» Articles » PMID: 23194167

Palliative Care in the Pediatric ICU: Challenges and Opportunities for Family-centered Practice

Overview
Publisher Routledge
Specialty Critical Care
Date 2012 Dec 1
PMID 23194167
Citations 9
Authors
Affiliations
Soon will be listed here.
Abstract

The culture of pediatric intensive care units (PICUs) is focused on curative or life-prolonging treatments for seriously ill children. We present empirically-based approaches to family-centered palliative care that can be applied in PICUs. Palliative care in these settings is framed by larger issues related to the context of care in PICUs, the stressors experienced by families, and challenges to palliative care philosophy within this environment. Innovations from research on family-centered communication practices in adult ICU settings provide a framework for development of palliative care in PICUs and suggest avenues for social work support of critically ill children and their families.

Citing Articles

Effect of educational program on nurses' performance regarding application of liberation bundle in pediatric intensive care unit.

Ali R, Mosbeh A, Hafez M BMC Nurs. 2025; 24(1):212.

PMID: 40001205 PMC: 11863472. DOI: 10.1186/s12912-025-02821-7.


The elements of end-of-life care provision in paediatric intensive care units: a systematic integrative review.

Adistie F, Neilson S, Shaw K, Bay B, Efstathiou N BMC Palliat Care. 2024; 23(1):184.

PMID: 39054465 PMC: 11271050. DOI: 10.1186/s12904-024-01512-5.


Shepherding parents to prepare for end-of-life decision-making: a critical phenomenological study of the communication approach of paediatricians caring for children with life-limiting conditions in Australia.

Vemuri S, Hynson J, Williams K, ONeill J, Gillam L BMJ Open. 2023; 13(12):e075740.

PMID: 38159953 PMC: 10759114. DOI: 10.1136/bmjopen-2023-075740.


End-of-life decisions and practices as viewed by health professionals in pediatric critical care: A European survey study.

Zanin A, Brierley J, Latour J, Gawronski O Front Pediatr. 2023; 10:1067860.

PMID: 36704131 PMC: 9872024. DOI: 10.3389/fped.2022.1067860.


Decision-making approaches for children with life-limiting conditions: results from a qualitative phenomenological study.

Vemuri S, Hynson J, Williams K, Gillam L BMC Med Ethics. 2022; 23(1):52.

PMID: 35578235 PMC: 9112587. DOI: 10.1186/s12910-022-00788-7.


References
1.
Fine E, Reid M, Shengelia R, Adelman R . Directly observed patient-physician discussions in palliative and end-of-life care: a systematic review of the literature. J Palliat Med. 2010; 13(5):595-603. PMC: 2938894. DOI: 10.1089/jpm.2009.0388. View

2.
Contro N, Larson J, Scofield S, Sourkes B, Cohen H . Family perspectives on the quality of pediatric palliative care. Arch Pediatr Adolesc Med. 2002; 156(1):14-9. DOI: 10.1001/archpedi.156.1.14. View

3.
Mack J, Hilden J, Watterson J, Moore C, Turner B, Grier H . Parent and physician perspectives on quality of care at the end of life in children with cancer. J Clin Oncol. 2005; 23(36):9155-61. DOI: 10.1200/JCO.2005.04.010. View

4.
Friedman D, Hilden J, Powaski K . Issues and challenges in palliative care for children with cancer. Curr Pain Headache Rep. 2005; 9(4):249-55. DOI: 10.1007/s11916-005-0032-5. View

5.
Lautrette A, Darmon M, Megarbane B, Joly L, Chevret S, Adrie C . A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med. 2007; 356(5):469-78. DOI: 10.1056/NEJMoa063446. View