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Pediatric palliative care
Authors:Moody Karen  Siegel Linda  Scharbach Kathryn  Cunningham Leslie  Cantor Rabbi Mollie
Affiliation:a Division of Pediatric Hematology/Oncology, Albert Einstein College of Medicine, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, 111 East 210th Street, Rosenthal 3, Bronx, NY 10463, USA
b Division of Pediatric Critical Care, Albert Einstein College of Medicine, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, 111 East 210th Street, Rosenthal 4, Bronx, NY 10463, USA
c Division of Social Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, 111 East 210th Street, Rosenthal 4, Bronx, NY 10463, USA
d Center for Pastoral Education, Jewish Theological Seminary, 3080 Broadway, New York, NY 10027, USA
Abstract:Progress in pediatric palliative care has gained momentum, but there remain significant barriers to the appropriate provision of palliative care to ill and dying children, including the lack of properly trained health care professionals, resources to finance such care, and scientific research, as well as a continued cultural denial of death in children. This article reviews the epidemiology of pediatric palliative care, special communication concerns, decision making, ethical and legal considerations, symptom assessment and management, psychosocial issues, provision of care across settings, end-of-life care, and bereavement. Educational and supportive resources for health care practitioners and families, respectively, are included.
Keywords:Palliative care   Pediatric palliative care   Advanced care planning   End-of-life care
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