Week 11 reproductive rights Flashcards
What is futile treatment?
type of care which does not fulfill the intended goalsand includes: A treatment which does not provide a reasonable chance of survival
What is Quantitative futility?
when the proposed intervention is highly unlikely to achieve the desired effect
What is qualitative futility?
when the proposed intervention, if successful, will probably produce such a poor outcome that it is deemed best not to attempt it
What is “right to an open future?”
states that parents should guarantee or at least not deliberately constrain the future autonomy and self-realization of their children
-procreation is an example of a right that a child will exercise when they are able
When can people decide to stop their own life saving treatments?
Whenever they wish so long as they are able to give consent
What does it mean to withhold treatment?
- not accept or perform life saving/medical intervention treatment if that’s not what they consent to
- you still offer care - palliative or end of life
-eg) if a baby is born very premature and not breathing it is reasonable to not perform life saving respiratory interventions like intubation - not placing a feeding tube in an infant without a suck reflex
What does it mean to withdraw treatment?
to stop medical intervention that would not have needed to be given in the first place
- ventilation
- TPN
- death is identified as the underlying condition not the withdrawl of that treatment
-eg) neonate with severe birth injury - parents remove ventilator support and allow the child to die peacefully
how many weeks is generally considered to be the limit of extrauterine viability?
23-24 weeks
What 4 things does decision making consider regarding interventions for premature infants?
informed consent- parents
autonomy
best interests
quality of life
What are the three elements of informed consent?
capacity
voluntary
understanding
What principle is best interests embedded in?
consequence based because they have to weight the pros and cons
