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Pediatric Palliative Care

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Essentials of Palliative Care

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Abstract

This chapter includes the demographics of children who would benefit from palliative care, description of pediatric palliative care, the barriers why pediatric palliative care has not been fully accepted and implemented, as well as discussion of death with children at various stages of development, issues related to palliative care in special situations such as neonatal ICU, and information regarding the well-being of health care providers and caregivers.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Care, University of California, Irvine School of Medicine, Irvine, CA, USA

    Shu-Ming Wang M.D.

  2. Department of Anesthesiology, St. Joseph’s of Orange, Orange, CA, USA

    Paul B. Yost M.D., F.A.A.P.

  3. Department of Medicine, University of California, Irvine School of Medicine, Irvine, CA, USA

    Leonard Sender M.D.

Authors
  1. Shu-Ming Wang M.D.
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  2. Paul B. Yost M.D., F.A.A.P.
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  3. Leonard Sender M.D.
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Corresponding author

Correspondence to Shu-Ming Wang M.D. .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Yale University, New Haven, 06520, Connecticut, USA

    Nalini Vadivelu

  2. Citrus Road 278, River Ridge, 70123, Louisiana, USA

    Alan David Kaye

  3. Keck School of Medicine, Department of Anesthesiology, Pain Medic, of the University of Southern California, Los Angeles, 90035, California, USA

    Jack M. Berger

Appendices

Review Questions

  1. 1.

    What is the palliative care?

    1. (a)

      Supportive care only

    2. (b)

      Only those who is terminally ill can receive it

    3. (c)

      Both supportive care and curative care together

    4. (d)

      Only being administered in hospice

    5. (e)

      The goal is to make patient comfortable

  2. 2.

    Which statement is true?

    1. (a)

      Palliative care can only be delivered in hospital

    2. (b)

      Hospice care and palliative care are the same

    3. (c)

      Palliative care requires multiple disciplinary service

    4. (d)

      Palliative care can only be delivered in hospice

    5. (e)

      Every case for palliative care should be treated uniformly

  3. 3.

    What are the barriers of pediatric palliative care?

    1. (a)

      Inadequate education and exposure

    2. (b)

      Uncomfortable in discussing the issue related to death

    3. (c)

      Cultural and religious differences

    4. (d)

      Uncertainty of disease progression

    5. (e)

      All of the above

  4. 4.

    Which one is not included in pediatric palliative care?

    1. (a)

      Spiritual consultation

    2. (b)

      Social support, family consultation

    3. (c)

      Curative treatments

    4. (d)

      All services are covered by insurance and Medicaid

    5. (e)

      Symptomatic treatments

  5. 5.

    Pediatric palliative care should include the following service

    1. (a)

      Religious clergy or cultural leader

    2. (b)

      Social worker

    3. (c)

      Nursing

    4. (d)

      Doctor

    5. (e)

      All of the above

  6. 6.

    The similarities between hospice and palliative care are except

    1. (a)

      Symptomatic treatments

    2. (b)

      Curative treatment

    3. (c)

      Majority of services are covered by Insurance

    4. (d)

      Both types of care can be delivered at home

    5. (e)

      Both types of care can be delivered in the hospital

  7. 7.

    The pediatric palliative care is as described below except

    1. (a)

      Mainly delivered through one person

    2. (b)

      Deliver at home, hospital, or nursing facility

    3. (c)

      Doctor, nurse, social worker, chaplain, home health aide are included in the team

    4. (d)

      Patients with chronic complex illness can benefit from it

    5. (e)

      Provide support to the whole family

  8. 8.

    What are symptomatic treatments?

    1. (a)

      Pain management

    2. (b)

      Anxiety treatment

    3. (c)

      Spiritual consultation

    4. (d)

      None of the above

    5. (e)

      All of the above

  9. 9.

    The barriers to establish neonatal palliative care are all except

    1. (a)

      The advancement of surgical techniques and life-support technology

    2. (b)

      The prognosis of the illness is undetermined

    3. (c)

      Social circumstance when the neonate was conceived, e.g., unplanned or IVF

    4. (d)

      The decision of palliative care should be made prenatally or immediately when resuscitation is warranted

    5. (e)

      None of the above

  10. 10.

    Pediatric palliative care

    1. (a)

      The goal of palliative care is to provide most aggressive treatment for pediatric patients

    2. (b)

      All neonates need palliative care

    3. (c)

      The advancement of technology and surgical interventions warrant excellent overall outcomes

    4. (d)

      The person who has the best interest of the child should make the decision regarding the care for the child

    5. (e)

      All of the above

Answers

  1. 1.

    (c)

  2. 2.

    (c)

  3. 3.

    (e)

  4. 4.

    (d)

  5. 5.

    (e)

  6. 6.

    (b)

  7. 7.

    (a)

  8. 8.

    (e)

  9. 9.

    (d)

  10. 10.

    (e)

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Wang, SM., Yost, P.B., Sender, L. (2013). Pediatric Palliative Care. In: Vadivelu, N., Kaye, A., Berger, J. (eds) Essentials of Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5164-8_25

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  • DOI: https://doi.org/10.1007/978-1-4614-5164-8_25

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5163-1

  • Online ISBN: 978-1-4614-5164-8

  • eBook Packages: MedicineMedicine (R0)

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