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The pervasive relevance of COVID-19 within routine paediatric palliative care consultations during the pandemic: A

Katie Ekberg1, Lara Weinglass1, Stuart Ekberg2,3

  • 1School of Early Childhood and Inclusive Education, Queensland University of Technology, Australia.

Palliative Medicine
|August 18, 2020
PubMed

Insights

Paediatric palliative care consultations during the COVID-19 pandemic showed frequent discussions about the virus. Clinicians and families naturally integrated pandemic concerns into care, highlighting the need for flexible communication strategies.

Area of Science:

  • Medical Communication
  • Palliative Care
  • Public Health Emergencies

Background:

  • Paediatric palliative care is essential during pandemics.
  • The COVID-19 pandemic offers insights into health communication challenges.
  • Understanding communication shifts in paediatric palliative care during pandemics is crucial.

Purpose of the Study:

  • To examine communication dynamics in paediatric palliative care consultations before and during the COVID-19 pandemic.
  • To understand how clinicians and families discussed pandemic-related issues within consultations.

Main Methods:

  • A sub-study analyzing video-recorded paediatric palliative care consultations.
  • Utilized Conversation Analysis methods for detailed interactional analysis.
  • Included face-to-face, telehealth, and inpatient consultations in Australia.

Main Results:

  • COVID-19 was a pervasive topic in consultations during the pandemic.
  • Discussions about the pandemic frequently arose from standard paediatric palliative care topics.
  • Both clinicians (55%) and parents (45%) initiated conversations about the pandemic.

Conclusions:

  • Pandemic-related discussions are expected in paediatric palliative care consultations.
  • Clinicians should anticipate and address pandemic concerns flexibly.
  • This awareness supports meeting family needs regarding health and wellbeing during health crises.
Abstract

Keywords:
COVID-19Palliative carechildcommunicationpandemics

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