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1.
Child Abuse Negl ; 128: 105605, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35367899

RESUMO

Child maltreatment and end-of-life care independently represent two of the most emotion-laden and uncomfortable aspects of pediatric patient care. Their overlap can be uniquely distressing. This review explores ethical and legal principles in such cases and provides practical advice for clinicians. The review focuses on three archetypal scenarios of overlap: life-limiting illness in a child for whom parental rights have been terminated; life-threatening injury under CPS investigation; and complex end-of-life care which may warrant CPS involvement. While each scenario presents unique challenges, one consistent theme is the centrality of effective communication. This includes empathic communication with families and thoughtful communication with providers and community stakeholders. In almost all cases, everyone genuinely wants to do what is in the best interest of the child in these unthinkable circumstances. Transparent and collaborative communication can ensure that broad perspectives are considered to ensure that each child gets the best possible care in a manner adherent with ethical and legal standards, as they apply to each case.


Assuntos
Maus-Tratos Infantis , Assistência Terminal , Criança , Comunicação , Família , Humanos , Cuidados Paliativos
2.
Am J Hosp Palliat Care ; 31(6): 665-71, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23969402

RESUMO

INTRODUCTION: Pediatric critical care and oncology providers care for patients who have life-threatening or serious illness, yet they receive little palliative care education. OBJECTIVE: Compare oncology and critical care providers' attitudes regarding palliative care. METHODS: An electronic survey assessed respondents' opinions of whether, when, and why palliative care should be utilized. RESULTS: Response rate was 49%. Critical care physicians were more likely to incorporate palliative care for psychosocial support; oncologists for symptom control. Those with palliative care education were more likely to involve in palliative care, did so earlier and for reasons other than end-of-life planning. CONCLUSIONS: Oncology and critical care providers utilized palliative care for different reasons.


Assuntos
Atitude do Pessoal de Saúde , Cuidados Críticos/organização & administração , Oncologia/organização & administração , Cuidados Paliativos/organização & administração , Pediatria/organização & administração , Adulto , Planejamento Antecipado de Cuidados , Comunicação , Cuidados Críticos/psicologia , Feminino , Humanos , Masculino , Oncologia/educação , Pessoa de Meia-Idade , Cuidados Paliativos/psicologia , Pediatria/educação , Assistência Terminal
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