Evidence-based Neonatal-Perinatal Palliative Care is organized by National Hospice and Palliative Care Organization (NHPCO) and will be held from Apr 12, 2017 - Apr 12, 2020. This CME Conference has been approved for a maximum of 1.5 AMA PRA Category 1 Credits.
Perinatal palliative care discussions and decisions may follow a prenatal diagnosis of a complex fetal condition - one that may result in a need for immediate intensive intervention at birth, or an option for limited care or predominantly comfort. If a baby is managed in the Neonatal ICU or newborn nursery and becomes symptomatic, symptom relief and supportive care are important. The provision of care to the newborn or young infant at the end of life is primarily motivated by concern and compassion. When examining the evidence base for most interventions, it is lacking - but this is not unique to this aspect of neonatal care. Nevertheless, a redirection of care from cure-oriented and life-extending measures to comfort and limitations of life-sustaining technological interventions requires the neonatologist, pediatrician or palliative care clinician to apply practical knowledge skillfully and with prudence. Clinicians can acknowledge that patient needs require managing their end-of-life symptoms now; neither these patients nor their families should have to wait for research to catch up to their current needs.
• Identify the frequency of prenatal detection of fetal anomalies in the US that may shape perinatal palliative care decisions for patients and providers
• List three common end-of-life symptoms in neonatal end-of-life care
• Discuss key components for discussing with parents the redirection of care goals for their infant
Hospice and Palliative Medicine, Neonatal and Perinatology