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- M Salas Arrambide, O Gabaldón Poc, J L Mayoral Miravete, E G Pérez-Yarza, and I Amayra Caro.
- Departamento de Psicología, Facultad de Filosofía y Ciencias de la Educación, Universidad de Deusto, Bilbao, España. maitanesalas@yahoo.com
- An Pediatr (Barc). 2005 May 1;62(5):450-7.
AbstractPalliative care is essential in the pediatric intensive care unit (PICU). Because of the mortality rates and the presence of life-threatening conditions in children admitted to the PICU, pediatricians must be prepared to provide palliative care independently of cure-directed therapies. The present article reviews certain issues, including the decision-making process in the PICU, psychosocial needs and susceptibility to burnout among PICU staff, and the emotions and attitudes of the staff when a child dies. We provide some guidelines on how to act when a child dies, how to meet with parents after the child's death and how to follow-up parental bereavement. Strategies that can help PICU pediatricians to cope with the numerous loses they experience are suggested.
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