Pediatric palliative care in the community

Erica C. Kaye, Jared Rubenstein, Deena Levine, Justin N. Baker, Devon Dabbs, Sarah E. Friebert

Research output: Contribution to journalReview articlepeer-review

Abstract

Early integration of pediatric palliative care (PPC) for children with life-threatening conditions and their families enhances the provision of holistic care, addressing psychological, social, spiritual, and physical concerns, without precluding treatment with the goal of cure. PPC involvement ideally extends throughout the illness trajectory to improve continuity of care for patients and families. Although current PPC models focus primarily on the hospital setting, community-based PPC (CBPPC) programs are increasingly integral to the coordination, continuity, and provision of quality care. In this review, the authors examine the purpose, design, and infrastructure of CBPPC in the United States, highlighting eligibility criteria, optimal referral models to enhance early involvement, and fundamental tenets of CBPPC. This article also appraises the role of CBPPC in promoting family-centered care. This model strives to enhance shared decision making, facilitate seamless handoffs of care, maintain desired locations of care, and ease the end of life for children who die at home. The effect of legislation on the advent and evolution of CBPPC also is discussed, as is an assessment of the current status of state-specific CBPPC programs and barriers to implementation of CBPPC. Finally, strategies and resources for designing, implementing, and maintaining quality standards in CBPPC programs are reviewed. CA Cancer J Clin 2015;65:315-333.

Original languageEnglish (US)
Pages (from-to)315-333
Number of pages19
JournalCA Cancer Journal for Clinicians
Volume65
Issue number4
DOIs
StatePublished - Jul 1 2015

Keywords

  • care
  • communication
  • community
  • end of life
  • home
  • hospice
  • palliative
  • pediatric
  • quality of life

ASJC Scopus subject areas

  • Hematology
  • Oncology

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