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Advance care planning for paediatric patients

    Paediatrics & Child Health
    |May 14, 2009
    PubMed

    Insights

    Advance care planning (ACP) is crucial for children with chronic conditions. Healthcare providers must discuss life-sustaining treatments and long-term goals to ensure appropriate care.

    Area of Science:

    • Pediatric Healthcare
    • Bioethics
    • Palliative Care

    Background:

    • Medical advances improve survival for children with chronic life-threatening conditions.
    • Advance care planning (ACP) involves discussing life-sustaining treatments and long-term care goals.
    • Pediatric healthcare practitioners have an ethical duty to understand and implement ACP.

    Purpose of the Study:

    • To guide healthcare practitioners in discussing advance care planning with pediatric patients.
    • To provide a framework for ACP discussions in diverse pediatric care settings.
    • To emphasize the importance of communication in defining care goals and treatment appropriateness.

    Main Methods:

    • This statement is based on ethical obligations and best practices in pediatric care.
    • It synthesizes current understanding of advance care planning in pediatrics.
    • The focus is on facilitating communication and decision-making.

    Main Results:

    • Effective communication is essential for clarifying care goals in ACP.
    • Agreement on appropriate treatments, including resuscitative and palliative measures, is a key outcome.
    • ACP ensures patient and family values are central to care decisions.

    Conclusions:

    • Healthcare practitioners need education on advance care planning for pediatric patients.
    • ACP discussions should be integrated into pediatric care across various settings.
    • Clear communication facilitates shared decision-making and goal-concordant care for children with chronic conditions.

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