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Abstract
Understanding the significance of rituals at the end-of-life enables health care professionals to offer meaningful and compassionate interventions that enhance quality of life and support those dying and those who grieve. Rituals contribute to the strength, capacity, and health of providers who cope with death events. Rituals help the living create continuing bonds with those dying, help with coping skills, and allow healthy growth through opportunities for naming, honoring, and memorializing. The display of respect and a nonjudgmental attitude create a space for support, trust, sharing of emotion, empowerment, and quality of care during end-of-life events.
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Affiliation(s)
- James C Pace
- NYU Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, USA.
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2
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Abstract
The American Academy of Pediatrics, American College of Emergency Physicians, and Emergency Nurses Association have collaborated to identify practices and principles to guide the care of children, families, and staff in the challenging and uncommon event of the death of a child in the emergency department in this policy statement and in an accompanying technical report.
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Abstract
The death of a child in the emergency department (ED) is one of the most challenging problems facing ED clinicians. This revised technical report and accompanying policy statement reaffirm principles of patient- and family-centered care. Recent literature is examined regarding family presence, termination of resuscitation, bereavement responsibilities of ED clinicians, support of child fatality review efforts, and other issues inherent in caring for the patient, family, and staff when a child dies in the ED. Appendices are provided that offer an approach to bereavement activities in the ED, carrying out forensic responsibilities while providing compassionate care, communicating the news of the death of a child in the acute setting, providing a closing ritual at the time of terminating resuscitation efforts, and managing the child with a terminal condition who presents near death in the ED.
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O'Malley PJ, Barata IA, Snow SK, Shook JE, Ackerman AD, Chun TH, Conners GP, Dudley NC, Fuchs SM, Gorelick MH, Lane NE, Moore BR, Wright JL, Benjamin LS, Barata IA, Alade K, Arms J, Avarello JT, Baldwin S, Brown K, Cantor RM, Cohen A, Dietrich AM, Eakin PJ, Gausche-Hill M, Gerardi M, Graham CJ, Holtzman DK, Hom J, Ishimine P, Jinivizian H, Joseph M, Mehta S, Ojo A, Paul AZ, Pauze DR, Pearson NM, Rosen B, Russell WS, Saidinejad M, Sloas HA, Schwartz GR, Swenson O, Valente JH, Waseem M, Whiteman PJ, Woolridge D, Snow SK, Vicioso M, Herrin SA, Nagle JT, Cadwell SM, Goodman RL, Johnson ML, Frankenberger WD, Renaker AM, Tomoyasu FS. Death of a Child in the Emergency Department. Ann Emerg Med 2014; 64:102-5. [PMID: 24951421 DOI: 10.1016/j.annemergmed.2014.05.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Revised: 05/07/2014] [Accepted: 05/07/2014] [Indexed: 10/25/2022]
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6
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Shook JE, Ackerman AD, Chun TH, Conners GP, Dudley NC, Fuchs SM, Gorelick MH, Lane NE, Moore BR, Wright JL, Benjamin LS, Barata IA, Alade K, Arms J, Avarello JT, Baldwin S, Brown K, Cantor RM, Cohen A, Dietrich AM, Eakin PJ, Gausche-Hill M, Gerardi M, Graham CJ, Holtzman DK, Hom J, Ishimine P, Jinivizian H, Joseph M, Mehta S, Ojo A, Paul AZ, Pauze DR, Pearson NM, Rosen B, Russell WS, Saidinejad M, Sloas HA, Schwartz GR, Swenson O, Valente JH, Waseem M, Whiteman PJ, Woolridge D, Snow SK, Vicioso M, Herrin SA, Nagle JT, Cadwell SM, Goodman RL, Johnson ML, Frankenberger WD, Renaker AM, Tomoyasu FS. Death of a Child in the Emergency Department. J Emerg Nurs 2014; 40:301-4. [DOI: 10.1016/j.jen.2014.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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7
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O'Malley PJ, Barata IA, Snow SK, Shook JE, Ackerman AD, Chun TH, Conners GP, Dudley NC, Fuchs SM, Gorelick MH, Lane NE, Moore BR, Wright JL, Benjamin LS, Barata IA, Alade K, Arms J, Avarello JT, Baldwin S, Brown K, Cantor RM, Cohen A, Dietrich AM, Eakin PJ, Gausche-Hill M, Gerardi M, Graham CJ, Holtzman DK, Hom J, Ishimine P, Jinivizian H, Joseph M, Mehta S, Ojo A, Paul AZ, Pauze DR, Pearson NM, Rosen B, Russell WS, Saidinejad M, Sloas HA, Schwartz GR, Swenson O, Valente JH, Waseem M, Whiteman PJ, Woolridge D, Snow SK, Vicioso M, Herrin SA, Nagle JT, Cadwell SM, Goodman RL, Johnson ML, Frankenberger WD, Renaker AM, Tomoyasu FS. Death of a Child in the Emergency Department. Ann Emerg Med 2014; 64:e1-17. [DOI: 10.1016/j.annemergmed.2014.05.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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