Department of Pediatrics, Children's Mercy Kansas City, University of Missouri, Kansas City, School of Medicine, Kansas City, Missouri.
Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Pediatrics. 2022 May 1;149(5). doi: 10.1542/peds.2022-057011.
The final hours, days, and weeks in the life of a child or adolescent with serious illness are stressful for families, pediatricians, and other pediatric caregivers. This clinical report reviews essential elements of pediatric care for these patients and their families, establishing end-of-life care goals, anticipatory counseling about the dying process (expected signs or symptoms, code status, desired location of death), and engagement with palliative and hospice resources. This report also outlines postmortem tasks for the pediatric team, including staff debriefing and bereavement.
在患有重病的儿童或青少年生命的最后几个小时、几天和几周里，家庭、儿科医生和其他儿科护理人员都会感到压力。本临床报告回顾了这些患者及其家庭的儿科护理的基本要素，确立了临终关怀护理目标，对临终过程进行了预期性咨询（预期的体征或症状、编码状态、期望的死亡地点），并与姑息治疗和临终关怀资源进行了合作。本报告还概述了儿科团队的死后任务，包括工作人员汇报和丧亲之痛。
