When traditional medicine fails

Robert Bash1

  • 1University of Texas Southwestern Medical Center and Pediadtric Palliative Care, Children's Medical Center, Dallas, TX.

Insights

This article addresses the challenges in caring for terminally ill children, advocating for specialized palliative care and tailored medications. It highlights the crucial role of healthcare teams and compounding pharmacists in providing integrated support.

Area of Science:

  • Pediatric Palliative Care
  • Medical Ethics
  • Pharmacology

Background:

  • Current medical training and systems inadequately address the needs of terminally ill children.
  • Societal and healthcare structures are often ill-equipped to support these vulnerable patients and their families.
  • Pediatric patients require specialized medical approaches due to their unique physiology and sensitivity to standard medications.

Purpose of the Study:

  • To outline strategies for supporting terminally ill children in concluding their lives with dignity.
  • To emphasize the necessity of a multidisciplinary healthcare team for comprehensive pediatric palliative care.
  • To highlight the importance of specialized pharmaceutical interventions for pediatric end-of-life care.

Main Methods:

  • Literature review and synthesis of best practices in pediatric palliative care.
  • Discussion of ethical considerations in end-of-life care for children.
  • Exploration of the role of compounding pharmacy in pediatric medication management.

Main Results:

  • A coordinated healthcare team approach is essential for holistic care of terminally ill children and their families.
  • Tailored medications, prepared by compounding pharmacists, are critical for managing pediatric end-of-life symptoms safely and effectively.
  • Addressing the unique needs of pediatric patients requires specialized training and resources.

Conclusions:

  • Improving care for terminally ill children necessitates a shift in medical education and healthcare system priorities.
  • Integrated, family-centered palliative care, supported by specialized pharmaceutical services, is vital.
  • Further research and development are needed to enhance end-of-life care options for pediatric patients.

Related Concept Videos

Pharmaceutical Poisoning: Treatment Strategies01:26

Pharmaceutical Poisoning: Treatment Strategies

Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...