Analysis of the implementation of palliative care in pediatric oncology patients in terminal stages
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Publicación 6. Vol 6. Num 3.1 (Español (España))
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Published:
Aug 30, 2023
Keywords:
Pediatric palliative care; pediatric oncology; end-stage; psychology; social; spiritual; intervention
Main Article Content
Abstract
Introduction. Childhood cancer is one of the main causes of death in the world, this disease generates changes in the lifestyle of the child and the family, several spheres are affected after a diagnosis, for this reason the Pediatric Palliative Care (PPC) arises with the purpose of attending the physical, psychological, social and spiritual needs of the oncologic child and his family. Objective. The aim of this study is to describe the implementation of palliative care in terminally ill pediatric oncology patients. Methodology. A descriptive systematic bibliographic review was carried out in the Scopus, Taylor & Francis, Web Of Science, ProQuest and PubMed databases, the selected articles were subjected to inclusion and exclusion criteria and were reflected by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) method, obtaining 19 articles as a result of the purification. Results. The studies reflect the clinical, emotional, spiritual, and social alterations presented by pediatric oncology patients after their diagnosis, and the different medical, psychological, social, and spiritual interventions conducted by the professionals, as well as the benefits at the emotional, behavioral, spiritual, social, biological, and family levels. Conclusion. The research analyzed focuses on the physiological level and, to a lesser extent, on psychological, social, or spiritual intervention. Multidisciplinary care is the scarcity of specialized personnel, observing that psychological care is often addressed by professionals from other health areas such as doctors, nurses, etc., a comparable situation is observed in the social and spiritual area.
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Ojeda Carche, G. F., Malavé Pérez, Y. M., & Polo Martínez, E. M. (2023). Analysis of the implementation of palliative care in pediatric oncology patients in terminal stages. ConcienciaDigital, 6(3.1), 90-116. https://doi.org/10.33262/concienciadigital.v6i3.1.2661
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References
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Comas, E., Ortega, D., & Busquets, E. (2021). The psychological experience of pediatric oncology patients facing life-threatening situations: A systematic review with narrative synthesis. Palliative and Supportive Care, 19(6), 733-743. https://doi.org/10.1017/S1478951521000031
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Pravin, R., Enrica, T., & Moy, T. (2019). The portrait of a dying child. Indian Journal of Palliative Care, 25(1), 156-160.
Robert, R., Stavinoha, P., Jones, B., Robinson, J., Larson, K., Hicklen, R., Smith, B., Perko, K., Koch, K., Findley, S., &Weaver, M. (2019). Spiritual assessment and spiritual care offerings as a standard of care in pediatric oncology: A recommendation informed by a systematic review of the literature. Pediatric Blood Cancer, 66(9), e27764. https://doi.org/10.1002/pbc.27764
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Upshaw, N., Roche, A., Gleditsch, K., Connelly, E., Wasilewski, k., & Brock, K. (2021). Palliative care considerations and practices for adolescents and young adults with cancer. Pediatric Blood and Cancer, 68(1), e28781. https://doi.org/10.1002/pbc.28781
Van der Geest, I., Bindels, P., Pluijm, S., Michiels, E., van der Heide, A., Pieters, R., Darlington, A., & van de Heuvel, M. (2017). Home-Based Palliative Care for Children with Incurable Cancer: Long- term Perspectives of and Impact on General Practitioners. Journal of Pain and Symptom Management, 53 (3), 578-587. https://doi.org/10.1016/j.jpainsymman.2016.09.012
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Weaver, M., Heinze, K., Kelly, P., Wiener, L., Casey, R., Bell, C., Wolfe, J., Garee, A., Watson, A., & Hinds, P. (2015). Palliative Care as a Standard of Care in Pediatric Oncology. Pediatric Blood & Cancer, 62(5), S829–S833. https://doi.org/10.1002/pbc.25695
