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Jo Wray

Jo Wray is a Health Psychologist in the Cardiorespiratory division and a Senior Research Fellow in the Centre for Nursing and Allied Health at Great Ormond Street Hospital (GOSH).

The Decision to Withdraw or Withhold Life-Sustaining Treatment for Children and Young People in Intensive Care Units: Guidance for Nurses

The decision to withdraw or withhold life-sustaining treatment in paediatric and neonatal intensive care units (ICUs) is both complex and emotive for everyone involved. All members of the treating healthcare team, lead by the consultant in charge, should be involved in the decision-making process.This guideline is intended to be used by nurses when situations arise where it may be ethical and legal to consider withholding or withdrawing life-sustaining medical treatment.

Research

The clinical team at GOSH works closely with the research department at the Behavioural and Brain Sciences Unit (BBSU) at UCL Great Ormond Street Institute of Child Health (ICH). We collaborate with colleagues around the world to try and understand the genetic, psychological and neurophysiological basis of disorders on the autism spectrum. All information we obtain in terms of interview, observation and other investigations is compiled into anonymised computerised files. From our database of nearly 2000 children, we are able to compare a child’s problems with others seen in our clinic and can look for similarities and differences. For research purposes, we usually ask parents to donate DNA samples too. 

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