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[Quality of Pediatric Palliative Care Crisis Intervention - A Retrospective Survey]
Magdalena Berkmüller1, Chara Gravou-Apostolatou1, Wolfgang Rascher1
1Pediatrics, FAU Erlangen, Erlangen, Deutschland.
Insights
Specialized pediatric palliative care teams provide crucial support during life-limiting illness crises. These interventions significantly reduce family burden and improve quality of life for children and their relatives.
Area of Science:
- Pediatric Palliative Care
- Child Health Services
- Family Support Systems
Background:
- Life-limiting illnesses pose significant challenges for children and families, necessitating specialized care beyond the terminal phase.
- Ambulatory palliative care teams offer vital support to families facing pediatric health crises.
- The quality of crisis interventions provided by these specialized teams requires thorough evaluation.
Purpose of the Study:
- To evaluate the quality of crisis interventions delivered by a specialized ambulatory pediatric palliative care team.
- To assess the impact of these interventions on family burden and patient well-being.
Main Methods:
- A retrospective survey using a custom questionnaire and the "Hospital Anxiety and Depression Scale" was conducted.
- Data were collected from families receiving care from the pediatric palliative care team between January 2012 and August 2017.
- The study achieved a response rate of 52.1%.
Main Results:
- Families highly valued the support, security, 24-hour availability, and assistance with medical aids provided by the palliative team.
- Pediatric palliative care crisis interventions led to significant improvements in patient and family burden.
- Enhanced symptom control and communication were key outcomes reported by participating families.
Conclusions:
- Pediatric palliative care crisis interventions effectively alleviate the psychological and physical stress experienced by children and families.
- Specialized outpatient pediatric palliative care demonstrably improves the quality of life for patients and their families during challenging times.
Background:
In addition to palliative care in the dying phase, the care of sick children and their families is becoming increasingly important in times of crisis of a life-limiting illness. The families are supported by a specialised ambulatory palliative team for children and adolescents (SAPV-team for children and adolescents). The aim of the retrospective survey was to determine the quality of these palliative care crisis interventions for the families.
Methodology:
A retrospective questionnaire on medical care and family burden was developed. The "Hospital Anxiety and Depression Scale" was used to measure the burden of the families, and is aimed to assess anxiety and depression symptoms of the relatives. All families who were cared for by the pediatric palliative care team of the Children's and Adolescent Clinic of the University of Erlangen-Nuremberg in the context of crisis interventions between January 2012 and August 2017 received the questionnaire with the request for cooperation.
Results:
The response rate of the questionnaires was 52,1%. The support and security from the palliative team, the 24-hour on-call service and the support in the organization of medical aids were rated particularly highly. The crisis intervention significantly improved the burden on patients and the family, as well as symptom control and communication.
Discussion:
The present study demonstrates the tremendous psychological and physical stress with reduced quality of life of both sick children and their families in crisis situations. Specialized outpatient pediatric palliative care is able to help patients and families.
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