SUPPORTING FAMILIES WHEN TREATMENT IS WITHDRAWN FROM NEONATES

PARENTAL VIEWS ON THE ROLE OF THE CHAPLAIN

Authors

  • Hazel E. McHaffie University of Edinburgh

DOI:

https://doi.org/10.1558/hscc.v3i2.2

Keywords:

Neonatal care, withdrawal of treatment, decision making, support, chaplaincy, qualitative research

Abstract

Recent in-depth interviews with 108 parents for whose babies there was discussion about treatment withholding/withdrawal, have revealed that whilst the decision itself is seen to be in the medical domain, chaplains can provide valuable support and confirmation. Their reassurance about the morality of what is being done and about the trustworthiness of the medical team is appreciated. They can help parents to gain a sense of control, and offer comfort and ongoing recognition of their loss and grief. Where he has known the child and shared the distress of the parents, the chaplain has a strong advantage when it comes to tailoring the christening/blessing and burial/cremation services to suit the family’s beliefs and preferences. A powerful source of solace which influences parents’ thinking about treatment withdrawal derives from a belief in an afterlife and/or a divine plan. However, many parents are grateful when chaplains avoid references to God.

Author Biography

  • Hazel E. McHaffie, University of Edinburgh

    Hazel McHaffie is Research Fellow in the Department of Medicine, University of Edinburgh, and Deputy Director of Research in the Institute of Medical Ethics.

References

ANSPACH RR. 1993. Deciding Who Lives: Fateful Choices in the Intensive Care Nursery. University of California Press, Berkeley

BRITISH MEDICAL ASSOCIATION. 1999. Withholding and Withdrawing Life-Prolonging Medical Treatment. BMJ, London.

CAMPBELL AGM, MCHAFFIE HE. 1995. Prolonging life and allowing death: Infants. Journal of Medical Ethics 21: 339-344

DYER C. 1997. Scottish inquiry vindicates decision not to resuscitate baby. British Medical Journal 315, 7099: 9

GUILLEMIN JH, HOLMSTROM LL. 1986. Mixed Blessings: Intensive Care for New-borns. Oxford University Press, New York

GUSTAITIS R, YOUNG EWD. 1986. A Time to be Born, A Time to Die. Addison Wesley, Massachusetts

LANTOS JD, MILES SH, CASSEL CK. 1989. The Linares affair. Law, Medicine and Health Care 17, 4: 308-315

MCHAFFIE HE, FOWLIE PW. 1996. Life, Death and Decisions: Doctors and Nurses Reflect on Neonatal Practice. Hochland and Hochland, Cheshire

MCHAFFIE HE. Crucial Decisions at the Beginning of Life: Parents’ Experiences of Treatment Withdrawal. From Infants. Radcliffe Medical Press, Oxford. In press.

PARIS JJ, SCHREIBER MD. 1996. Parental discretion in refusal of treatment for new-borns. A real but limited right. Clinics in Perinatology 23, 3: 573-581

PHILLIPS DF. 1993. Pastoral Care: Finding a niche in ethical decision making. Cambridge Quarterly of Healthcare Ethics 2: 99-106

ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH. 1997. Withholding and Withdrawing Life Saving Treatment in Children: A Framework for Practice.

RCPCH, London RUE VM. 1985. Death by design of handicapped new-borns: the family’s role and response. Issues in Law and Medicine 1, 3: 201-225

STINSON R, STINSON P. 1983. The Long Dying of Baby Andrew (Second Printing) Little Brown and Co, New York

Published

2013-06-11

How to Cite

McHaffie, H. (2013). SUPPORTING FAMILIES WHEN TREATMENT IS WITHDRAWN FROM NEONATES: PARENTAL VIEWS ON THE ROLE OF THE CHAPLAIN. Health and Social Care Chaplaincy, 3(2), 2-7. https://doi.org/10.1558/hscc.v3i2.2

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>