Comfort Care vs Palliative Care: Is There a Difference in Neonates?

Author:

Bidegain Margarita1,Younge Noelle1

Affiliation:

1. Department of Pediatrics, Division of Neonatology, Duke University Medical Center, Durham, NC.

Abstract

The integration of palliative care principles in the neonatal intensive care unit (NICU) remains challenging. This article describes different models of providing neonatal palliative care and explores management of pain and other symptoms, end-of-life care, prenatal palliative care, discharges to hospice, communication strategies, and care of the medically complex infant as key areas where palliative care can help decrease pain and improve quality of life for the NICU population with life-limiting conditions and their families.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference21 articles.

1. Comfort care principles for the high-risk newborn;Carter;NeoReviews,2004

2. Pediatric palliative care and hospice care commitments, guidelines, and recommendations;Feudtner;Pediatrics,2013

3. Centers for Disease Control and Prevention. National Vital Statistics System. http://www.cdc.gov/nchs/data_access/Vitalstatsonline.htm. Accessed September 3, 2014

4. Neonatal outcomes of extremely preterm infants from the NICHD Neonatal Research Network;Stoll;Pediatrics,2010

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