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When parents refuse a septic workup for a newborn.

机译:当父母拒绝对新生儿进行化脓性检查时。

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摘要

Sometimes, parents refuse medical intervention for philosophical reasons. Pediatricians have an obligation to protect children from medical neglect on the part of their parents. Often, it is not clear where exactly to draw the line between parental rights and the best interest of the child. The law is clear, however. If the doctor suspects medical neglect, he or she has an obligation to notify child protective services (CPS). CPS, and eventually a judge, will then determine if the parental behavior is or is not legally acceptable. For doctors, however, there is often a trade-off between protecting the child and preserving a therapeutic alliance with the parents. We present here a case of a newborn at risk for sepsis whose parents do not want standard medical evaluation and treatment. Two general pediatricians, Elizabeth Simpson, MD, director of the general care nursery at Truman Medical Center, and Margaret Moon, MD, MPH, a bioethicist and pediatrician at Johns Hopkins School of Medicine, offer their responses to the case.
机译:有时,父母出于哲学原因拒绝医疗干预。儿科医生有义务保护儿童免受父母的医疗疏忽。通常,不清楚在父母权利与孩子的最大利益之间划清界限的确切位置。但是,法律很明确。如果医生怀疑有医疗疏忽,则有义务通知儿童保护服务(CPS)。然后,CPS和最终的法官将确定父母的行为是否合法。但是,对于医生而言,在保护孩子和与父母保持治疗联盟之间通常要权衡取舍。我们在这里介绍一例有败血症风险的新生儿,其父母不希望接受标准的医学评估和治疗。两名普通儿科医生,杜鲁门医学中心普通护理托儿所主任医学博士伊丽莎白·辛普森,以及约翰·霍普金斯医学院的生物伦理学家和儿科医生玛格丽特·蒙德医学博士,对此案做出了回应。

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