dc.contributor.author | Syltern, Janicke | |
dc.contributor.author | Ursin, Lars Øystein | |
dc.contributor.author | Solberg, Berge | |
dc.contributor.author | Støen, Ragnhild | |
dc.date.accessioned | 2021-10-26T08:28:57Z | |
dc.date.available | 2021-10-26T08:28:57Z | |
dc.date.created | 2021-05-28T09:15:18Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 1526-5161 | |
dc.identifier.uri | https://hdl.handle.net/11250/2825568 | |
dc.description.abstract | Advances in neonatology have led to improved survival for periviable infants. Immaturity still carries a high risk of short- and long-term harms, and uncertainty turns provision of life support into an ethical dilemma. Shared decision-making with parents has gained ground. However, the need to start immediate life support and the ensuing difficulty of withdrawing treatment stands in tension with the possibility of a fair decision-making process. Both the parental “instinct of saving” and “withdrawal resistance” involved can preclude shared decision-making. To help health care personnel and empower parents, we propose a novel approach labeled “postponed withholding.” In the absence of a prenatal advance directive, life support is started at birth, followed by planned redirection to palliative care after one week, unless parents, after a thorough counseling process, actively ask for continued life support. Despite the emotional challenges, this approach can facilitate ethically balanced decision-making processes in the gray zone. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Taylor & Francis | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Postponed Withholding: Balanced Decision-Making at the Margins of Viability | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.journal | American Journal of Bioethics | en_US |
dc.identifier.doi | 10.1080/15265161.2021.1925777 | |
dc.identifier.cristin | 1912417 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |