Palliative care for pediatric intensive care patients and families.

摘要: Purpose of review Children with medical or surgical critical illness injury require skillful attention to physical, emotional, psychological, and spiritual needs, whereas their families need support guidance in facing life-threatening life-changing events gut-wrenching decisions. This article reviews current evidence best practices for integrating palliative care into the pediatric intensive unit (PICU), a focus on patients. Recent findings Palliative is integrated tiered approach, primary provided by PICU providers all patients families, including basic symptom management, high-quality communication, end-of-life care. Secondary tertiary levels involve team-based 'champions' additional expertise, subspecialty teams, respectively. should be able provide care, identify whom consult would helpful, comfortable introducing concept families. Summary provides framework tools enable integrate patient family