Pediatric Palliative Care Essay

Improved Essays
Antecedents
The antecedents of pediatric palliative care would “include children/families with an acute illness that progresses to a life-limiting illness, children/families with a chronic disease that progresses to a life-limiting illness, an interdisciplinary team educated in pediatric palliative care, and an institution providing pediatric palliative care services” (Stayer, 2012 p. 354). Before a child is put into pediatric palliative care, they have to suffer a life-limiting illness. The child may have been born with this illness, may have caught the illness, or may have suffered severe trauma bringing upon this life-limiting illness. Consequences Consequences of pediatric palliative care can be seen through the child, family, and
…show more content…
For example, a single-institution study of the parents of children who died of cancer, Wolfe et al. (2000) noted that most symptoms were reported more frequently by parents than by physicians. “The majority of children suffered “a lot” or “a great deal,” and the treatment of symptoms was often ineffective, findings indicating a scope of distressing symptoms similar to those seen in adult patients with cancer” (Wolfe, 2000). There has been some research in creating measurements that measure the quality of life and effectiveness of palliative care services in adults which could be used in the future for pediatrics (Himelstein et al., 2004). These measurements include “an understanding of the definitions of a “good death” and of the quality of life from the perspective of adult patients and an identification of treatment preferences and factors important in advance care planning” (Himelstein et al., 2004). However, more research needs to be made before they can be used for children as most children are unaware of what “good death” means. (Himelstein et al., 2004). Because of the lack of research on the assessment of a child who is in pediatric palliative care, it is very important to keep testing and developing appropriate measurements for a

Related Documents

  • Improved Essays

    Other limitations found in the qualitative studies were a lack of response from physicians in sub-specialties outside of the oncology setting. A larger sample size may provide a more diverse collection of information. Many of the studies reviewed only focus on the physicians’ knowledge of hospice care and their perceived barriers to end of life care. Further qualitative and quantitative studies are needed to investigate the patients’ and caregivers ‘perspective to barriers to terminal care. Failure to incorporate both perspectives creates bias among the literature and leaves out some of the most important knowledge that can be obtained and applied in the area of receiving timely end of life care.…

    • 1635 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    According to the American Academy of Pediatrics and the International Society of Pediatric Oncology physicians are obliged to seek legal counsel when parental refusal places a child at clear and substantial risk. Current laws provide parents with wide discretionary authority in raising their children.10 These laws, however, are balanced with child abuse and neglect laws to ensure that a parent's decision regarding treatment is in the best interest of the child. In addition to these legal aspects, ethical issues are intimately woven within the context of each clinical…

    • 1225 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Paper Grader Not all children are able to be cured from serious illnesses such as different forms of cancer, diabetes, or rare diseases. Sometimes the illness will continue to progress or worsen despite the numerous medical treatments attempted by the child’s health care provider to help the child get better. When this type of situation comes about, the child’s health care provider and their health care team shift their focus from trying to cure the child’s illness to providing the best end of life care they can offer. They attempt to make the child as comfortable and pain free as much as they can. Providing end of life care of a patient is something that requires a holistic approach encompassing the social, spiritual, and psychological needs…

    • 734 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    [7,9,11,13] Families with an affected individual are often faced with all the decision regarding treatment. As the disease worsens some chose to withdraw or withhold treatment or request that their child is euthanised. Before death, individuals are completely bed bound and unable to communicate. This poses complication as the family is forced to make a decision regarding life sustaining treatment. Most will either keep their child on life support until death, or take them off and allow the disease to progress without any medical interference.…

    • 1009 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Capstone Qualitative Research Study: Potential Limitations Introduction Each research candidate selection will on basis of their availability for the interview, which itself limits the time for in-depth discussion on selected problems because candidates are busy individuals, who work on demand with time constrains in their daily medical practices, so analysis in to the study is judgmental by the researcher ( Marshall & Rossman, 2016, p. 160). The scope statement has broad ethical aspects, but ethical difficulties faced by physicians and health care providers during EOL and palliative care will be exposed here has limitations due to preplanned research design questions. All though this true with all in-depth interviewing with highly educated…

    • 456 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The article called ‘Involving Children in Medical Decisions’ written by author Kenny Harrison purposes an argument that children should be allowed to have a say in their medical care decisions. The point of Harrisons article is that children should be allowed to be part of the decision-making process when it comes to their own health. He discusses that the family-centered is the best approach as it considers everyone’s decisions, concerns and questions while making sure the child the priority. Harrison discusses that the assumption ‘parents know what is best for their child’ is used in other decision making situations, in medical care, Harrison explains that when parents are in a state of distress they often dismiss their child concerns/wishes. He discusses that the child is the only person who truly knows the pain, and suffering they are going through, and with allowing the child to have a say in medical decisions, the child can decide based on their level of pain experience.…

    • 704 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Nursing 304 Assignment

