疏忽照顧的父母有權撤除無辜重症病童之維生醫療嗎？

Are the parents who have neglected care can withdraw the life support equipment for innocent and seriously ill children?

10.6647/CN.201912_26(4).0010

蔡美容(Mei-Rong TSAI)；盧億容(Yi-Rong LU)

彰化護理

26卷4期（2019 / 12 / 01）

31 - 34

繁體中文

本文探討因被疏忽照顧的嬰兒引發嚴重缺氧性腦病變，須完全依賴維生醫療延長生命，家屬面臨接受積極救治、安寧療護或撤除維生設備困難抉擇。醫護人員之間對於疏忽照護的父母預撤除孩子的維生醫療是否合乎倫理及法律規範，出現不同意見，倫理兩難情境。

This study aims to explore the dilemmas caused by an infant with severe hypoxic encephalopathy due to negligence. This case is dependent on life-sustaining treatment, and the parents face difficult decision-making among aggressive treatment, palliative care or withdrawal of life supports. Ethical and legal issues regarding withdrawing life supports due to parental negligence are controversial among medical professionals.

1. Taylor, J.,Bradbury-Jones, C.(2015).Child maltreatment: every nurse's business.Nursing Standard,29(29),53-58.
2. World Children's Organization. (2018). Every child is our child. Retrieved from https://www.worldschildren.org/
3. 柯雅婷,楊美賞(2007)。重症加護病房病患之倫理抉擇。安寧療護雜誌，12(2)，198-206。
4. 張麗娟,黃美智(2009)。先天性畸形新生兒不施行心肺復甦術的倫理抉擇。護理雜誌，56(3)，99-104。
5. 蔡甫昌(2007).臨床倫理病案討論.台北:橘井.
6. 衛生福利部(2016).兒少虐待及疏忽醫事人員工作手冊.台北:衛生福利部.
7. 黎瑞萍,李淑靜,陳巧萍,王寧道,洪宗杰(2012)。慢性阻塞性肺病末期病人使用限期嘗試性治療的照護經驗。安寧療護雜誌，17(2)，210-221。