Limitation and cessation of treatment in paediatrics: Ethical clarification of the legal framework

被引:1
作者
Bourdaire-Mignot, Camille [1 ]
Gruendler, Tatiana [1 ]
机构
[1] Univ Paris Nanterre, 200 Ave Republ, F-92000 Nanterre, France
来源
MEDECINE PALLIATIVE | 2024年 / 23卷 / 01期
关键词
Minor; Limitation and cessation of treatment; Unreasonable obstinacy; Sedation; Trusted person; Advance directives; Parents; Will;
D O I
10.1016/j.medpal.2023.06.010
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The legal framework for decisions to limit and stop processing is built around the will of the person. In these conditions, for the minor, things are necessarily complex since he is generally represented by his parents for the decisions which concern him and since, moreover, below a certain age it is impossible to gauge his will on these end-of-life issues. Faced with this complexity, the legislator has not established any specific regime applicable to minors. The result is a certain vagueness or even an unthought that question the place of each in the decision to limit and stop processing. In the state of the law as interpreted by the judge, the decision does not depend on the will of the parents but it cannot be implemented without their consent, which can be justified on an ethical level. As for the child of age to decide, he is excluded from certain devices whose purpose is to collect the will and whose use could however be justified from an ethical point of view. (c) 2023 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:42 / 48
页数:7
相关论文
共 9 条
  • [1] [Anonymous], 2020, Comment mettre en oeuvre une sedation profonde et continue maintenue jusqu'au deces?
  • [2] Bourdaire-Mignot C, 2021, Droit Sante Soc, P66
  • [3] Bourdaire-Mignot C., 2017, Rev Droit Homme Actualites Droits-Libertes, V3050
  • [4] Falorni O, 2023, RAPPORT DINFORMATION
  • [5] Giabicani M., 2022, ACTES CONGRES SFAR
  • [6] Marais A, 2018, Dalloz Actualite
  • [7] Marais A, 2022, Sem Jurid (JCP G), V46, P2078
  • [8] Thouvenin D, 2017, Rev Droit Sanit Soc, P698
  • [9] Vigneau D, 2023, Dalloz Actualite