Death or Disability?: The Carmentis Machine and decision-making for critically ill children

Hardcover | January 28, 2013

byDominic Wilkinson

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In ancient Rome parents would consult the priestess Carmentis shortly after birth to obtain prophecies of the future of their newborn infant. Today, parents and doctors of critically ill children consult a different oracle. Neuroimaging provides a vision of the child's future, particularly ofthe nature and severity of any disability. Based on the results of brain scans and other tests doctors and parents face heart-breaking decisions about whether or not to continue intensive treatment or to allow the child to die. Paediatrician and ethicist Dominic Wilkinson looks at the profound and contentious ethical issues facing those who work in intensive care caring for critically ill children and infants. When should infants or children be allowed to die? How accurate are predictions of future quality of life? Howmuch say should parents have in these decisions? How should they deal with uncertainty about the future? He combines philosophy, medicine and science to shed light on current and future dilemmas.

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In ancient Rome parents would consult the priestess Carmentis shortly after birth to obtain prophecies of the future of their newborn infant. Today, parents and doctors of critically ill children consult a different oracle. Neuroimaging provides a vision of the child's future, particularly ofthe nature and severity of any disability. B...

Dominic Wilkinson is Associate Professor of Neonatal Medicine and Bioethics at the University of Adelaide, and a senior research associate of the Oxford Uehiro Centre for Practical Ethics. He has worked as a doctor in neonatal, paediatric and adult intensive care, and is currently consultant neonatologist at the Women's and Children's ...
Format:HardcoverDimensions:256 pages, 9.21 × 6.14 × 0.1 inPublished:January 28, 2013Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199669430

ISBN - 13:9780199669431

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Table of Contents

Prologue 1: The temple of Carmentis 30ADPrologue 2: The Carmentis Machine: 2030 ADIntroduction: Neuroethics and intensive careSection A1. Destiny, disability, and death2. Best interests and the Carmentis machine3. Starting again4. Competing interestsSection B5. Sources of Uncertainty--prognostic research6. Managing uncertainty7. Interests and uncertainty8. The Threshold frameworkIndex