Palliative care for terminally ill adults is receiving growing recognition as a major component in medical care. Yet far less is known or understood about the needs of infants and children with life-limiting conditions. Developed by leading researchers and practitioners from relevant disciplines, this practical guide provides professionals involved in pediatric end-of-life care with comprehensive information for hands-on care in a single volume. Early chapters present the epidemiology of palliative pediatrics, ethical principles, education, and advocacy. Contributors next address the decision-making process, holistic symptom management, communication with the child and family, as well as their psychological and spiritual needs, and such issues as bereavement and caregiver suffering. Individual chapters focus on palliative care in specific settings (NICU, PICU, home, school, and community) and for major conditions (genetic disease, HIV, and cancer). Case studies discuss the experience and perspective of parents. Intended for primary care doctors, pediatric practitioners and specialists, home care nurses, hospice workers, and pastoral counselors, the book also includes a list of additional resources and support organizations for professionals and family members. ContributorsStephen R. Connor, Ph.D., Vice President, National Hospice and Palliative Care Organization, Alexandria, VirginiaLynn Czarniecki, M.S.N., C.N.S., Advance Practice Nurse, Department of Pediatrics, New Jersey Medical School, Newark, New JerseyBetty Davies, R.N., Ph.D., Professor and Chair, Department of Family Health Care Nursing, University of California at San Francisco, San Francisco, CaliforniaDeborah Dokken, M.P.A., Parent and Family Advocate, Chevy Chase, MarylandDale Evans, R.N., Ph.D., Vice President, Hospice and Community Services, Community Nursing Services, Salt Lake City, UtahChris Feudtner, M.D., Ph.D., M.P.H., Director of Research and Attending Physician for PACT (Palliative Care Team), Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PennsylvaniaW. Jeffrey Flowers, M.Div., Director of Pastoral Counseling, Medical College of Georgia Hospital and Clinics, Augusta, GeorgiaJoel Frader, M.D., Professor of Pediatrics, Medical Ethics, and Humanities, Northwestern University, Children's Memorial Hospital, Chicago, IllinoisGerri Frager, R.N., M.D., F.R.C.P.C., Medical Director, Pediatric Palliative Care Service, IWK Health Centre, Halifax, Nova Scotia, CanadaDavid R. Freyer, D.O., Associate Professor of Pediatrics and Human Development, Michigan State University College of Human Medicine; Division of Pediatric Hematology-Oncology and Bone Marrow Transplantation, DeVos Children's Hospital, Grand Rapids, MichiganSarah Friebert, M.D., Director, Division of Pediatric Palliative Care, Children's Hospital of Akron, Akron, OhioJ. Russell Geyer, M.D., Professor of Pediatrics, Division of Hematology-Oncology, Children's Hospital and Regional Medical Center, Seattle, WashingtonMary Jo Gilmer, R.N., M.B.A., Ph.D., Associate Professor of Nursing, Vanderbilt University School of Nursing, Nashville, TennesseeSam Grubman, M.D., Pediatrician, Department of Pediatrics, Saint Vincent's Hospital, New York, New YorkMaria