Dubik-Unruh S, See V
J Palliat Care. 1989 Jun;5(2):10-5.
Children dying of perinatally-acquired HIV-infection may move from one chaotic system to another as medical and social services scramble to meet the growing need. Incarceration, addiction, illness, abandonment or court removal of children, hospitalization, sibling separation or homelessness may all contribute to family death, even before the physical death of family members. Early planning is essential to prevent further chaos and to develop placement and care strategies which provide for the emotional survival of young children facing physical and familial devastation. Considerations for such planning are discussed, with practical suggestions for supporting the child through change, loss and death.
死于围产期获得性艾滋病毒感染的儿童可能会从一个混乱的系统转移到另一个混乱的系统，因为医疗和社会服务机构都在争先恐后地满足不断增长的需求。监禁、成瘾、疾病、遗弃或法庭将儿童带走、住院、兄弟姐妹分离或无家可归，所有这些情况都可能导致家庭破裂，甚至在家庭成员身体死亡之前。早期规划对于防止进一步的混乱以及制定安置和护理策略至关重要，这些策略能确保面临身体和家庭灾难的幼儿在情感上得以生存。本文讨论了此类规划的注意事项，并提供了切实可行的建议，以帮助儿童度过变化、失去和死亡的阶段。
