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The dying child: should we tell the truth?
1University of Glamorgan.
Paediatric Nursing
|August 9, 2008
Summary
Discussing impending death with children and young people facing life-limiting conditions requires open communication. A truthful care environment for pediatric end-of-life care depends on professionals, parents, and the child, necessitating tailored communication strategies.
Area of Science:
- Pediatric Palliative Care
- End-of-Life Communication
- Child Psychology
Background:
- Children with life-limiting conditions often recognize their impending death.
- Openness about death is influenced by the child, parents, and healthcare professionals.
- Effective communication is crucial in pediatric end-of-life care.
Purpose of the Study:
- To review perspectives on truth-telling in pediatric end-of-life care.
- To identify factors influencing communication and openness.
- To inform the creation of a truthful care environment for dying children.
Main Methods:
- Literature review examining child, parent, and professional viewpoints.
- Analysis of factors impacting truth-telling and communication.
- Synthesis of evidence to guide practice.
Main Results:
- Truth-telling is complex, influenced by multiple stakeholder perspectives.
- Open communication requires professionals to develop specific skills and attitudes.
- Assessing and supporting the communication needs of children and families is vital.
Conclusions:
- Establishing a truthful care environment necessitates skilled professionals, evidence-based practices, and ongoing support.
- Multidisciplinary team support is essential for effective end-of-life communication.
- Addressing the communication needs of children and families enhances the quality of pediatric palliative care.
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