• Stefan Grosek, Miha Orazem, and Urh Groselj.
• Department of Pediatric Surgery and Intensive Therapy, University Medical Centre Ljubljana, Ljubljana, Slovenia.
• Pediatr Crit Care Me. 2018 Aug 1; 19 (8S Suppl 2): S48-S52.

ObjectivesTo describe the process of development of "Slovenian Ethical Recommendations for Decision-Making on Treatment and Palliative Care of Patients at the End of Life in Intensive Care Medicine" and its final outcomes.Data SourcesPersonal experience and reflection, complemented by published data.Study SelectionNot applicable.Data ExtractionNot applicable.Data SynthesisNarrative, experiential reflection, literature review.ConclusionsSlovenian ethical recommendations bring a small piece to a long tradition of ethical practice in a small European country. Despite the availability of informative international guiding documents on the issue, there are several specific good reasons for a small country or a region to develop its own unique guidelines (i.e., lack of local directives and legislation, unique cultural and political situation, need for development of professional expertise and terminology, and to educate healthcare providers). The authors strongly believe that our recommendations positively impact practice and will support best possible integrated palliative and end-of-life quality care with the ICU.

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