By Jessica Mesman
The Neonatal in depth Care Unit is a site where hi-tech medication and weak humans come into shut touch. targeting a few clinical and moral demanding situations encountered by means of employees and oldsters, this e-book presents a brand new standpoint at the complexity of those remedies and the inventiveness of these concerned.
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Extra resources for Uncertainty in Medical Innovation: Experienced Pioneers in Neonatal Care
What, for instance, is the actual condition of the foetus’ heart? Will the child be able to survive at all? How serious is the immaturity* of the child? Prognosis, diagnosis, and the treatment policy are constituted in one and the same process. In the end the staff members and parents deﬁne the speciﬁc situation in their own way and from their vantage point. To gain more insight into the various options they interact: they share their knowledge, experience, views and feelings with each other. The physicians notice both foetal and neonatal distress, which makes them hesitate on how to go about best treating the toxaemia.
For those in the NICU, however, each journey is a new one by deﬁnition, which is why this practice continues to be a pioneering effort. But ﬁrst things ﬁrst: for NICU staff members, the beginning of a new trajectory frequently precedes a child’s birth. How, at the start of the journey do they determine the speciﬁc options and chances for treatment? 2 Newly Born and Indeterminate Academic Medical Center Sunday, in the delivery room, a woman who has been pregnant for six months of her ﬁrst child suffers from a toxaemia of pregnancy*, a condition that is dangerous for both mother and child.
In this chapter I will provide a description and analysis of the ways in which the involved staff members and parents address these moral dilemmas and arrive at their decisions. By closely following speciﬁc decision-making processes it becomes possible to shed more light on the speciﬁc styles of ordering of activities, motives and forms of reasoning employed in these difﬁcult situations. The ﬁrst section concentrates on the decision-making process in the delivery room. To come to a shared decision, I will argue, does not require a shared set of reasons and motives.