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Primary palliative care in neonatal intensive care
Krishelle L Marc-Aurele1, Nancy K English2
1Department of Pediatrics, UC San Diego Medical Center, University of California, 402 Dickinson St MPF 1-140, San Diego, CA 92013.
Seminars in Perinatology
|February 7, 2017
Summary
Primary palliative care should be standard for all neonates in intensive care. Neonatal teams can provide this, with specialists consulted for complex cases, improving care for infants and families.
Area of Science:
- Neonatalogy
- Palliative Care
- Pediatric Intensive Care
Background:
- The 2014 Institute of Medicine recommended primary palliative care for all neonates in intensive care.
- Neonatal intensive care units (NICUs) face challenges in integrating palliative care.
- Trends in neonatology highlight the need for specialized care models.
Purpose of the Study:
- To explore the integration of primary palliative care in neonatal intensive care settings.
- To review trends and barriers in neonatal palliative care implementation.
- To propose an optimal model for palliative care delivery in the NICU.
Main Methods:
- Literature review of trends in neonatology.
- Analysis of barriers to palliative care implementation in intensive care.
- Discussion of educational needs for neonatal palliative care.
Main Results:
- Primary palliative care is recommended as integral for neonates and families.
- Barriers to implementation exist within intensive care settings.
- A mixed model integrating primary and specialist palliative care is proposed.
Conclusions:
- Neonatal primary palliative care education must address unique infant and family needs.
- A mixed model ensures comprehensive palliative care, with neonatal teams providing primary support and specialists handling complex cases.
- This model optimizes care for critically ill neonates and their families.
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