Palliative Care for Children in Hospital: Essential Roles

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.

Keywords

• pediatrics
• infant
• children
• adolescent
• hospitals
• inpatient
• hospital-specific palliative care issues
• pediatric palliative care
• end-of-life care
• life-limiting conditions
• chronic disease