Honoring do-not-attempt-resuscitation requests in schools. Pediatrics 2010 May;125(5):1073-7
Date
04/28/2010Pubmed ID
20421255DOI
10.1542/peds.2010-0452Scopus ID
2-s2.0-77951847120 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
Increasingly, children and adolescents with complex chronic conditions are living in the community. Federal legislation and regulations facilitate their participation in school. Some of these children and adolescents and their families may wish to forego life-sustaining medical treatment, including cardiopulmonary resuscitation, because they would be ineffective or because the risks outweigh the benefits. Honoring these requests in the school environment is complex because of the limited availability of school nurses and the frequent lack of supporting state legislation and regulations. Understanding and collaboration on the part of all parties is essential. Pediatricians have an important role in helping school nurses incorporate a specific action plan into the student's individualized health care plan. The action plan should include both communication and comfort-care plans. Pediatricians who work directly with schools can also help implement policies, and professional organizations can advocate for regulations and legislation that enable students and their families to effectuate their preferences.
Author List
Council on School Health and Committee on Bioethics, Murray RD, Antommaria AHAuthor
Steven R. Leuthner MD Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdvance Directive Adherence
Child
Cooperative Behavior
Humans
Interdisciplinary Communication
Palliative Care
Patient Care Team
Pediatrics
Resuscitation Orders
School Nursing
Schools
United States