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Clinical law: what do paediatricians want to know?
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  • Published on:
    is withdrawal of care ever appropriate language?
    • Ian Mitchell, Professor Emeritus, Pediatrics Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

    There was an enquiry as
    I immediately saw the relevance of the service provided. Only one phrase seemed to me to be discordant. "...whether a cardiac pacemaker could
    be turned off during withdrawal of care, profoundly disturbing from the perspective of the clinicians.' this language , withdrawal of care is inaccurate and unfortunate. We may withdraw interventions, but not care. If the child dies as a consequence of the withdrawal I hope we care for the child during the process of dying, and look after the body with respect after the death. I hope we look after parents and siblings during the process of discussing treatment options and withdrawing. I speculate that a strong reassurance that we will continue to provide care for the child and family may be helpful in discussing withdrawing intervention.

    Conflict of Interest:
    None declared.