• Benjamin H Levi, Neal J Thomas, Michael J Green, Christy A Rentmeester, and Gary D Ceneviva.
• Department of Pediatrics, Penn State Children's Hospital, Penn State University College of Medicine, Hershey, PA, USA.
• Pediatr Crit Care Me. 2004 May 1;5(3):275-7.

ObjectiveTo discuss the phenomenon of jading within the context of the pediatric intensive care unit.DesignDrawing from their experience, the authors describe and then discuss a clinical scenario readily recognizable by pediatric intensive care unit practitioners: a child whose care requires the expenditure of a large amount of energy and resources, provides seemingly little reward, and leads to jading of the PICU staff.ConclusionJading describes a process of exhaustion whereby apathy, cynicism, and callousness replace the drive to be responsive, to make a difference, and to care. The issue of jading has become an increasing area of concern in the pediatric intensive care unit, due in part to recurring, prolonged admissions, combined with the perception, at times, that continued medical care is fruitless. With a better understanding of the phenomenon of jading, and by reconsidering their own responses, pediatric intensive care unit practitioners can avoid becoming jaded.

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