This statement presents an integrated model for providing palliative care f
or children living with a life-threatening or terminal condition. Advice on
the development of a palliative care plan and on working with parents and
children is also provided. Barriers to the provision of effective pediatric
palliative care and potential solutions are identified. The American Acade
my of Pediatrics recommends the development and broad availability of pedia
tric palliative care services based on child-specific guidelines and standa
rds. Such services will require widely distributed and effective palliative
care education of pediatric health care professionals. The Academy offers
guidance on responding to requests for hastening death, but does not suppor
t the practice of physician-assisted suicide or euthanasia for children.