Benini, F., Avagnina, I., Giacomelli, L., Papa, S., Mercante, A., & Perilongo, G. (2022). Pediatric Palliative Care in Oncology: Basic Principles. Revista Cancers, 14(8), 1972. https://doi.org/10.3390/cancers14081972
Beretta, S., Polastri, D., Clerici, A., Casanova, M., Cefalo, G., Ferrari, A., Luksch, R., Massimino, M., Meazza, C., Podda, G., Spreafico, F., Terenziani, M., & Bellani, F. (2010). End of life in children with cancer: experience at the pediatric oncology department of the istituto nazionale tumori in Milan. Pediatric blood & cancer, 54(1), 88–91. https://doi.org/10.1002/pbc.22284
Cheng, B., Rost, M., De Clercq, E., Arnold, L., Elger, B., & Wangmo, T. (2019). Palliative care initiation in pediatric oncology patients: A systematic review. Cancer Medicine, 8(1), 3-12. https://doi.org/10.1002/cam4.1907
Chong, L., & Khalid, F. (2014). Pediatric palliative care in Malaysia: Survey of knowledge base and barriers to referral. Progress in Palliative Care, 22(4), 195-200. https://doi.org/10.1179/1743291X13Y.0000000074
Comas, E., Ortega, D., & Busquets, E. (2021). The psychological experience of pediatric oncology patients facing life-threatening situations: A systematic review with narrative synthesis. Palliative and Supportive Care, 19(6), 733-743. https://doi.org/10.1017/S1478951521000031
Cuartas, P., Charry, L., Ospina, P., & Carreño, S. (2019). Spiritual care: A look from the perspective of the model of symptom management and palliative care. Revista Colombiana de Enfermería, 18(1), e005. https://doi.org/10.18270/rce.v18i1.2341
Eche, I., Eche, I., & Aronowitz, T. (2020). An Integrative Review of Factors Associated with Symptom Burden at the End of Life in Children with Cancer. Journal of Pediatric Oncology/Nursing, 37(4), 284-295. https://doi.org/10.1177/1043454220909805
Friebert, S., Grossoehme, D., Baker, J., Needle, J., Thompkins, J., Cheng, Y., Wang, J., & Lyon, M. (2020). Congruence Gaps Between Adolescents with Cancer and Their Families Regarding Values, Goals, and Beliefs About End-of-Life Care. JAMA Network Open, 3(5), e205424. https://doi.org/10.1001/jamanetworkopen.2020.5424
Gómez, A., Becerra, A., Tron, R., & Hernández, P. (2018). Intervención cognitivo-conductual en cuidados paliativos pediátricos: un caso clínico. Revista Psicooncología, 15(2), 385-398. http://dx.doi.org/10.5209/PSIC.61444
Hernández, M., Lorenzo, R., Cata del Palacio, E., López, A., Martino, R., Madero, L., & Pérez, A. (2009). Hablar de la muerte al final de la vida: el niño con cáncer en fase terminal. Revista Anales de Pediatría, 71(5), 419-426. https://doi.org/10.1016/j.anpedi.2009.08.003
Jones, B., Currin, J., Pelletier, W., Sardi, V., Brown, P., & Wiener, L. (2018). Psychosocial standards of care for children with cancer and their families: A national survey of pediatric oncology social workers. Social work in health care, 57(4), 221–249. https://doi.org/10.1080/00981389.2018.1441212
Kazak, A., & Noll, R. (2015). The integration of psychology in pediatric oncology research and practice: collaboration to improve care and outcomes for children and families. American Psychologist, 70 (2), 146-158. https://psycnet.apa.org/doi/10.1037/a0035695
Liu, Q., Ho, K., Lam, K., Ho, J., Lam, W., Ma, P., Abu-Odah, H., Belay, G., Ling, D., Ching, S., & Wong, F. (2023). Effectiveness of spiritual interventions on psychological outcomes and quality of life among pediatric patients with cancer: a study protocol for a systematic review. BMJ Open, 13(3), e070810. https://doi.org/10.1136/bmjopen-2022-070810
Organización Mundial de la Salud [OMS]. (2021, 13 de diciembre). El Cáncer Infantil. https://www.who.int/es/news-room/fact-sheets/detail/cancer-in-children
Organización Panamericana de la Salud [OPS]. (2020, 20 de agosto). Cuidados Paliativos. https://www.who.int/es/news-room/fact-sheets/detail/palliative-care
Podda, M., Schiavello, E., Visconti, G., Clerici, C., Armiraglio, M., Casiraghi, G., Ambroset, S., Grossi, A., Rizzi, B., Lonati, G., & Massimino, M. (2021). Customised pediatric palliative care: Integrating oncological and palliative care priorities. Acta Paediatrica, 110(2), 682-688. https://doi.org/10.1111/apa.15415
Pravin, R., Enrica, T., & Moy, T. (2019). The portrait of a dying child. Indian Journal of Palliative Care, 25(1), 156-160.
