A mailed survey of child welfare workers in one southern state assessed various aspects of encounters with end-of-life situations in practice. Findings revealed that child deaths, children with life-threatening or life-limiting illnesses, and parental deaths were most commonly encountered and that coworkers were relied on for support. Many had no…

Suggests that most bioethical decisions concerning children born with catastrophic illnesses should be made by parents with input from physicians and health care workers and guidance from hospital infant ethics committees. The child protective service system should have the final authority to assure that the decisions of caregivers do not…