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Home Palliative Care

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Palliative Care

Family-centered care for children with complex, life-threatening, or chronic conditions

“Palliative care no longer means helping children die well, it means helping children and their families to live well and then, when the time is certain, to help them die gently.”
- Mattie Stepanek

What is palliative care?
Pediatric palliative care is a total approach to care for children, embracing physical, emotional, and spiritual elements.

How does palliative care differ from hospice care?
Palliative care is appropriate at any time during an illness and can be provided at the same time as treatment that is aimed to cure. It focuses on quality of life for the child and support for the family during the course of illness.


Palliative care may be right if:

  • The family is feeling overwhelmed or are having trouble coping, or is grieving the loss of a healthy child
  • Usual treatments are not working or seem to be hurting more than helping
  • The child is in the hospital more and more or is becoming harder to care for at home
  • The child’s condition may be life-limiting


Who can benefit from palliative care?
ChildServe’s unique facility, staff, and expertise are particularly suited for children with the following illnesses:

  • Life-threatening conditions for which curative treatment may be feasible but can fail
    • Cancer
    • Complex heart disease
    • Sudden severe illness
    • Extreme prematurity
  • Conditions where early death is inevitable but where there may be long periods of intensive treatment aimed at prolonging life allowing participation in normal activities
    • Cystic fibrosis
    • HIV
    • Chronic or severe respiratory failure
    • Kidney failure (non-transplant candidates)
    • Muscular dystrophy
  • Progressive conditions without curative treatment options
    • Progressive severe metabolic disorders (Tay-Sachs, leukodystrophy)
    • Chromosomal disorders (Trisomy 13 and 18)
  • Irreversible but non-progressive conditions with complex health care needs leading to complications and likelihood of premature deat
    • Severe cerebral palsy
    • Prematurity with residual multi-organ dysfunction or severe disability
    • Multiple disabilities following brain or spinal cord infections or injury
    • Severe brain malformations (holoprosencephaly)


A team approach

The palliative care team’s purpose is to:

  • Advocate for the child and family
  • Collaborate with the child’s providers
  • Help the family make treatment choices
  • Help the family find support


Dedicated Palliative Care Team

  • Physicians
  • Nurses
  • Social Workers
  • Chaplain
  • Child Life Specialists

Other Professionals

  • Respiratory Therapists
  • Physical Therapists
  • Occupational Therapists
  • Music Therapists
  • Pharmacists
  • Nutritionists
  • Assistive Technology Professionals
  • Additional professionals as appropriate













 

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