND PALLIATIVE SERVICESQ2

CHRONIC RENAL FAILUREQ2

ABORTIONQ3

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.

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APA: Copy

KADIVAR, MALIHEH, MADANI, MANSOUREH, MARDANI HAMOOLEH, MARJAN, & GHASEMZADEH, NAZAFARIN. (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. SID. https://sid.ir/paper/135449/en

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[Internet]. 2016;8(5):10-19. Available from: https://sid.ir/paper/135449/en

IEEE: Copy

MALIHEH KADIVAR, MANSOUREH MADANI, MARJAN MARDANI HAMOOLEH, and NAZAFARIN GHASEMZADEH, “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, vol. 8, no. 5, pp. 10–19, 2016, [Online]. Available: https://sid.ir/paper/135449/en

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