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Completing the continuum of care. The growth of a pediatric hospice program

W D Winkler1, C A Mardegian

  • 1Angela Hospice, Livonia, Michigan, USA. wwin1226@aol.com

Caring : National Association for Home Care Magazine
|February 24, 2001
PubMed

Insights

Integrating pediatric hospice care involves understanding the five phases families navigate. This includes the journey from admission to grieving the child

Area of Science:

  • Pediatric Palliative Care
  • Hospice and Palliative Medicine

Background:

  • Hospice organizations face unique challenges when integrating pediatric programs.
  • Existing adult-focused hospice models require adaptation for pediatric end-of-life care.

Purpose of the Study:

  • To examine the process of integrating a pediatric program into an established hospice organization.
  • To delineate the five distinct phases of the child and family experience within pediatric hospice care.

Main Methods:

  • Qualitative analysis of program integration strategies.
  • Review of family-centered care models in pediatric hospice.
  • Description of the developmental and emotional trajectory for children and families.

Main Results:

  • Successful integration requires tailored organizational structures and staff training.
  • The five phases identified are: initial contact, adjustment and engagement, symptom management and quality of life focus, end-of-life care, and bereavement.
  • Each phase presents specific needs for the child and family.

Conclusions:

  • Pediatric hospice program integration is feasible with strategic planning.
  • A phased approach supports families through the complex journey of childhood cancer or serious illness.
  • Understanding these phases is crucial for providing comprehensive, compassionate end-of-life care for children.

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