Psychosocial and Palliative Care
This chapter will address the psychosocial aspects of intensive care, specifically for immunocompromised patients and their caregivers. It will highlight the emotional needs of patients and families in the PICU and consider how psychological interventions and pediatric palliative care (PPC) aim to bolster adaptive adjustment and coping and maximize well-being. It is important to recognize the inherent diversity of the population of immunocompromised patients receiving critical care. There is a wide range in terms of their medical diagnoses and the duration and intensity of medical treatments experienced and, most fundamentally, in terms of the individual differences that exist across patients and their family systems. As such, the experience of admission to an intensive care unit for this population should be considered within the larger context of a patient and family’s global experience of treatment.
KeywordsPalliative care Symptoms Communication Goals of care Advance care planning Bereavement Critical care psychology Psycho-social oncology
- 11.Tunick RA, Meyer EC. Pediatric critical care. In: DeMaso RJSDR, editor. Textbook of pediatric psychosomatic medicine. Washington, DC: American Psychiatric Publishing; 2010.Google Scholar