Pediatric Palliative Care

"Decision-making in palliative and end of life care can be difficult to navigate. This is even more so in pediatrics when parents may disagree with each other or for teenagers who are not yet legally able to make their own medical decisions. The best interest standard, harm principle and others standards are often applied when concerns arise over surrogate decision-making. This chapter presents a discussion of the ethical principles and a recommended approach to managing clinical situations with uncertain or conflicting surrogate decision-makers"--