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Development and implementation of a pediatric palliative care program
Diane Pelant1, Terri McCaffrey, Jean Beckel
1St. Cloud Hospital, St. Cloud, MN, USA. pelantd@centracare.com
Insights
Pediatric palliative care offers hope and improves quality of life for children facing serious illness. Implementing these programs can reduce hospital stays and aggressive end-of-life treatments.
Area of Science:
- Pediatric medicine
- Palliative care
- Healthcare management
Background:
- Palliative care, established in adult medicine, is emerging in pediatrics.
- Existing research highlights benefits of palliative care in adult populations.
Purpose of the Study:
- To advocate for and provide a model for establishing pediatric palliative care programs.
- To outline critical steps and considerations for successful implementation.
Main Methods:
- Review of existing research on palliative care outcomes.
- Development of a conceptual model for pediatric palliative care program implementation.
Main Results:
- Palliative care reduces length of stay and aggressive end-of-life interventions.
- It improves quality of life, offers hope, and supports family needs.
- Programs balance coordinated care with memory-building and life celebration.
Conclusions:
- Pediatric palliative care is a vital service for hospitals caring for children.
- Implementation requires a structured approach addressing critical steps and considerations.
- The proposed model facilitates the establishment of effective pediatric palliative care programs.
Abstract:
Palliative care, long-used in the adult setting, is new to the pediatric setting. Research indicates that palliative care reduces length of stay and use of aggressive end-of-life interventions, improves quality of life, and provides hope. It balances provision of coordinated care with building of family memories and preparation for the child's death with celebration of the child's life. We advocate implementation of pediatric palliative care in any hospital that cares for children. This article provides a model outlining critical steps and considerations for establishing a successful pediatric palliative care program.
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