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Pediatric ICU Blog


Challenging the Limits

This past weekend, one of my coworkers and I were discussing the difficulties that are faced in the NICU in regard to medical ethics.  We have chosen to work in a field where we witness miracles on a daily basis, but we also see the sad side of life & death in the NICU.  With modern advances in medicine and science, we have seen more and more babies saved than ever before.  But with this, we are also seeing a much younger (gestational age) and sicker population.  This creates a difficult situation for health care providers and for families.  

Where are the lines between viability and non-viability?  How does one make such a decision?  When has medicine gone too far?  When does it not go far enough?

These are deep discussion topics, I know, but as NICU staff and parents...they are a reality.  I started reading a book on the topic this week and found this quote interesting:  "The babies in the NICU make a claim on our humanity but also challenge the limits of it."*  I'm anxious to finish the book...I'll let you know how it goes.

Have you ever thought about these questions or others like them?

Share your thoughts with us or shoot me an email.

Julie Hudson, MSN, RN
NCBH NICU


*Lantos, John D. (2001).  The Lazarus Case: life-and-death issues in neonatal intensive care.  Baltimore, MD: The Johns Hopkins University Press, p. 28



Time to get up for school!

For most of San Antonio and the surrounding area, school started this week!  For many of our NICU parents, this is a very busy time of year.....trying to keep pumping, visiting the baby in the NICU, and getting the older kiddos off to school and back home again.  We understand and we will do our best to help.....talk to your baby's nurses about touch-times and feedings.  Maybe you need to come visit earlier in the day or change a breastfeeding time to later in the evening....talk to us about it.

For those of you needing a little encouragement, I read this sweet article today: 
http://www.stltoday.com/news/local/illinois/6201446c-00a5-5203-be4a-aa5637ddf598.html  It's the story of a 22 week boy who went to kindergarten this year.....on time and without any significant developmental issues!  Miracles do happen in the NICU!

Share your "back to school" stories and tips with us!  Just click on my name below to send me an email or leave us all a note in the "Comments" section.

Julie Hudson, MSN, RN
NCBH NICU


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