One Facility's Experience in Reframing Nonfeeding into a Comprehensive Palliative Care Model


  • The authors report no conflict of interest or relevant financial relationships.


Barbara Beach, MD, George Mark Children's House, 2121 George Mark Lane, San Leandro, CA 94578.


In Western culture, feeding is viewed as symbolic of life, and nonfeeding at the end of life is often considered unacceptable. This sentiment is magnified for infants. Reframing nonfeeding into comprehensive care can be achieved by anticipatory guidance, which can make the experience of infant death meaningful for parents. Since 2004, the George Mark Children's House, an inpatient pediatric palliative care center, has offered this model of care and supported families with challenging clinical experiences. A case study is provided.