ABSTRACT

As medical technology advances, infants and children with serious medical

conditions are living longer, requiring innovative approaches to their care.

Pediatric palliative care addresses the physical, emotional, psychosocial, and

spiritual needs of children and their families, striving to enhance their quality of

life, minimize suffering, and optimize function while providing opportunities

for personal and spiritual growth (Friebert, 2009; Wolfe, Hinds, & Sourkes,

2011). Ideally, pediatric palliative care is delivered in an integrated fashion

from the time an infant or child is diagnosed with a life-threatening condition

and during the entire trajectory of care, through death and bereavement

(American Academy of Pediatrics, 2000). The provision of such seamless care

requires the collaborative efforts of interdisciplinary team members working

in partnership with the child and family to develop an individualized plan

of care incorporating their goals, values, and preferences. Using a holistic

approach, children may receive palliative care at the same time as disease-

modifying therapies, with the mutual goal of maximizing quality of living while

minimizing suffering.