Navigating Difficult Conversations in Caring for Children with Medical Complexity

Patricia K. Deforest

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)e99-e103
JournalPediatric annals
Issue number3
StatePublished - Mar 2024

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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