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Pediatr Clin North Am. 2013 Jun;60(3):725-39. doi: 10.1016/j.pcl.2013.02.009. Epub 2013 Mar 7.

End-of-life care in pediatrics: ethics, controversies, and optimizing the quality of death.

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1
Division of Critical Care, Department of Pediatrics, University of Cincinnati, Cincinnati Children's Hospital and Medical Center, Cincinnati, OH 45229, USA. Rajit.basu@cchmc.org

Abstract

Hospitalized children constitute most annual pediatric deaths in the United States. The details of "how-to" provide end-of-life (EOL) care are not consistently taught to staff and therefore the actual delivery of EOL care is often inconsistent and invariably negatively associated with the long-term mental health of both the patient's family and care providers. This review describes the pertinent aspects of end-of-life care in pediatrics. Finally, a framework to optimize the quality of death is described, which underscores the importance of synchrony between the care team and the family at the end of a child's life.

PMID:
23639665
DOI:
10.1016/j.pcl.2013.02.009
[Indexed for MEDLINE]
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