Palliative Care: Withdrawing Life Support | AboutKidsHealth at The Hospital for Sick Children скачать в хорошем качестве

Palliative Care: Withdrawing Life Support | AboutKidsHealth at The Hospital for Sick Children

This video was created in 2011, and we are sharing it in memory of Dr. Christine Newman, one of the pioneers of pediatric palliative care. In this video, Dr. Newman explains how health care professionals talk with families when they need to discuss withdrawing life‑sustaining treatment for a child. She describes how teams approach these conversations with care, respect, and compassion, and shares examples of the words and communication strategies staff use to support families during this difficult time. In this video, you will learn: -How health care teams explain what withdrawing life‑sustaining treatment means -Why these conversations happen and how decisions are made -Ways clinicians communicate clearly and gently with families -How staff support parents, caregivers, and loved ones throughout the process -What families can expect during these discussions This video is designed to help families understand how health care professionals approach sensitive decisions and how they work to provide comfort, clarity, and support. This video is provided for general information only. It does not replace a diagnosis or medical advice from a healthcare professional who has examined your child and understands their unique needs. Please speak with your doctor to check if the content is suitable for your situation. Subscribe to the AboutKidsHealth YouTube channel: http://ow.ly/CzrN50ClHN3 Follow us on: Facebook:   / aboutkidshealth   Twitter:   / aboutkidshealth   Pinterest:   / aboutkidshealth   TRANSCRIPT In some of those cases we meet families when their child's down in the intensive care unit and maybe the child's on a breathing machine or they've just come through cardiac surgery and they're in the intensive care unit. They're are lots of medications that that are essentially keeping their body going and in order to allow the child to have a, what we would think of as a more natural death, the the docs in the ICU will talk to the families about taking some of this stuff away.   So withdrawing life-sustaining treatment. And I think about what it would be like just sit there as a parent and, you know, are they asking me to do that or are they telling me they're going to do that?   And I think but, but we can't do that because that that's going to kill my child. Or they're talking about the other phrase that we hear from families is 'you're talking about pulling the plug'. 'You're talking about letting my child, asking me to let my child die'. The work then for us, I think, is is to take the parent back. Take them out of the ICU setting and to help them if we can see that what is causing their child's death, is that cancer? Or what's causing their child's death is that heart problem that, that just could not be fixed appropriately with surgical intervention.   That's what's causing their child to die. So it , you know, the fact that, that I is the doctor or the intensive care doctor, is going to stop that medicine today or take the breathing tube out  today and I think that one of the things that we can do as doctors and nurses and other healthcare providers, is first of all to make sure that the family understands that we're not asking them to make a choice between life and death. We are saying, as the medical team, this is our recommendation and we're recommending this because the illness that your child has is causing them to die and we think that using the machine to continue to try and keep that from happening is not what's best for your child. None of these therapies or machines come without some degree of suffering. #PalliativeCare #PediatricPalliativeCare #EndOfLifeCare