Volume 8, Number 5 (2-2016)                   ijme 2016, 8(5): 10-19 | Back to browse issues page


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Kadivar M, Madani M, Mardani Hamooleh M, Ghasemzadeh N. An ethical approach to providing medical, supportive and palliative services for infants with chronic renal failure and their families. ijme. 2016; 8 (5) :10-19
URL: http://ijme.tums.ac.ir/article-1-5581-en.html

1- Professor Division of Neonatology, Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran;
2- PhD Candidate in Medical Ethics, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran;
3- Assistant Professor Department of Psychiatric Nursing, Iran University of Medical Sciences, Tehran, Iran , mardanimarjan@gmail.com
4- PhD Candidate in Medical Ethics Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, and Department of Mdical Ethics, Faculty of Medicine Urmieh University of Medical Sciences, Urmieh, Iran
Abstract:   (2887 Views)

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

Full-Text [PDF 298 kb]   (776 Downloads)    
Type of Study: case report | Subject: اخلاق پزشکی
Received: 2015/08/9 | Accepted: 2015/12/30 | Published: 2016/02/9

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