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Planning for the end of children's lives--the lifetime framework
1Child Health Department, Newbridge Hill, Bath, UK. fiona.finlay@banes-pct.nhs.uk
Insights
A new best practice framework was developed to improve end-of-life care planning engagement for children with life-limiting conditions. This framework aids communication between families and healthcare providers during difficult decisions.
Area of Science:
- Pediatric Palliative Care
- Healthcare Communication Strategies
- Family-Centered Care Models
Background:
- Limited literature exists on engaging families in end-of-life planning for children with life-limiting conditions.
- Effective communication is crucial for shared decision-making in pediatric end-of-life care.
Purpose of the Study:
- To develop a best practice framework to enhance child and family engagement in end-of-life planning.
- To improve the process of care planning for children with non-malignant life-limiting conditions.
Main Methods:
- A clinical case note audit was conducted.
- A best practice framework was developed using a Delphi process with clinical practitioners.
Main Results:
- A 3x3 framework was created to facilitate communication.
- The framework is designed to support parents and children during end-of-life decision-making.
Conclusions:
- The developed framework has been positively received by parents and practitioners.
- Future audits will assess the implementation and impact of the framework in clinical practice.
Aim:
This paper describes the development of 'a best practice framework', following review of a sample of notes of children known to the Lifetime Service, where the child has a non-malignant life limiting condition, to improve child and family engagement in the planning process at the end of life.
Background:
There is very little literature about how to engage with families to decide end of life plans for children with life limiting conditions.
Method:
An audit of clinical case notes was followed by the development of 'a best practice framework' through a Delphi process involving clinical practitioners.
Results:
The 3 x 3 framework is presented to aid communication with parents and children at this difficult time of decision-making.
Conclusion:
This new framework has been well received by both parents and practitioners, and its use will be audited in the future.
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