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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Ethical Issues01:27

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
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Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

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In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
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Ethical Dilemmas I01:17

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Kubler Ross's Stages of Dying01:21

Kubler Ross's Stages of Dying

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Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
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Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

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In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
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Liminality in Pediatric Palliative Care.

Brian S Carter1,2

  • 11 Department of Pediatrics, School of Medicine, University of Missouri at Kansas City, MO, USA.

The American Journal of Hospice & Palliative Care
|February 11, 2016
PubMed
Summary

Palliative care for pediatric patients involves navigating uncertain transitions. Understanding "liminality" helps clinicians support families in these in-between spaces during illness and end-of-life care.

Keywords:
chronic careend of lifepalliative carepediatricsrites of passagetransitions

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Area of Science:

  • Pediatric Palliative Care
  • Clinical Medicine
  • Psychosocial Support

Background:

  • Pediatric palliative care presents unique challenges due to numerous transitions and uncertainties.
  • Conventional clinical medicine often struggles with these complex patient and family experiences.
  • Patient-clinician encounters frequently occur in transitional, uncertain states.

Purpose of the Study:

  • To explore the concept of liminality as a framework for understanding pediatric palliative care.
  • To validate the experiences of patients and families in transitional states.
  • To guide palliative care clinicians in supporting patients and families during uncertain times.

Main Methods:

  • Conceptual analysis of liminality in the context of pediatric palliative care.
  • Literature review on patient and family experiences during illness transitions.
  • Application of the liminality concept to clinical practice.

Main Results:

  • Liminality validates the feeling of being "stuck betwixt and between" past life and current illness.
  • It describes the tenuous present and uncertain future faced by patients and families.
  • Palliative care clinicians can use this framework to offer guidance in these unbound spaces.

Conclusions:

  • The concept of liminality offers a valuable framework for pediatric palliative care.
  • It helps clinicians understand and support patients and families in transitional phases.
  • Attunement to liminal spaces enhances the clinician's ability to provide effective care and guidance.