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BRAIN and NERVE-神経研究の進歩72巻7号

2020年07月発行

増大特集 神経倫理ハンドブック

小児神経疾患の倫理的課題とアプローチ

著者: 笹月桃子12

所属機関: 1西南女学院大学保健福祉学部 2九州大学病院小児科

ページ範囲:P.785 - P.796

文献概要

重篤な小児神経疾患の患者の絶対数は少ないが,その種類は多岐にわたる。たどる経過の個別性は高く,予後予測も難しい。多くの子どもたちは重度の障害を抱えつつ,そのいのちは高度医療に依存している。いのちに関わる判断に臨む両親と医療者は,共に考えを尽くし,その先に子どもの最善を見出す。この過程で重要となる倫理的課題について,医学的事実の把握・協働意思決定・倫理と緩和ケア・障害と社会,の4つの側面から考察する。

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