RESUMO
This article illustrates ethical dilemmas faced by therapists who provide driver reeducation. The dilemmas discussed are (a) accepting a wide range of referral sources and client disabilities versus the inability to know enough to anticipate all driver performance errors, (b) the client's safety versus the client's right to independence, (c) financial constraints versus advantages of technology, and (d) the reporting of poor driving risk versus client confidentiality. A method for determining one's pattern of resolving ethical dilemmas is discussed.
Assuntos
Condução de Veículo , Pessoas com Deficiência , Ética Profissional , Terapia Ocupacional/normas , Reabilitação/normas , Tomada de Decisões , Humanos , Terapia Ocupacional/métodos , Defesa do Paciente , Resolução de Problemas , Reabilitação/métodos , Papel (figurativo) , SegurançaRESUMO
A study was conducted in very-low-birth-weight (VLBW) neonates to correlate structural damage to the central nervous system due to intracranial hemorrhage (ICH) with electrophysiological function of the lower auditory system as measured by brainstem auditory evoked potentials (BAEP). BAEP testing of 61 VLBW neonates was completed at 36 weeks conceptional age. BAEP Wave III and V latencies significantly increased with increasing severity of ICH. Although significant at conventional levels (P less than 0.05), these correlations were of modest size. Furthermore, after adjusting for the effects of birthweight, hypoxia, lowest pH and associated pCO2 the correlation between ICH and BAEP was reduced in magnitude and no longer significant. Thus, there is little evidence that ICH shortly after birth affected functioning of the auditory brainstem pathways in VLBW neonates at 36 weeks conceptional age.
Assuntos
Tronco Encefálico/fisiopatologia , Hemorragia Cerebral/fisiopatologia , Potenciais Evocados Auditivos , Recém-Nascido de Baixo Peso , Feminino , Idade Gestacional , Humanos , Recém-Nascido , MasculinoRESUMO
The Neonatal Network, a model program for interagency service coordination for primarily indigent, minority very-low-birth-weight infants and their families is described. The Neonatal Network has been an effective service delivery coordination system and training mechanism that should be applicable and easily replicable in other communities with the same or different target populations.
