Shared decision-making (SDM) with parents and adolescents is normative in pediatric practice in North America. In this article we discuss how it is applicable to the practice of pediatric palliative care (PPC). As PPC itself is exemplary of patient-and-family-centered care, it often uses a SDM approach in clarifying patient and family preferences, goals, and values. This often occurs in an iterative process and across care environments, wherein the patient and family narrative is elaborated. Decisions are then made incorporating both evidence-based medical practice and the unique attributes and considerations of the patient and family.

中文翻译：

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儿科姑息治疗的共同决策

与父母和青少年共同决策 (SDM) 在北美儿科实践中已成为常态。在本文中，我们讨论它如何应用于儿科姑息治疗 (PPC) 实践。由于 PPC 本身就是以患者和家庭为中心的护理的典范，因此它经常使用 SDM 方法来阐明患者和家庭的偏好、目标和价值观。这通常发生在迭代过程和跨护理环境中，其中详细阐述了患者和家庭的叙述。然后结合基于证据的医疗实践以及患者和家人的独特属性和考虑因素做出决定。