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Master Thesis

Choisir pour le nouveau-né : réflexions autour de la décision de limitation thérapeutique en néonatologie

Abstract : Context: the search for a decision-making model in neonatology reveals a need to think outside of the traditional paternalistic and autonomist decision making models. Parental level of implication in decision making is a question left to solve. Objective: deconstruction of the decision-making process in neonatology, in order to understand the issues raised, and know the experts recommandations. Methods: retrospective bibliographic survey of a corpus of laws, judgments and ethical comities review about the subject of decision-making process of redirection of care in neonatology. Results: thinking about decision making in neonatology raises questions about what we want to decide and how should we decide it. The corpus demands a reflexion about the deep meaning of our care practice, to define what is reasonable. A dialectic is needed, between medical arguments and non-medicals arguments, between what parents’ value and what the caregiver’s value. Before deciding, it is necessary to define with parents what is the child’s best interest. Responsibility of the decision remains exclusively medical. Conclusion: the design of the decision-making process justifies the substance of the decision. This process is one of a deliberation with parents, before deciding. These results raise issues about how should we conduct a discussion with parents about that particular matter.
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Master Thesis
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Submitted on : Tuesday, February 11, 2020 - 3:25:00 PM
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  • HAL Id : dumas-02362197, version 1


Noémie Capucine Lefevre. Choisir pour le nouveau-né : réflexions autour de la décision de limitation thérapeutique en néonatologie. Ethique. 2019. ⟨dumas-02362197⟩



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