Pediatricians are faced with a multitude of difficult tasks each day for a variety of age groups. Providing medical care and support to children with medical complexity and their families adds additional challenges, including management of polypharmacy, therapies, complications, and difficult conversations. The relationship a family has with their pediatrician is extremely special and valuable. As such, pediatricians may find themselves guiding parents through decision-making without the proper training or tools. They may struggle with navigating the conversations to assist families in reaching a helpful conclusion. This article reviews three difficult situations that families of children with medical complexity may face and three different readily available and valuable frameworks to assist with navigating those difficult conversations. [Pediatr Ann. 2024;53(3):e99-e103.].

中文翻译：

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应对照顾医疗复杂性儿童的困难对话。


儿科医生每天都面临着针对不同年龄段的大量艰巨任务。为病情复杂的儿童及其家人提供医疗护理和支持增加了额外的挑战，包括多药管理、治疗、并发症和困难的对话。家庭与儿科医生的关系极其特殊且宝贵。因此，儿科医生可能会发现自己在没有适当培训或工具的情况下指导父母做出决策。他们可能很难引导对话以帮助家人达成有用的结论。本文回顾了患有医疗复杂性的儿童的家庭可能面临的三种困难情况，以及三种不同的现成且有价值的框架来帮助解决这些困难的对话。 [小儿安。 2024;53(3):e99-e103.]。