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Care of the dying child. The demands of ethics

W G Bartholome1

  • 1University of Kansas Medical Center, Kansas City.

Second Opinion (Park Ridge, Ill.)
|March 9, 1993
PubMed

Insights

Identifying terminally ill children is vital for pediatric care providers, though often resisted. Acknowledging impending death helps families and caregivers support children in accepting their illness reality.

Area of Science:

  • Pediatric Palliative Care
  • Child Psychology

Background:

  • Identifying terminally ill children is a critical yet challenging task for healthcare providers.
  • Resistance to acknowledging a child's impending death can hinder supportive care.

Purpose of the Study:

  • To explore the significance of identifying terminally ill children.
  • To understand the resistance faced by healthcare providers in this identification process.
  • To highlight the benefits of acknowledging a child's terminal illness for all parties involved.

Main Methods:

  • Qualitative analysis of healthcare provider perspectives.
  • Review of existing literature on pediatric end-of-life care.
  • Case study examination of family and caregiver interactions.

Main Results:

  • Healthcare providers often exhibit resistance towards identifying terminally ill children.
  • Acknowledgement of impending death facilitates open communication and emotional processing.
  • Supportive care is enhanced when the child's "illness-reality" is openly addressed.

Conclusions:

  • Overcoming resistance in identifying terminally ill children is essential for effective pediatric palliative care.
  • Acknowledging a child's terminal diagnosis is crucial for facilitating acceptance and improving quality of life.
  • Integrated family and caregiver support is paramount in pediatric end-of-life care.

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