Journal article
Pediatric Palliative Care and the PICU: Where We Have Been and Where We Are Going
Current pediatrics reports (Philadelphia, PA), v 8(4), pp 176-183
01 Dec 2020
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose of ReviewThis review provides pediatric intensivists and other pediatric clinicians a review of pediatric palliative care, focusing on its integration into the pediatric intensive care unit (PICU) and outlining vital skills for the intensivist.Recent FindingsPediatric palliative care is a relatively young but growing field and is becoming increasingly available at many children's hospitals. However, there has been a shortage of palliative care physicians historically (Lupu, J Pain Symptom Manag. 40(6):899-911, 2010). Palliative care teams are multidisciplinary and focus on assisting the PICU with pain and symptom management, communication with families, goals of care discussions, complicated grief, and bereavement. Palliative care team involvement may prolong life, improve quality of life by addressing physical and psychological suffering, decrease lengths of hospital and intensive care stay, and improve hospital wide resource utilization. Many PICU patients may benefit from palliative care services. All providers, including pediatric intensivists, should be able to perform primary, or basic, palliative care, including evaluating symptoms and communicating about goals of care and end of life (Hughes and Smith, Annu Rev Public Health. 35:459-475, 2014). More advanced secondary and tertiary palliative care relies on specialists to help navigate more nuanced communications and symptom management (Hughes and Smith, Annu Rev Public Health. 35:459-475, 2014).SummaryPalliative care has been shown to have great benefits for patients across the spectrum of diagnoses and prognoses. All providers, including intensivists, should have formalized training in primary palliative care. Mastering and incorporating primary palliative care skills into the clinical practice of non-palliative care providers will facilitate its delivery to patients.
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Details
- Title
- Pediatric Palliative Care and the PICU: Where We Have Been and Where We Are Going
- Creators
- Kathryn Palumbo - University of Rochester Medical CenterMonica L. Koncicki - St. Christopher's Hospital for Children
- Publication Details
- Current pediatrics reports (Philadelphia, PA), v 8(4), pp 176-183
- Publisher
- Springer Nature
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000702485700004
- Scopus ID
- 2-s2.0-85124748126
- Other Identifier
- 991019167900304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics