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Published on: February 27, 2018
Palliative care management of a child with juvenile onset Huntington's disease
1Ellenor Foundation, Adj Livingstone Hospital, Dartford Kent DA1 1SA. nicky.king@ellenorfoundation.org
Insights
This case report details palliative care for a 13-year-old with juvenile onset Huntington's disease. It highlights symptom management and ethical considerations in pediatric neurodegenerative terminal care.
Area of Science:
- Pediatric Palliative Care
- Neurodegenerative Disorders
- Huntington's Disease
Background:
- Juvenile onset Huntington's disease is a rare, life-limiting neurodegenerative condition.
- Pediatric palliative care services are increasingly available in the UK.
- Children's hospices provide specialized care for life-limiting conditions.
Observation:
- A 13-year-old girl with juvenile onset Huntington's disease received palliative care in a UK children's hospice.
- The case report documents her disease progression and symptom management.
- Specific medications and interventions for symptom control in her final 10 days are detailed.
Findings:
- Effective symptom control is crucial for children with neurodegenerative disorders.
- Palliative care in hospices addresses the complex needs of dying children and their families.
- Ethical challenges in caring for children with degenerative disorders were explored.
Implications:
- Findings are relevant to managing other pediatric neurodegenerative conditions.
- Children's hospices play a vital role in end-of-life care for children.
- This case underscores the importance of specialized pediatric palliative care and symptom management.
Abstract:
This is a case report of the palliative care management of a 13-year-old girl who died of juvenile onset Huntington's disease in a children's hospice in the southeast of England. It outlines her disease progression and describes the care that she received. In particular, the medications and other measures used to control her symptoms during her last 10 days are discussed. The article also explores some of the ethical difficulties of caring for children dying from degenerative disorders. Although juvenile onset Huntington's disease is an extremely rare condition, the issues around terminal care management are very similar to those for any neuro-degenerative disorder, whether in an adult or child. A number of children's hospices have opened in the last 10-15 years in the UK. They accept children with a wide range of life-limiting conditions and have become experts in offering respite care and symptom control to these children and their families. They are chosen increasingly as the place of death for such children.
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