Child abuse, incarceration, and decisions about lifesustaining treatment

Paul C Mann, Elliott Mark Weiss, Rebecca R. Seltzer, Rachel A.B. Dodge, Renee D. Boss, John D. Lantos

Research output: Contribution to journalArticle

Abstract

Most critical care interventions for children occur in the framework of a supportive environment with loving parents that are present at the bedside to help to guide medical interventions through shared decision-making. What happens, however, if the parents are precluded from being at the bedside because of legal entanglements? How should clinical decisions progress in those cases? In this Ethics Rounds, we present the case of an infant with severe hypoxic-ischemic encephalopathy at birth whose mother was incarcerated shortly after delivery. We explore clinical and legal challenges that the medical team faces in determining best interests for the infant in this context and difficulties in deciding what therapies to provide and for how long.

Original languageEnglish (US)
Article numbere20180430
JournalPediatrics
Volume142
Issue number6
DOIs
StatePublished - Dec 1 2018

Fingerprint

Child Abuse
Parents
Brain Hypoxia-Ischemia
Critical Care
Ethics
Decision Making
Mothers
Parturition
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Mann, P. C., Weiss, E. M., Seltzer, R. R., Dodge, R. A. B., Boss, R. D., & Lantos, J. D. (2018). Child abuse, incarceration, and decisions about lifesustaining treatment. Pediatrics, 142(6), [e20180430]. https://doi.org/10.1542/peds.2018-0430

Child abuse, incarceration, and decisions about lifesustaining treatment. / Mann, Paul C; Weiss, Elliott Mark; Seltzer, Rebecca R.; Dodge, Rachel A.B.; Boss, Renee D.; Lantos, John D.

In: Pediatrics, Vol. 142, No. 6, e20180430, 01.12.2018.

Research output: Contribution to journalArticle

Mann, PC, Weiss, EM, Seltzer, RR, Dodge, RAB, Boss, RD & Lantos, JD 2018, 'Child abuse, incarceration, and decisions about lifesustaining treatment', Pediatrics, vol. 142, no. 6, e20180430. https://doi.org/10.1542/peds.2018-0430
Mann PC, Weiss EM, Seltzer RR, Dodge RAB, Boss RD, Lantos JD. Child abuse, incarceration, and decisions about lifesustaining treatment. Pediatrics. 2018 Dec 1;142(6). e20180430. https://doi.org/10.1542/peds.2018-0430
Mann, Paul C ; Weiss, Elliott Mark ; Seltzer, Rebecca R. ; Dodge, Rachel A.B. ; Boss, Renee D. ; Lantos, John D. / Child abuse, incarceration, and decisions about lifesustaining treatment. In: Pediatrics. 2018 ; Vol. 142, No. 6.
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