Logistics of Withdrawal of Life-Sustaining Therapies in PICU.
Pediatr Crit Care Med
; 19(8S Suppl 2): S19-S25, 2018 08.
Article
en En
| MEDLINE
| ID: mdl-30080803
ABSTRACT
OBJECTIVES:
To describe practical considerations and approaches to best practices for end-of-life care for critically ill children and families in the PICU. DATA SOURCES Literature review, personal experience, and expert opinion. STUDY SELECTION A sampling of the foundational and current evidence related to the withdrawal of life-sustaining therapies in the context of childhood critical illness and injury was accessed. DATA EXTRACTION Moderated by the authors and supported by lived experience. DATASYNTHESIS:
Narrative review and experiential reflection.CONCLUSIONS:
Consequences of childhood death in the PICU extend beyond the events of dying and death. In the context of withdrawal of life-sustaining therapies, achieving a quality death is impactful both in the immediate and in the longer term for family and for the team. An individualized approach to withdrawal of life-sustaining therapies that is informed by empiric and practical knowledge will ensure best care of the child and support the emotional well-being of child, family, and the team. Adherence to the principles of holistic and compassionate end-of-life care and an ongoing commitment to provide the best possible experience for withdrawal of life-sustaining therapies can achieve optimal end-of-life care in the most challenging of circumstances.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cuidado Terminal
/
Unidades de Cuidado Intensivo Pediátrico
/
Familia
/
Privación de Tratamiento
/
Prioridad del Paciente
Tipo de estudio:
Guideline
/
Prognostic_studies
Aspecto:
Patient_preference
Límite:
Child
/
Humans
Idioma:
En
Revista:
Pediatr Crit Care Med
Asunto de la revista:
PEDIATRIA
/
TERAPIA INTENSIVA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Canadá