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Abstract

There are a significant number of newborns diagnosed with life-limiting conditions and diseases with uncertain prognoses. When length of life is limited or prognosis uncertain, emphases on baby’s comfort are essential. Neonatal palliative care addresses the physical, emotional, social, and spiritual needs and focuses on the enhancement of quality of life of the neonates and their family.

A multidisciplinary team is required to address the baby’s medical and nonmedical needs, and support parents’ need, distress, loss, and grieving process. Family should play an active role in decision-making about the care of their babies.

A state of comfort is achieved when basic needs (bonding, warmth, and relief of hunger/thirst) are met and by alleviation of distressing symptoms by active pharmacological interventions with medications like morphine.

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Table 48.5 Non-pharmacological approach to procedural pain management
Table 48.6 Pharmacological management of procedural pain
Table 48.7 Management of common symptoms in neonatal palliative care

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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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Palat, G. (2023). Neonatal Palliative Care: A Paradigm of Care. In: Saha, U. (eds) Clinical Anesthesia for the Newborn and the Neonate. Springer, Singapore. https://doi.org/10.1007/978-981-19-5458-0_48

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  • DOI: https://doi.org/10.1007/978-981-19-5458-0_48

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-5457-3

  • Online ISBN: 978-981-19-5458-0

  • eBook Packages: MedicineMedicine (R0)

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