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Pediatric Palliative Care in Oncology: Basic Principles
Franca Benini1, Irene Avagnina1, Luca Giacomelli2
1Paediatric Palliative Care, Pain Service, Department of Women's and Children's Health, University of Padua, 35127 Padua, Italy.
Insights
Pediatric palliative care (PPC) is essential for children with cancer, offering support throughout their treatment journey, not just at the end of life. Integrating PPC improves care for these young patients.
Area of Science:
- Oncology
- Palliative Care
- Pediatrics
Background:
- Approximately 4 million children globally have cancer and require pediatric palliative care (PPC).
- PPC is a holistic approach, not solely end-of-life care, applicable throughout a child's cancer trajectory.
- PPC can be provided irrespective of ongoing oncological treatment.
Purpose of the Study:
- To review the importance of integrating PPC in pediatric oncology.
- To outline the fundamental principles and applications of PPC in childhood cancer care.
- To discuss models for implementing PPC, including end-of-life care and advanced care planning.
Main Methods:
- Literature review on pediatric palliative care in oncology.
- Synthesis of principles and applications of PPC.
- Analysis of implementation models for PPC in pediatric cancer settings.
Main Results:
- PPC offers comprehensive support across the continuum of pediatric cancer care.
- Integration of PPC principles enhances the management of children with cancer.
- Various models exist for delivering PPC within oncology settings.
Conclusions:
- Integrating PPC is crucial for improving the quality of life for children with cancer.
- PPC models support advanced care planning and end-of-life care in pediatric oncology.
- A multidisciplinary approach to PPC is vital in pediatric cancer management.
Abstract:
About 4 million children with an oncological disease worldwide require pediatric palliative care (PPC) due to the nature of their condition. PPC is not limited to end-of-life care; it is a general approach continuing over the entire disease trajectory, regardless of whether the patient receives any oncological treatment. This review addresses the value of integrating PPC in treating children with cancer, focusing on the basic principles of PPC and its application in pediatric oncology. Moreover, models for PPC implementation in oncology, end-of-life care, and advanced care planning are discussed.
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