Abstract

BERNADA, Mercedes. Limitation/adequacy of therapeutic effort in pediatrics. Arch. Pediatr. Urug. [online]. 2015, vol.86, n.2, pp.121-125. ISSN 1688-1249.

Sometimes, the disease trajectory in children with life threatening conditions can lead health professionals and families to wonder whether continuing treatment is the best option for the child. Occasionally, limiting or discontinuing life support measures is advisable, especially if treatment only preserves biological existence or the overall goal of care has shifted to just “maintaining comfort”. The study presents the case of a child with chronic encephalopathy in terminal stadium, for whom measures of therapeutic adequacy were implemented with the aim of allowing a quite death. The shared decision-making process, the medical record document and the main measures of care at end of life are described.

Keywords : TERMINAL CARE; DECISION MAKING.

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