3/7/2012

A survey of ICU physicians and nurses at two Massachusetts hospitals found the main barriers to advance care discussions about pediatric patients with life-threatening conditions were unrealistic parental expectations, differences in how physicians and parents understand the prognosis, and how ready parents are to talk about the issues. The report in the journal Pediatrics said other problems included concern about taking away hope, uncertainty about the prognosis among clinicians and uncertainty about the right time to begin the discussion.

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