<p>Palliative care (PC) subspecialists and clinical ethics consultants often engage in parallel work, as both function primarily as interprofessional consultancy services called upon in complex clinical scenarios and challenging circumstances. Both practices utilize active listening, goals-based communication, conflict mediation or mitigation, and values explorations as care modalities. In this set of tips created by an interprofessional team of ethicists, intensivists, a surgeon, an attorney, and pediatric and adult PC nurses and physicians, we aim to describe some paradigmatic clinical challenges for which partnership may improve collaborative, comprehensive care.</p>

<p>Research is essential to advance knowledge of emerging and reemerging infectious diseases and to improve the effectiveness of therapies and the quality of care for all patients. Indeed, with more than 12 million individuals infected and nearly 560,000 deaths worldwide at the beginning of July 2020, research is critical to identify and minimize the devastating effects of SARS-CoV-2 and COVID-19 in both the adult and pediatric populations. The morbidity and mortality statistics alone demand immediate attention. Research on a vaccine and on life-saving therapeutics, including antiviral regimens, is the highest priority currently. And, there is still much we need to learn about the pathogenicity of the virus and the variations in its severity and clinical course.</p>

<p><strong>BACKGROUND: </strong>Parenting children with life-threatening illness (LTI) and their healthy siblings requires parents to consider their various needs.</p>

<p><strong>OBJECTIVE AND METHODS: </strong>We conducted a concurrent, cross-sectional mixed-methods study to describe challenges parents face prioritizing tasks and goals for each child with qualitative data, compare parents' tasks and goals for children with LTI and healthy siblings with quantitative data, and describe parenting in terms of the process of prioritizing tasks and goals for all children in the family.</p>

<p><strong>RESULTS: </strong>Participants included 31 parents of children with LTI who have healthy siblings and were admitted to a children's hospital. Qualitative interviews revealed how parents managed children's needs and their perceptions of the toll it takes. Quantitative data revealed that parents prioritized "making sure my child feels loved" highest for ill and healthy children. Other goals for healthy siblings focused on maintaining emotional connection and regularity within the family and for ill children focused on illness management. Mixed-methods analysis revealed that parents engaged in a process decision making and traded-off competing demands by considering needs which ultimately transformed the meaning of parenting.</p>

<p><strong>DISCUSSION: </strong>Future research can further examine trade-offs and associated effects, how to support parent problem-solving and decision-making around trade-offs, and how to best offer social services alongside illness-directed care.</p>