[Paediatric palliative care in Denmark should be strengthened]
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Bodil Abild Jespersen1, Niels Clausen, Per Sjøgren
1Det Palliative Team, Onkologisk Afdeling D, Aarhus Universitetshospital, Nørrebrogade 44, 8000 Aarhus C. bojesp@rm.dk.
Insights
Paediatric palliative care supports children with life-threatening illnesses and their families. Early planning ensures care aligns with family preferences, ideally at home.
Area of Science:
- Palliative Care
- Pediatrics
- Public Health
Background:
- Paediatric palliative care encompasses holistic support for children with life-threatening diseases and their families.
- It necessitates an interdisciplinary team approach from diagnosis onwards.
- In Denmark, 295 children under 16 died in 2013, with a significant proportion being infants.
Purpose of the Study:
- To highlight the importance of early planning in paediatric palliative care.
- To emphasize the preference for home-based end-of-life care for children.
- To underscore the role of integrated home-care services.
Main Methods:
- This study is based on an analysis of mortality data for children in Denmark.
- It reviews the principles and benefits of early planning in paediatric palliative care.
- It considers the preferences of children and families regarding end-of-life care location.
Main Results:
- Most children and families prefer to die at home if feasible.
- Early planning facilitates better integration of home-care services.
- Proactive planning ensures end-of-life care occurs in the preferred setting.
Conclusions:
- Early and comprehensive planning is crucial for effective paediatric palliative care.
- Integrating home-care services enhances the ability to meet family preferences for end-of-life care.
- Prioritizing the child and family's preferred place of death is essential.
Abstract:
Paediatric palliative care is the total care for the child's body, mind and spirit, and involves support to the family. It begins when a life-threatening disease is diagnosed and depends on an interdisciplinary team approach. In 2013, 295 children under the age of 16 years died in Denmark. Of these, 195 were less than one year old. Most children and their families may prefer death at home if possible. Early planning allows for better integration of home-care services and ensures that death occurs at the place that is best for the child and family.
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