Pediatr. praxi. 2014;15(6):377-378

Futile Treatment in context of decision in pediatrics

MUDr.Jaromír Matějek, Ph.D., Th.D.
Ústav etiky 3. lékařské fakulty Univerzity Karlovy v Praze

This article is a reflection on a term of the futile treatment and its context in pediatrics. It wants to introduce the basic content diferentiations

and very basically sketch the possiblities of the resolutions of confict related to different ideas of the persons involved.

Keywords: futile treatment, pediatrics, consultation in clinical ethics

Published: December 16, 2014  Show citation

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Matějek J. Futile Treatment in context of decision in pediatrics. Pediatr. praxi. 2014;15(6):377-378.
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    References

    1. Doporučení představenstva ČLK č. 1/2010 [online]. [cit. 2014-09-24]. Dostupné z WWW: <http://www.lkcr.cz/doc/cms_library/dop-1-2010-31.pdf>.
    2. American Medical Association, Opinion E-2.035 Futile Care [online]. [cit. 2014-09-24]. Dostupné z WWW: http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/about-ethics-group/ethics-resource-center/end-of-life-care/ama-policy-end-of-life-care.page?,,Physicians are not ethically obligated to deliver care that, in their best professional judgment, will not have a reasonable chance of benefiting their patients."
    3. American Medical Association, Opinion E-2.037 Medical Futility in End-of-Life Care[online]. [cit. 2014-09-24]. Dostupné z WWW: < http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/about-ethics-group/ethics-resource-center/end-of-life-care/ama-policy-end-of-life-care.page?>, ,When further intervention to prolong the life of a patient becomes futile, physicians have an obligation to shift the intent of care toward comfort and closure."
    4. Sláma O. Lze objektivně vymezit, která léčba je u nevyléčitelně nemocného pacienta, ,marná"? Několik poznámek z perspektivy onkologické paliativní péče. In: Černý D a kol. Smrt a umírání. Etické, právní a medicínské otazníky na konci života. Praha: Ústav státu a práva AV ČR 2013: 217.
    5. Zákon č. 372/2011 Sb., o zdravotních službách a podmínkách jejich poskytování [online]. [cit. 2014-09-24]. Dostupné z WWW: <http://portal.gov.cz/app/zakony/zakonPar.jsp?page=0&idBiblio=75500&recShow=34&nr=372~2F2011&rpp=50#parCnt>.
    6. Srov. § 35 zákona č 372/2011 Sb., ,[...] nezletilému pacientovi lze zamýšlené zdravotní služby poskytnout na základě jeho souhlasu, jestliže je provedení takového úkonu přiměřené jeho rozumové a volní vyspělosti odpovídající jeho věku."
    7. Srov. Rada Evropy, Úmluva na ochranu lidských práv a důstojnosti lidské bytosti v souvislosti s aplikací biologie a medicíny [online]. [cit. 2014-09-27]. Dostupné z WWW: <http://www.lkcr.cz/doc/cms_library/96-2001-umluva-o-lid-pravech-a-biomedicine-100419.pdf>., ,Názor nezletilé osoby bude zohledněn jako faktor, jehož závaznost narůstá úměrně s věkem a stupněm vyspělosti."
    8. Jonsen A, Siegler M, Winslade W. Clinical Ethics. A Practical Approach to Ethical Decisions in Clinical Medicine. New York: McGraw-Hill Medical 2010: Kapitola Medical Indications, nestránkovaný dokument. (Dále Jonsen, Siegler, Winslade).
    9. Jonsen, Siegler, Winslade. Kapitola Medical indications, nestránkovaný dokument.
    10. Lo B. Futile interventions. In: Lo B a kol. Resolving Ethical Dilemmas. A Guide for Physicians.. Philadelphia, Lippincott Williams & Wilkins 2009: 71 s.
    11. Fost N. Futility, In: Diekema D, a kol. Clinical Ethics in Pediatrics. A Case-Based Textbook. Cambridge: Cambridge University Press 2011: 108 s. Go to original source...
    12. American Medical Association, Opinion E-2.037 Medical Futility in End-of-Life Care [online]. [cit. 2014-09-24]. Dostupné z WWW: < http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/about-ethics-group/ethics-resource-center/end-of-life-care/ama-policy-end-of-life-care.page?>.
    13. Srov. tamtéž.
    14. Zákon č. 89/2012 Sb., občanský zákoník, § 101 [online]. [cit, 2014-0927]. Dostupné z WWW: <http://www.zakonyprolidi.cz/cs/2012-89#cast1>.

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