Gudmundsdottir, R.N., Ph.D., Postgraduate Research Faculty, Department of Family Health Care Nursing, University of California at San Francisco School of Nursing, San Francisco, CaliforniaRichard Hain, M.B.B.S., M.D., M.Sc., M.R.C.P., F.R.C.P.C.H., Senior Lecturer in Paediatric Palliative Care, University of Wales College of Medicine, Llandough Hospital, Cardiff, WalesGeraldine Haynes, R.N., B.S.N., Nursing and Palliative Care Consultant, Kirkland, WashingtonRoss M. Hays, M.D., Professor, Departments of Rehabilitation Medicine and Pediatrics, University of Washington School of Medicine, and Director, Palliative Care Consulting Service, Children's Hospital and Medical Center, Seattle, WashingtonJoanne M. Hilden, M.D., Chair, Department of Pediatric Hematology-Oncology, and Medical Director, Pediatric Palliative Care, The Children's Hospital at The Cleveland Clinic, Cleveland, OhioBruce P. Himelstein, M.D., F.A.A.P., Pediatric Palliative Care Program Director, Children's Hospital of Wisconsin; Associate Professor, Division of Hematology-Oncology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WisconsinSteven R. Leuthner, M.D., M.A., Associate Professor of Pediatrics and Bioethics, Medical College of Wisconsin, Milwaukee, WisconsinTiffany Levinson, R.N., M.S., F.N.P., Stem Cell Transplant Nurse Practitioner, Children's Memorial Hospital, Chicago, IllinoisStephen Liben, M.D., F.R.C.P., Director, Palliative Care Program, Montreal Children's Hospital, Montreal, Quebec, CanadaYarrow McConnell, B.Sc., Student, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaElaine Morgan, M.D., Associate Professor of Pediatrics, Department of Hematology-Oncology, Children's Memorial Hospital, Northwestern University, Chicago, IllinoisJason Morrow, M.D., Ph.D., University of Texas Medical Branch, Galveston, TexasJames Oleske, M.D., M.P.H., Francois-Xavier Bagnoud Professor of Pediatrics, and Director, Division of Pulmonary, Allergy, Immunology, and Infectious Diseases, Department of Pediatrics, New Jersey Medical School, Newark, New JerseyStacy F. Orloff, Ed.D., L.C.S.W., Manager, Child and Family Support Program, The Hospice of the Florida Suncoast, Largo, FloridaAnthony Perszyk, M.D., Geneticist and Pediatrician, Division of Genetics, Nemours Children's Clinic, Jacksonville, FloridaSara Perszyk, R.N., B.S.N., Pediatric Palliative Care and Hospice Nurse, Child and Family Support Program, The Hospice of the Florida Suncoast, Largo, FloridaKathleen Quance, M.S., C.C.L.S., Counselor, Child and Family Support Program, The Hospice of the Florida Suncoast, Largo, FloridaCynda H. Rushton, D.N.Sc., R.N., F.A.A.N., Associate Professor of Nursing, Faculty, Phoebe Berman Bioethics Institute, and Coordinator, Harriet Lane Compassionate Care, Johns Hopkins University and Children's Center, Baltimore, MarylandJohn M. Saroyan, M.D., Fellow, Pediatric Pain and Anesthesia, College of Physicians and Surgeons, Columbia University, New York, New YorkCarson Strong, Ph.D., Professor of Human Values and Ethics, University of Tennessee Health Sciences Center, Memphis, TennesseeLizabeth Sumner, R.N., B.S.N., Director of the Children's Program, San Diego Hospice Corporation, San Diego, CaliforniaSuzanne Toce, M.D., Professor