Institutional policies on determination of medically inappropriate interventions: Use in five pediatric patients

被引：10

作者：

Okhuysen-Cawley, Regina ^{[1
]}

McPherson, Mona L.

Jefferson, Larry S.

机构：

[1] Univ Arkansas Med Sci, Arkansas Childrens Hosp, Coll Med, Dept Pediat,Crit Care Med & Med Eth Comm, Little Rock, AR 72205 USA

[2] Texas Childrens Hosp, Baylor Coll Med, Sect Crit Care Med, Dept Pediat, Houston, TX 77030 USA

[3] Texas Childrens Hosp, Baylor Coll Med, Ctr Med Eth & Hlth Policy, Houston, TX 77030 USA

来源：

PEDIATRIC CRITICAL CARE MEDICINE | 2007年 / 8卷 / 03期

关键词：

pediatrics; advance directive; terminally ill; interventions;

D O I：

10.1097/01.PCC.0000264317.83788.ED

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To describe recent experience using the Texas Advance Directives Act to facilitate care of terminally ill children managed in the two tertiary pediatric hospitals of the Texas Medical Center, Houston, TX. Design: Retrospective chart review. Setting. Two multidisciplinary pediatric intensive care units in Houston, TX. Patients. Five terminally ill children whose parents were unable to acquiesce to comfort or palliative care. Interventions. Implementation of the Texas Advanced Directives Act of 1999. Results: Suspension of interventions thought to be medically inappropriate by the physicians of record in four of the five cases, with transfer of care in one instance. Conclusions. Use of institutional policies in accordance with the Texas Advance Directives Act may assist in the care of terminally ill children and their families.

引用

页码：225 / 230

页数：6

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