When Children Die: Improving Palliative and End-of-Life Care for Children and Their FamiliesInstitute of Medicine, Board on Health Sciences Policy, Committee on Palliative and End-of-Life Care for Children and Their Families National Academies Press, 9 feb 2003 - 712 pagine The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. |
Sommario
PREFACE xv | |
SUMMARY 1 | |
Working Principles for Pediatric Palliative EndofLife | |
INTRODUCTION 19 | |
PATTERNS OF CHILDHOOD DEATH IN AMERICA 41 | |
CONTENTS | |
4 | |
5 | |
CONTENTS xiii | |
REFERENCES 392 | |
Tables | |
APPENDICES | |
Assessing HealthRelated Quality of Life in EndofLife Care | |
Cultural Dimensions of Care At Lifes End for Children | |
E Bereavement Experiences After the Death of a Child 553 | |
F EndofLife Care in Emergency Medical Services for Children 580 | |
6 | |
7 | |
CONTENTS xi | |
EDUCATING HEALTH CARE PROFESSIONALS 328 | |
DIRECTIONS FOR RESEARCH 350 | |
G Education in Pediatric Palliative Care 599 | |
H Progress in Pediatric Palliative Care in New York State | |
Committee Biographical Statements 665 | |