Decisions at the end of life in children's palliative care. Experience from clinical practice.

被引：0

作者：

Kuhlen, Michaela ^{[1
]}

机构：

[1] Univ Klinikum Dusseldorf, Klin Kinder Onkol Hamatol & Klin Immunol, D-40225 Dusseldorf, Germany

来源：

HISTORICAL SOCIAL RESEARCH-HISTORISCHE SOZIALFORSCHUNG | 2009年 / 34卷 / 04期

关键词：

child mortality; paediatrics; paediatric palliative care; terminal care;

D O I：

暂无

中图分类号：

K [历史、地理];

学科分类号：

06 ;

摘要：

"Decisions at the end of life in children's palliative care. Experience from clinical practice". In Germany, despite the enormous progress in pediatric medicine approximately 3,000 diseased children and adolescents under 20 years of age die each year - 60% of them already during their first year. Often the most adequate palliative treatment agreed upon - also in pediatrics - is the loving refraining from treatment during the patients' final phase. Against the background of the development of general palliative treatment and since the 1980s pediatric palliative treatment, the present report describes clinical case studies from a university hospital. The mechanisms of decision making by doctors, patients and their families during the final phase are evaluated, whereas at the same time the necessary limits of pediatric palliative care become clear.

引用

页码：217 / 228

页数：12