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Continuing Care01:25

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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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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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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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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Pediatric palliative care and surgery.

Katherine C Ott1, Teresa M Vente2, Timothy B Lautz1

  • 1Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital, Chicago, IL, USA.

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Pediatric surgeons play a vital role in serious illness care, requiring collaboration with palliative care. This review defines surgical pediatric palliative care and discusses its complexities.

Keywords:
Chronic illnesspediatric palliative carepediatric surgerysurgical palliative care

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Area of Science:

  • Pediatric Surgery
  • Palliative Care
  • Serious Illness Care

Background:

  • Care for critically ill children involves multiple hospital teams, including surgeons.
  • Pediatric surgical procedures can improve quality of life but carry risks.
  • Effective communication between surgical and palliative care teams is crucial for aligning interventions with patient and family goals.

Purpose of the Study:

  • To define surgical pediatric palliative care.
  • To discuss the complexities of caring for children with serious or life-limiting illnesses.
  • To highlight challenges in the collaboration between pediatric surgery and palliative care.

Main Methods:

  • Literature review on pediatric surgery and palliative care.
  • Definition of surgical pediatric palliative care.
  • Discussion of complexities and challenges through case presentations.

Main Results:

  • Pediatric palliative care is a growing subspecialty.
  • There is a lack of literature on the integration of pediatric surgery and palliative care.
  • Surgical pediatric palliative care involves complex decision-making regarding interventions.

Conclusions:

  • Seamless collaboration and open communication between surgical and palliative care teams are essential.
  • Pediatric surgeons have a role in providing primary palliative care.
  • Understanding the unique complexities of surgical pediatric palliative care is vital for optimal patient outcomes.