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[Development of a specialised paediatric palliative home care service]
M Kuhlen1, S Balzer, U Richter
1Klinik für Kinder-Hämatologie, -Onkologie und -Immunologie, Universitätsklinikum Düsseldorf, Duesseldorf, Germany. michaela.kuhlen@med.uni-duesseldorf.de
Insights
Annually, 1,500-3,000 children in Germany face life-limiting illnesses. A specialized pediatric palliative home care service in Duesseldorf evolved to support these children and families wishing to spend their final days at home.
Area of Science:
- Pediatric Palliative Care
- Home Healthcare Services
- Life-Limiting Illnesses in Children
Context:
- Germany faces 1,500-3,000 annual child deaths from life-limiting diseases.
- Patient and family preference for end-of-life care at home.
- Established a pediatric palliative home care service at the University Children's Hospital of Duesseldorf over 20 years.
Purpose:
- To evolve from an unstructured voluntary activity into a specialized pediatric palliative team.
- To provide area-wide professional care for all pediatric palliative patients.
- To enhance collaboration with resident pediatricians and nursing services.
Summary:
- A specialized pediatric palliative team has developed over two decades at the University Children's Hospital of Duesseldorf.
- The service caters to children with life-limiting diseases who wish to receive end-of-life care at home.
- The team's evolution reflects a growing need for structured, professional support in pediatric palliative home care.
Impact:
- Aims to achieve comprehensive, professional care across Germany for pediatric palliative patients.
- Focuses on improving cooperation between the palliative team, pediatricians, and nursing services.
- Emphasizes the critical role of professional networks and communication in delivering optimal care.
Abstract:
In Germany annually 1,500-3,000 children die from life-limiting diseases. Symptoms and course of disease differ considerably depending on the character of the underlying disease. Due to the desire of the children and their families to spend the end of life at home a paediatric palliative home care service was founded at the university children's hospital of Duesseldorf. In the last 20 years a specialised paediatric palliative team evolved from an unstructured voluntary activity. Prospective aims are an area-wide professional supply of all paediatric palliative patients and the improvement of the cooperation with the resident paediatrician and paediatric palliative nursing services. Furthermore the establishment of networks as well as a proper communication among the professionals is inalienable.
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