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Ethics and law and palliative medicine joint session

G196 ATTITUDES OF PAEDIATRICIANS TOWARDS END OF LIFE MANAGEMENT
G. Minnaar¹, N. Dumphy², J. Beedaysee², A. D. Cowley¹, R. J. Mildner¹.¹Diana, Princess of Wale Children’s Hospital, Birmingham, UK; ²University of Leeds Medical School, Leeds, UK

Background: Children commonly die through withholding or withdrawing of life sustaining measures and the RCPCH first produced a framework for practice in 1997. Little is known about its effect on clinical practice.

Aims: To establish the attitudes of paediatricians towards end of life management issues including four key areas: communication, dealing with conflict, active v palliative care, and withdrawal of treatment.

Methods: A questionnaire based on four real life cases of children with incurable disease was sent to all consultant paediatricians in the West Midlands. Twenty four statements encompassing the four key areas were included. Responses were rated on an itemised rating scale from strongly disagree to strongly agree.

Results: The response rate was 52% (113 completed questionnaires). . . . [Full text of this article]