of Pediatrics, St. Louis University; Attending Neonatologist, Cardinal Glennon Children's Hospital, St. Louis, MissouriErwin Veale Jr., M.Div., Associate Director of Pastoral Care and Counseling, and Chaplain, Children's Medical Center, Medical College of Georgia Health, Inc., Augusta, GeorgiaSharon Weinstein, M.D., Director of Pain Medicine and Palliative Care, Huntsman Cancer Institute, University of Utah, Salt Lake City, UtahJanice Wheeler, M.Ed., President and Founder, Project Joy and Hope for Texas, Pasadena, TexasJ. William Worden, M.Ed., Ph.D., Professor of Psychology, Rosemead Graduate School of Psychology, Laguna Niguel, California
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读到这本书的书名——《Palliative Care for Infants, Children, and Adolescents》——时,我的脑海里立刻浮现出许多画面,那些关于生命尽头的脆弱与坚韧,关于家庭的爱与失去,以及那些在生命旅程中给予小小生命和他们的家人最温暖支持的医护人员。我无法想象这本厚重的书籍会包含哪些具体的内容,但我可以预见到它不仅仅是一本医学专著,更是一部关于人性、爱与尊严的深刻探讨。它可能深入描绘了在生命末期,如何用最温柔的方式减轻痛苦,如何用最专业的知识守护孩子们最后的时光。我期待它能够展现出医护人员如何与家庭建立信任,如何在巨大的悲伤中寻找一丝安慰,如何在无力的现实面前,依然尽力为每一个孩子争取到最美好的告别。书中一定充满了那些不为人知的故事,那些在冰冷的病房里闪耀着人性的光辉的瞬间。它或许会触及到临终关怀的伦理困境,探讨如何在尊重个体意愿的同时,做出最符合孩子利益的决定。我希望这本书能够成为那些正在经历类似困境的家庭的一盏明灯,也希望它能够启发更多的人关注儿童临终关怀的议题,为那些最需要帮助的孩子们提供更多的支持和理解。
评分这本书的书名《Palliative Care for Infants, Children, and Adolescents》本身就自带一种沉甸甸的情感分量,让人不禁联想到那些尚未完全绽放就面临凋零的生命,以及那些在黑暗中摸索前行的家庭。我猜想,这本书必定会细致地勾勒出儿童姑息治疗的每一个细微之处,从生理上的疼痛管理,到心理上的情感疏导,再到社会层面的家庭支持,都将得到深入的剖析。也许书中会包含大量的案例研究,用真实的故事来阐述抽象的医学理论,让读者能够更直观地理解姑息治疗在实践中的复杂性与重要性。我想象着,作者定会花费大量笔墨去描绘医护团队是如何与孩子互动,如何在有限的时间里创造出宝贵的记忆,如何在孩子最脆弱的时候给予他们力量。这本书的存在,本身就是对那些在生命尽头努力守护孩子尊严的医护人员的致敬。它可能还会涉及不同年龄段儿童在临终关怀中的特殊需求,比如婴幼儿的无助感,儿童的恐惧,以及青少年对死亡的认知和接受过程。我期望它能提供一套系统性的方法论,帮助专业人士更好地应对这些挑战,同时也能够让大众对儿童姑息治疗有一个更全面、更人性化的认识。
评分当我看到《Palliative Care for Infants, Children, and Adolescents》这个书名时,我的思绪如同被一股无形的力量牵引,开始在脑海中构建起一幅幅关于生命尽头的图景,以及在那些艰难时刻,有哪些力量在默默地支持着。我无法确知这本书的具体内容,但它的名字本身就暗示着一种深沉的关怀和专业的责任。我猜测,这本书或许会深入探讨如何在孩子们生命的最后阶段,最大限度地减轻他们的痛苦,不仅仅是生理上的疼痛,更包括心理上的恐惧、焦虑和孤独。它可能会详细介绍各种姑息治疗的手段和技术,比如疼痛控制的策略,症状管理的技巧,以及如何为孩子提供舒适和有尊严的照护。更重要的是,我希望这本书能够展现出姑息治疗如何帮助家庭应对失去的悲痛,如何支持他们度过最艰难的时刻。书中可能充满了感人的故事,那些关于医护人员如何与患儿及其家庭建立深厚联系的瞬间,那些在绝望中寻找希望的努力。它或许还会触及到一些伦理和道德的议题,探讨如何在生命的尽头做出艰难的决定,如何在尊重个体意愿的同时,保障孩子的最大利益。这本书的存在,本身就是一种对生命最深沉的尊重,是对那些在生命尽头依然闪耀着光芒的孩子的肯定。
评分《Palliative Care for Infants, Children, and Adolescents》这个书名,像一声轻柔的呼唤,将我带入了一个充满脆弱与希望的领域。我无法预见书中的具体章节,但可以想象,它将是一本关于如何用爱与专业,去守护那些生命尚在初升时就面临黯淡的孩子们的著作。我想象,它会深入剖析儿童姑息治疗的方方面面,从对生理症状的精细管理,到对患儿心理状态的细腻关怀,再到对整个家庭的支持体系构建,都将得到细致入微的阐释。这本书或许会引用大量鲜活的案例,用真实的故事来串联起理论与实践的桥梁,让读者能够深刻理解姑息治疗在面对不同年龄段孩子时的独特挑战与应对策略。我期待它能够细腻地描绘出医护人员如何成为孩子和家庭最坚实的后盾,如何在病痛的阴影下,为他们点燃希望的火苗,创造短暂却弥足珍贵的快乐时光。书中可能还会涉及到如何在尊重孩子意愿的前提下,进行临终关怀的决策,以及如何平衡医学干预与生命尊严之间的关系。这本著作的出现,本身就彰显了社会对弱势群体 deepest 关怀的体现,我希望它能够引发更广泛的社会关注,为更多面临困境的孩子和家庭带来实质性的帮助和温暖。
评分读到《Palliative Care for Infants, Children, and Adolescents》这个书名,我脑海中浮现的不仅仅是医学术语,更是无数个关于生命、爱与告别的复杂场景。我无法猜测这本书的内容具体包含了哪些,但它的名字已经足够引人深思,让我对作者的意图充满了好奇。我期待,这本书能够以一种极其人性化和充满同情心的方式,去探讨如何为生命即将结束的孩子们提供最周全的照顾。它可能不仅仅局限于医学层面的疼痛管理和症状缓解,更会深入到如何关注孩子的情感需求,如何帮助他们理解死亡,以及如何在最后的时光里,为他们创造平静和尊严。我希望书中能够描绘出医护人员与家庭之间建立的深厚联系,如何在巨大的悲伤中,找到共同面对的力量。它或许会讲述那些不为人知的感人故事,那些在生命的尽头,依然闪烁着人性光辉的瞬间。这本书的存在,本身就是对生命尊严的肯定,是对那些脆弱而坚强的孩子们的致敬。我猜想,书中可能会包含关于如何处理家庭悲伤、如何支持幸存的亲人,以及如何在社会层面建立更完善的儿童姑息治疗体系的讨论。这本著作,在我看来,不仅仅是一部医学指南,更是一部关于如何温柔地告别,如何在生命的最后阶段,守护住最珍贵的爱与记忆的感人篇章。
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