Robert, R., Stavinoha, P., Jones, B., Robinson, J., Larson, K., Hicklen, R., Smith, B., Perko, K., Koch, K., Findley, S., &Weaver, M. (2019). Spiritual assessment and spiritual care offerings as a standard of care in pediatric oncology: A recommendation informed by a systematic review of the literature. Pediatric Blood Cancer, 66(9), e27764. https://doi.org/10.1002/pbc.27764
Rodríguez, C., Noreña, A., Chafer, T., Lorenzo, A., González de Dios, J., & Solano, C. (2022). The relevance of music therapy in pediatric and adolescent cancer patients: a scoping review. Global Health Action, 15(1), 2116774. https://doi.org/10.1080/16549716.2022.2116774
Rosenberg, A. & Wolfe, J. (2017). Approaching the third decade of pediatric palliative oncology investigation: historical progress and future directions. The Lancet Child & Adolescent Health, 1(1), 56–67. https://doi.org/10.1016/S2352-4642(17)30014-7
Salins, N., Hughes, S., & Preston, N. (2022). Palliative Care in Pediatric Oncology: An Update. Current oncology reports, 24(2), 175–186. https://doi.org/10.1007/s11912-021-01170-3
Snaman, J., McCarthy, S., Wiener, L., & Wolfe, J. (2020). Pediatric Palliative Care in Oncology. Journal of clinical oncology, 38(9), 954–962. https://doi.org/10.1200/JCO.18.02331
Umarani, J. (2016). Case reflections on care of a child with palliative care needs. Manipal Journal of Nursing and Health Sciences, 2(2), 75-77. https://impressions.manipal.edu/mjnhs/vol2/iss2/20?utm_source=impressions.manipal.edu%2Fmjnhs%2Fvol2%2Fiss2%2F20&utm_medium=PDF&utm_campaign=PDFCoverPages
Upshaw, N., Roche, A., Gleditsch, K., Connelly, E., Wasilewski, k., & Brock, K. (2021). Palliative care considerations and practices for adolescents and young adults with cancer. Pediatric Blood and Cancer, 68(1), e28781. https://doi.org/10.1002/pbc.28781
Van der Geest, I., Bindels, P., Pluijm, S., Michiels, E., van der Heide, A., Pieters, R., Darlington, A., & van de Heuvel, M. (2017). Home-Based Palliative Care for Children with Incurable Cancer: Long- term Perspectives of and Impact on General Practitioners. Journal of Pain and Symptom Management, 53 (3), 578-587. https://doi.org/10.1016/j.jpainsymman.2016.09.012
Veldhuijzen, S., van Meerwijk, C., Jansen, M., Twisk, J., Anderson, A., Coombes, L., Breen, M., Hargrave, O., Hemsley, J., Craig, F., Cruz, O., Kaspers, J., van Vuurden, D., & Hargrave, D. (2015). Palliative and end-of-life care for children with diffuse intrinsic pontine glioma: results from a London cohort study and international survey. Neuro Oncology, 18(4), 582-588. https://doi.org/10.1093/neuonc/nov250
Weaver, M., Heinze, K., Kelly, P., Wiener, L., Casey, R., Bell, C., Wolfe, J., Garee, A., Watson, A., & Hinds, P. (2015). Palliative Care as a Standard of Care in Pediatric Oncology. Pediatric Blood & Cancer, 62(5), S829–S833. https://doi.org/10.1002/pbc.25695