Parenteral emocional impact on child palliative care admission
PDF (Español (España))

Keywords

cuidados paliativos pediátricos, vivencias de padres, comunicación de malas noticias, sufrimiento, niño enfermo grave Pediatrics terminal Care, Advance Care Planning, Pediatric Ethics, Bereavement parental attitudes, communications skills, serious illness communication

How to Cite

Monteverde Ballart, C., Malla Abelló, L., & Pérez Inés, M. (2023). Parenteral emocional impact on child palliative care admission. HAEL. HEALTH, AGING & END OF LIFE, 4(1), 73–95. Retrieved from https://reunido.uniovi.es/index.php/hael/article/view/20388

Abstract

Objective: This study intends to know the emotional impact and explore the experience experienced by parents when notified of their child’s admission to a PPCU. Also, detect which strategies used by professionals helped them and which ones did not.
Method: Qualitative study of interpretative phenomenological design. 10 pro-genitors of children admitted to the PPCU of Sant Joan de Déu Hospital, Barce-lona, aged: 41-52 years old.
Results: 4 main themes emerged: impact; lack of information; space and time to integrate the news; knowledge of the team / therapeutic alliances, the impact being the most recurrent.
Conclusions: Having information about PPCU, the adequate space and time to assimilate the news, establish a relationship of trust and the possibility of an early intervention were shown as key elements to reduce the emotional impact. This study could become a valid tool to create training programs for professionals involved in the process and improve the quality of care in the future.

PDF (Español (España))

References

Alameda, A. y Barbero, J. (2009). El duelo en padres del niño oncológico. Psicooncología, 6 (2-3), 485-498.

Bollas, C.H. (1987). La sombra del objeto: Psicoanálisis de lo sabido no pensado. Madrid: Amorrortu editores España SL.

Castañeda de la Lanza, C., O’Shea, G., Gallardo, D.M., Farreras, D., Calderón, M. y Chávez, E.P. (2015). Cuidados paliativos: la experiencia en pediatría. Gaceta Mexicana de Oncología, 14 (3), 181-184.

Caprice, A., Knapp, D., Vanessa, L., Madden, B.S., Curtis, C.M., Sloyer, P. y Shenkman, E.A. (2010). Family Support in Pediatric Palliative Care: How Are Families Impacted by their Children’s Illnesses?. Journal of Palliative Medicine, 13 (4), 421-426.

Carroll, K.V., Mollen, C.J., Aldridge, S., Hexem, K.R. y Feudtner, C. (2012). Influences on Decision Making Identified by Parents of Children Receiving Pediatric Palliative Care. AJOB primary research, 3 (1), 1-7.

García Salido, A., Santos Herranz, P., Puertas Martín, V., García Teresa, M.A., Martino Alba, R. y Serrano González, A. (2018). Estudio retrospective de pacientes derivados de cuidados intensivos pediátricos a cuidados paliativos: por qué y para qué. Anales de Pediatría, 88 (1), 3-11.

Gordon, C., Barton, E., Meert, K.L., Eggly, S., Pollacks, M., Zimmerman, J., Anand, K.J., Carcillo, J., Newth, CJ., Dean, J.M., Wilson, D.F. y Nicholson, C. Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network. (2009). Accounting for medical communication: parents’ perceptions of communicative roles and responsibilities in the pediatric intensive care unit. Communication & Medicine, 6 (2), 177-188.

Hauer, J.M. y Wolfe, J. (2014). Supportive and palliative care of children with metabolic and neurological diseases. Current Opinion Support Palliative Care, 8 (3), 296-302.

Hendricks-Ferguson, V.L. (2007). Parental perspectives of initial end-of-life care communication. International Journal of Palliative Nursing, 13 (11), 522-531.

Hendricks-Ferguson, V.L. y Haase, J.E. (2018). Parent Perspectives of Receiving Early Information about Palliative and End-of-Life Care Options from Their Child’s Pediatric Providers. Cancer Nursing, doi: 10.1097/NCC.0000000000000589 [Epub ahead of print].

Hilden, J.M., Emanuel, E.J., Fairclough, D.L., Link, M.P., Foley, K.M., Clarridge, B.C., Schnipper, L.E. y Mayer, R.J. (2001). Attitudes and practices among pediatric oncologist regarding end-of-life care: results of the 1998 American Society of Clinical Oncology survey. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 19 (1), 205-212.

Hsiao, J.L., Evan, E.E. y Zeltzer L.K. (2007). Parent and child perspectives on physician communication in pediatric palliative care. Palliative and Supportive Care, 5 (4), 355-365.

Kassam, A., Skiadaresis, J., Alexander, S. y Wolfe, J. (2015). Differences in End-of-Life Communication for Children with Advanced Cancer Who Were Referred to a Palliative Care Team. Pediatric Blood Cancer, 62, 1409-1413.

Lotz, D.J., Daxer, M., Jox, R.J., Borasio, G.D. y Führer, M. (2016). “Hope for the best, prepare for the worst”: A qualitative interview study on parents’ needs and fears in pediatric advance care planning. Palliative Medicine, 31(8), 1-8.

Marsac, M.L., Kindler, C., Weiss, D. y Ragsdale, L. (2018). Let’s Talk About It: Supporting Family Communication during End-of-Life Care of Pediatric Patients. Journal of Palliative Medicine, 21 (6), 1-17.

Mullen, J., Reynolds, M.R. y Larson, J.S. (2015). Caring for pediatric patients’families at the child’s end of life. Critical Care Nurse, 35(6), 46-55.

Neimeyer, R.A., Wittkowski, J. y Moser, R.P. (2004). Psychological research on death attitudes: an overview and evaluation. Death Studies, 28, 309-340.

Odeniyi, F., Nathanson, P.G., Schall, T.E. y Walter, J.K. (2017). Communication Challenges of Oncologists and Intensivists Caring for Pediatric Oncology Patients: A Qualitative Study. Journal of Pain and Symptom Management, 54 (6), 909-915.

Organización Mundial de la Salud. Cuidados paliativos: para todas las edades y todas las enfermedades (2015). [consulta el 20 de enero de 2019]. Disponible en: https://www.who.int/features/2015/south-africa-palliative-care/es/

Rincón, C., Martino, R., Catá, E. y Montalvo, G. (2008). Cuidados paliativos pediátricos. El afrontamiento de la muerte en el niño oncológico. Psicooncología, 5(2-3), 425-437.

Ruppe, M.D., Feutdner,C., Hexem, K.R. y Morrison, W.E. (2013). Family Factors Affect Clinician Attitudes in Pediatric End-of-life Decision Making: A Randomized Vignette Study. Journal of Pain and Symptom Management, 45 (5), 832-840.

Sheetz, M.J. y Bowman, M.A. (2013). Parents’ Perceptions of a Pediatric Palliative Program. The American Journal of Hospice & Palliative Medicine, 30(3), 291-296.

Sullivan, J., Monagle, P. y Gillam, P. (2013). What parents want from doctors in end-of-life decision-making for children. Archives of disease in childhood, 99 (3), 216-220.

Tomás Sabado, J. y Gómez Benito, J. (2003). Variables relacionadas con la ansiedad ante la muerte. Revista de Psicología general y aplicada, 56: 257- 279.

Downloads

Download data is not yet available.