Chapter

Care in the final hours and days

Dawn Davies

in Oxford Textbook of Palliative Care for Children

Second edition

Published on behalf of Oxford University Press

Published in print May 2012 | ISBN: 9780199595105
Published online July 2012 | e-ISBN: 9780199665020 | DOI: http://dx.doi.org/10.1093/med/9780199595105.003.0032

Series: Oxford Textbooks In Palliative Medicine

Care in the final hours and days

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Caring for a child and their family during the last hours and days of the child’s life is emotionally charged, with inherent pressure to ‘get things right.’ Anticipation and treatment of the patient’s changing symptoms are essential in order to stave off emergency situations, or at least be optimally prepared to deal with them. Parents must be actively supported during this time, regardless of setting, and the availability of professional assistance must be continuous, even if this can only be by telephone in some circumstances. Access to emergency medications must be anticipated in this context. Communication must be seamless, and care providers must be prepared for sudden changes in the desired setting of care. It is much easier to plan for every contingency, knowing that some plans will go unused, than to have to cobble together less than optimal arrangements at the last minute.

Chapter.  7374 words. 

Subjects: Paediatrics ; Palliative Medicine

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