Reflections on Advanced Directives on Pediatrics

Abstract

SUMMARY

Introduction. To reflect about Advance Directives in Pediatric patients represents a challenge for healthcare personnel. Objective: To provide the reader with guidelines to reflect on how to assertively approach the patient and their family in the face of an extreme health condition through advanced care planning where the advance directives and advance directives document are part of the patient's comprehensive care. Methods: Narrative type review.

Conclusions: The advance directives and the advance directives document are part of the advanced care planning where the care staff has the responsibility of guiding, accompanying and co-creating the advance directives document with the child and adolescent through an empathetic and appropriate therapeutic relationship.

Keywords 

Advance directives, pediatrics, euthanasia, palliative sedation, pediatric palliative care.