Palliative care for pediatric intensive care patients and families.

Abstract:

PURPOSE OF REVIEW:Children with medical or surgical critical illness or injury require skillful attention to physical, emotional, psychological, and spiritual needs, whereas their families need support and guidance in facing life-threatening or life-changing events and gut-wrenching decisions. This article reviews current evidence and best practices for integrating palliative care into the pediatric intensive care unit (PICU), with a focus on surgical patients. RECENT FINDINGS:Palliative care is best integrated in a tiered approach, with primary palliative care provided by the PICU and surgical providers for all patients and families, including basic symptom management, high-quality communication, and end-of-life care. Secondary and tertiary levels of care involve unit or team-based 'champions' with additional expertise, and subspecialty palliative care teams, respectively. PICU and surgical providers should be able to provide primary palliative care, to identify patients and families for whom a palliative care consult would be helpful, and should be comfortable introducing the concept of palliative care to families. SUMMARY:This review provides a framework and tools to enable PICU and surgical providers to integrate palliative care best practices into patient and family care.

journal_name

Curr Opin Pediatr

authors

Rothschild CB,Derrington SF

doi

10.1097/MOP.0000000000000903

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

428-435

issue

3

eissn

1040-8703

issn

1531-698X

pii

00008480-202006000-00017

journal_volume

32

pub_type

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