This book has been prepared by professionals working in the UK. Paediatricians, and associated professionals, are faced with innumerable social, personal and ethical problems surrounding the care of children and adolescents in everyday practice. There is therefore a need to have accessible up-to-date information on various topics that concern the everyday practice of paediatricians both in the hospital and community setting. This title aims to assist towards this end by providing a series of succinct articles addressing many key areas of debate and concern. Closely aimed at supporting the practitioner with regards to his or her responsibilities towards the UN Convention on the Rights of the Child, the book is carefully divided into discrete sections that address social issues (which includes child protection), disability, and legal and ethical matters. Key topics for discussion include the influence of deprivation on emotional development, non-accidental injury, the impact of parental conflict on child development, delinquency, and drug misuse. The specific role of the paediatrician in differing areas is also explored, including the influence towards reducing the effects of social disadvantage on children, in the promotion of helpful parenting, and in the provision of bereavement support. Ethical discussions include the withdrawal of neonatal intensive care, prioritising services in a resource-limited environment, and genetic testing of families.
Clinical governance: improving the child's experience of healthcare. Child safeguarding and UK law: what paediatricians need to know. Influence of deprivation on emotional development. Neglect of neglect. Subdural haemorrhage in infants: when are they non-accidental? Current debates in child sexual abuse. Recognition and management of fabricated and induced illness. Physical child abuse: responding to the evidence. The prevention of childhood unintentional injury. Parental conflict and children. Social paediatrics. The nature of social work. Fostering and adoption: the paediatrician's role for children who require substitute parental care. Sex education - whose baby? Delinquency: the role of paediatrics in management and prevention. Drug misuse: conception into childhood. The role of the paediatrician in reducing the effects of social disadvantage on children. Promoting helpful parenting: the paediatrician's role. Cot death: responsibilities of the paediatrician. Bereavement support following sudden and unexpected death in children. How to break bad news. Parental reaction to the diagnosis of disability. Chronic illness: the child and the family. Autism spectrum disorder: how to help children and families. Supporting communication in the child with a learning disability. Financial help for families with disabled children. Prioritizing care in a resource-limited health service. How do we choose which life to save? Equality of access or a fair go? Withholding and withdrawing neonatal intensive care. The role of clinical ethics committees. Clinical ethics committees - a personal commentary. Palliative care: moving forward. New medicines for children: who is protecting the rights of the child? Coping with distressed and aggressive parents. Understanding and coping with complaints. The post mortem consent process: ethical and legal issues. Informed consent for neonatal research. Consent for the examination or treatment of teenagers. Treating children: whose consent counts? The ethics of population screening. The ethics of genetic testing of families. Ethics in undergraduate medical education. The ethical principles for research with children.
Edited by Patrick H. T. Cartlidge, DM, FRCP, FRCPCH, Senior Lecturer in Child Health and Honorary Consultant Paediatrician, Department of Health, Wales College of Medicine, Cardiff University, Cardiff, UK