Neonatal palliative care and end-of-life decision-making — OSCE

Objectives

1. Apply the best-interests balance of benefits against burdens to a neonatal end-of-life recommendation. ^[10]
2. Run an honest, structured goals-of-care conversation with the parents of a newborn using a recognised framework. ^[1]
3. Avoid the error of an isolated resuscitation decision and build an overall comfort and symptom plan. ^[11]
4. Identify the escalation pathway to ethics and the courts for a genuine value dispute, and describe the comfort medications that support a planned withdrawal. ^{[10] [4]}