Pediatric Palliative Care Program, Department of Vermont Health Access, State of Vermont, 312 Hurricane Lane, Suite 201, Williston, VT 05495, USA.
Pediatric Advanced Care Team, Boston Children's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215, USA.
Pediatr Clin North Am. 2014 Aug;61(4):823-34. doi: 10.1016/j.pcl.2014.04.009. Epub 2014 Jun 3.
The interdisciplinary approach is a cornerstone of a well-functioning pediatric palliative care team. These teams are most often available as an inpatient consultation service, are composed of professionals representing multiple disciplines, and are used during the illness course of a child with life-threatening and chronic complex conditions, especially during challenging health care decision-making near end of life. This article reviews the current structure of the palliative care team, explores opportunities for inclusion of other vital team members, and proactively identifies the challenges that may occur when involving more providers in a child's and family's care.
跨学科方法是运作良好的儿科姑息治疗团队的基石。这些团队通常作为住院咨询服务提供,由代表多个学科的专业人员组成,并在患有危及生命和慢性复杂疾病的儿童的疾病过程中使用,尤其是在接近生命尽头的具有挑战性的医疗保健决策期间。本文回顾了姑息治疗团队的当前结构,探讨了纳入其他重要团队成员的机会,并积极确定在为儿童及其家庭提供护理时涉及更多提供者可能出现的挑战。