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Previous Volume 350:1752-1762 April 22, 2004 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Each year in the United States, approximately 50,000 children die and 500,000 children cope with life-threatening conditions. Worldwide these numbers are in the millions.^1,2 Such children and their families require comprehensive, compassionate, and developmentally appropriate palliative care.

Palliative care is a philosophy of care that evolved from the hospice philosophy to meet the gaps in care for seriously ill and dying patients. The aims of pediatric palliative care should best intersect with the aims of curing and healing, and this approach should be instituted when diagnosis, intervention, and treatment are not limited to a disease process, but rather become instrumental . . . [Full Text of this Article]

Approaches to and Success of Pediatric Palliative Care

Assessment and Management of Pain and Symptoms

Emotional and Spiritual Needs

Bereavement Care

Advance Care Planning

Barriers to Care

Conclusions

Source Information

From the Pediatric Palliative Care Program, Children's Hospital of Wisconsin, Milwaukee (B.P.H., A.M.B.); the Department of Pediatrics, Division of Hematology–Oncology (B.P.H., A.M.B.), and the Department of Internal Medicine, Division of Neoplastic Diseases and Related Disorders (D.W.), Medical College of Wisconsin, Milwaukee; the Department of Pediatric Hematology–Oncology, Pediatric Palliative Care, Children's Hospital at the Cleveland Clinic, Cleveland (J.M.H.); and the Palliative Care Center, Froedtert Memorial Lutheran Hospital, Milwaukee (D.W.).

Address reprint requests to Dr. Himelstein at the Department of Pediatrics, Division of Hematology–Oncology, Medical College of Wisconsin, 9000 W. Wisconsin Ave., MS 792, Milwaukee, WI 53201, or at bhimelstein@chw.org.

Related Letters:

Pediatric Palliative Care
Gothelf D., Cohen I. J., Himelstein B. P., Hilden J. M.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:301-302, Jul 15, 2004. Correspondence

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