Abstract

GAMBOA BERNAL, Gilberto A.. BIOÉTICA Y ATENCIÓN PEDIÁTRICA. pers.bioét. [online]. 2006, vol.10, n.2, pp.108-120. ISSN 0123-3122.

The true dichotomy between ethical problems and ethic aspects of pediatric practice lies on reductionism, which implies adopting dilemma as a problem prototype in medical practice. It is shown how common sense and good intentions are not only insufficient but also real problem generators. In contrast, weighed and careful reflection based on the purpose of the medical action allows us to make some decisions that are much better adjusted to the patients' personal realities, to their dignity, and materialize in ethical action standards. Reflection on the ethical aspects of pediatric care focuses on three fields: primary care, pediatric surgery, and intensive care units (ICUs). In the first field, concepts such as the doctor-patient relationship, as well as sanitary care, decision-making, and the organization of pediatric assistance centers are reviewed. The second field is used to introduce a commentary making a distinction between two versions of Bioethics, i.e., the so-called principleism, and personalism. Finally, when referring to the ICUs, some outlines are offered, intended to provide an answer to major concerns arising from these specialized care units.

Keywords : Pediatrics; dilemma; ethical; primary care; pediatric surgery; ICU; principleism; personalism.

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