Mechanical Ventilation of the Newborn: The therapeutic Interventions and Influences on the Life Process of the Neonate, a Discussion on Human Development
Mechanical Ventilation of the Newborn: The therapeutic Interventions and Influences on the Life Process of the Neonate, a Discussion on Human Development
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2014-09-26
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Iinuma, Gen
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Human Resources
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University of Hawaii at Manoa
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Karen Ann Quinlan is an example of the awesome determining influence that legal, medical and religious institutions have on the course of life and death of a human being. Tremendous advancements in medical technology have brought about a need to raise many questions about institutional intervention, whether by government, religion or medicine into the rights and freedoms of the individual. Now that we can, through technological processing sustain a human life artificially or by other "extraordinary" means, the act of dying must be carefully examined in order to clarify: (1) the need for such sustaining actions; (2) the potentials and limits of these actions; (3) the protocol ensuring utilization of available technology; (4) the ethical considerations in the implementation of these kinds of processes; and (5) the respect and dignity with which each individual is vested. In this presentation, an attempt is made to explore from a human development prospective (see Appendix A) the course of growth and development affecting neonates (the first 28 days of life) who are less than 28 in gestational age and less than 1500 grams in weight, and who require mechanical (assisted) ventilation and oxygen therapy at birth. It has been postulated that 28 weeks gestation is the minimum time for the physiological maturity of the lungs which is the anatomical structure responsible for respiration and whose development is a primary determiner if viability.
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iii, 77 pages
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