What are Palliative Care Physicians for Adults Taught on Palliative Care for Children? Paediatric Aspects in

C Schiessl1, S Gottschling2, B M Gronwald3

  • 1Algesiologikum - Centers for Pain Medicine, Munich, Germany.

Klinische Padiatrie
|January 15, 2016
PubMed

Insights

Palliative care curricula for physicians often lack comprehensive paediatric palliative care (PaedPC) content. This limits adult teams caring for children with life-limiting illnesses, highlighting a need for standardized PaedPC education.

Area of Science:

  • Palliative Care Medicine
  • Medical Education
  • Paediatric Health

Background:

  • Adult palliative care teams often manage children with life-limiting diseases due to a lack of dedicated pediatric structures.
  • Concerns exist regarding the adequacy of current palliative care curricula in addressing pediatric palliative care (PaedPC) needs.

Purpose of the Study:

  • To identify and evaluate the scope and quality of PaedPC issues within inter-professional and medical palliative care curricula (PCC).

Main Methods:

  • An extensive literature review was conducted in German and English across multiple databases (Google, Medline, MedPilot, Pubmed).
  • Identified curricula were analyzed for the inclusion and depth of PaedPC topics.

Main Results:

  • Out of 30 identified PCCs globally, only 15 included any PaedPC issues.
  • Key PaedPC topics covered included grief/bereavement (family, parents, siblings), communication with children, pediatric malignancies, pain management, and pharmacology.
  • These core topics were present in the majority of curricula that addressed PaedPC.

Conclusions:

  • The current palliative care curricula exhibit significant variability in the inclusion and depth of PaedPC content.
  • The lack of standardization in PaedPC knowledge, skills, and attitudes within PCCs is insufficient to adequately prepare adult palliative care physicians for clinical practice with children.
Abstract

Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
2.1K
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
702
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
2.5K
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
733
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.3K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
372