Abstract: |
The field of pediatric palliative care (PPC) has evolved significantly after initially lagging behind adult palliative care, with well-developed care delivery models and published standards of care based on a growing body of evidence. The role of psychiatry in PPC can be defined broadly as addressing the psychological, cognitive, and emotional needs of the child or adolescent and family during illness and through end of life. More specifically, the psychiatrist is tasked with diagnosing psychopathology while recognizing and addressing nonpathologic emotions and behaviors that veer from how the child was prior to the illness. This chapter covers the unique developmental and psychiatric needs of children, adolescents, and their families facing life-threatening illness and special considerations for treatment. It highlights fundamentals of pediatric palliative communication and the role of the pediatric psychiatric practitioner (child and adolescent psychiatrists, psychiatric nurse practitioners, and nurses) in multidisciplinary PPC settings. The chapter provides guidance to pediatric behavioral health clinician (e.g., psychologist, social worker, or child life therapist) and psychoeducation about the role of psychiatry in PPC. (PsycInfo Database Record (c) 2023 APA, all rights reserved) |