    • 1106 Words
    • 5 Pages

    He had his wishes respected, he and his family had support and room to process death, and he went with well-managed symptoms that gave the appearance that he was sleeping when he passed. Unfortunately, I have seen both with my friends and family, as well as patients and families, being deprived of the hospice palliative care services that my grandfather was provided. Although I understand that as a professional I must be mindful of how my opinion might affect a patient’s care, I feel that patients with either life-threatening or life-limiting should be given the opportunity to choose a hospice-palliative care approach. In addition, I hope that I will be able to explore further my knowledge and understanding of hospice palliative care to become a better advocate for patients and continue to improve my nursing practice. Lastly, I believe that my grandfather’s passing marked the start of my life’s journey with death and is one that I will continue to learn and grown on until it is my day to meet him for…

    • 1106 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    End Of Life Care Essay

    • 704 Words
    • 3 Pages

    Khadijeh Hamad Nursing 393 Writing assignment 5 1.) The three elements that assist healthcare professionals in addressing end of life discussions are critical to a family 's decision making capacity. These include the need for increased education of the healthcare system to better understand the dying process, the communication between family and healthcare staff on the prognosis of their loved ones, and lastly a need for up-to date advance directives. 2.)In this 2008 study, families who had a lost a member in the previous three to eight years were interviewed to recount and record their experiences and emotions.…

    • 704 Words
    • 3 Pages
    Decent Essays
  • Superior Essays

    Palliative Care Model

    • 1316 Words
    • 6 Pages

    The major strategies that are used in this care provision model are focused mainly on relieving any forms of suffering on the side of the patients by detecting the illnesses early enough, careful assessment of the illnesses, and applying the most appropriate treatment methodologies in addressing the pain that these patients and their families may be going through. Additionally, this care provision regimen takes into account the physical, psychological and spiritual needs of the patient (Palliative care NSW, 2012). It should be noted however that the palliative care that is suited for an adult cannot be used on a child and vice versa. For this reason therefore, there is the need to develop age-appropriate palliative care that will effectively address the specific needs of a particular patient and their families. An important factor that needs to be taken into consideration is that palliative care goes beyond diagnosis and providing clinical care to the patient and dwells a lot on addressing the individual needs of the patient.…

    • 1316 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Hospice Care Model

    • 433 Words
    • 2 Pages

    Concerns have been addressed and individuals are satisfied with the situation (CHPCA, 2013). Looking at this dilemma through this framework provides perspective for both options for action. The model presents hospice palliative care as both person and family-centered. The family is considered an integral part of the process and their feelings and opinions are to be respected. This must be balanced with honoring values and putting the patient first.…

    • 433 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Pediatric Palliative Care

    • 1729 Words
    • 7 Pages

    In view of all the benefits to pediatric palliative care, there are still numerous barriers to get over to deliver the best care possible. The clinical, operational, and the financial worlds in healthcare all have opposing goals and principles that , make it difficult to provide pediatric palliative care. Nurses should continue to do further research on these areas to find the best methods to overcomes conflicting ideals in these areas of healthcare. Overall, nursing in pediatric palliative care strive to provide outstanding care, by doing this they ensure that quality is added to the child’s…

    • 1729 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    According to the Institute of Medicine numbers of pediatric oncologist have dropped because of nurses claiming it was too stressful (Jennifer, Shana. Kilmmek, Rachel & Krunn, Sharon). This job comes with many stressful factors. Nurses that have suffering and dying patients also deal with feeling out of control, angry, feeling a loss of trust and independence, and the feeling of not wanting to get close to anyone again (Jennifer, Shana. Kilmmek, Rachel & Krunn, Sharon).…

    • 1015 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    End Of Life Care

    • 1163 Words
    • 5 Pages

    Objectives Upon completion of this power point presentation, the participants should be able to: Define the meaning of end of life care Determine the global challenges and innovation of end of life care Discuss the importance of advance directives and planning Distinguish palliative care from hospice care Identify the global role of physical therapy in addressing end of life care End of Life Care This sensitive subject, although heart wrenching, is vital to all decision makers to know (patient, legal next of kin, physicians) considering that it may affect the treatment decisions of all participants involved.…

    • 1163 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Essay On Hospice Nursing

    • 569 Words
    • 3 Pages

    “The goal is to keep the client as comfortable as possible and improve the client’s quality of life” (Rosadahl p.1703). By providing continuous management of pain and other symptoms combined with compassionate listening and counseling skills, hospice and palliative nurse promote the highest quality of life for the patient and family. Regardless of the setting, hospice and palliative nurses should strive to achieve an understanding of specific end-of-life issues from the perspective of each patient and their family…

    • 569 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Financially, families dealing with cancer are proven to spend thousands of dollars annually in an effort to rid their child of the cancer. Although all of these situations are difficult, the emotional aspect of cancer seems to have the largest effect on everyone involved in the child’s life. Emotionally, the family of a child diagnosed…

    • 1214 Words
    • 5 Pages
    Improved Essays