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Correspondence
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Volume 351:301-302 July 15, 2004 Number 3
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Pediatric Palliative Care

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 by Himelstein, B. P.
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To the Editor: In the review of pediatric palliative care by Himelstein et al. (April 22 issue),1 it clearly is impossible to detail patient care in such a wide population. Thus, it is appropriate to mention one drug in each group, even though morphine, for example, does not alone solve the problem of pain or dyspnea. We wish, however, to stress an important area of care overlooked in this article. Many pediatric patients have mood and anxiety disorders, especially when trying to cope with major life-threatening diseases.2 It is important to diagnose mood and anxiety disorders, since cognitive behavioral therapy . . . [Full Text of this Article]


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