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Palliative Care for Children in Hospital: Essential Roles
1Starship Children's Health, Park Road, Grafton, Auckland 1023, New Zealand. rossd@adhb.govt.nz.
Insights
Pediatric palliative care (PPC) services in hospitals are growing. These services can identify children needing support early and improve symptom management, potentially reducing burdensome treatments.
Area of Science:
- Pediatric healthcare
- Palliative care
- Childhood illness management
Background:
- Palliative care for children with severe illness is crucial.
- There's a growing trend of establishing pediatric palliative care (PPC) services in hospitals.
- Inpatient teams can identify patients who would benefit from PPC.
Purpose of the Study:
- To highlight the role of inpatient teams in identifying children for palliative care.
- To emphasize the potential of PPC services to improve care for critically ill children.
- To discuss how PPC can alter treatment trajectories and enhance symptom management.
Main Methods:
- This study is a review of current trends and the role of inpatient teams in pediatric palliative care.
- Analysis of the integration of palliative approaches within hospital settings.
- Focus on the capacity of PPC services to influence care delivery.
Main Results:
- PPC services are increasingly established in pediatric hospitals.
- Inpatient teams are uniquely positioned for early identification of patients needing palliative care.
- PPC has the capacity to improve symptom management and reduce futile treatments.
Conclusions:
- The expansion of PPC services is a positive trend in pediatric healthcare.
- Early integration of palliative care by inpatient teams can significantly benefit children with severe illnesses.
- PPC services can lead to better symptom control and a shift away from burdensome treatments.
Abstract:
Palliative care for children in pediatric hospitals is a vital part of the network of services supporting children with severe illness. This has been recognized, with a trend over the past decade for an increased number of pediatric palliative care (PPC) services established in pediatric hospitals. The inpatient team is in the unique position of influencing the early identification of children and their families, across the age and diagnostic spectrum, which could benefit from palliative care. These services have an opportunity to influence the integration of the palliative approach throughout the hospital, and in so doing, have the capacity to improve many aspects of care, including altering an increasingly futile and burdensome treatment trajectory, and ensuring improved symptom (physical and psychological) management.
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