Development of an in-home standardized end-of-life treatment program for pediatric patients dying of brain tumors

Development of an in-home standardized end-of-life treatment program for pediatric patients dying of brain tumors

Arland LC; Hendricks-Ferguson VL; Pearson J; Foreman NK; Madden JR

Journal for Specialists in Pediatric Nursing

2013

adolescent; Child; Female; Humans; infant; Male; retrospective studies; Young Adult; Palliative Care; Terminal Care; home care services; hospice care; Hospital Mortality; Health Personnel; Length of Stay; Pediatric Nursing; Program Development; Program Evaluation; Colorado; Patient Admission; Palliative Care; Preschool; Newborn; Brain neoplasms

PURPOSE: To evaluate an end-of-life (EOL) program related to specific outcomes (i.e., number of hospitalizations and place of death) for children with brain tumors. DESIGN AND METHODS: From 1990 to 2005, a retrospective chart review was performed related to specified outcomes for 166 children with admission for pediatric brain tumors. RESULTS: Patients who received the EOL program were hospitalized less often (n = 114; chi-square = 5.001 with df = 1, p <.05) than patients who did not receive the program. PRACTICE IMPLICATIONS: An EOL program may improve symptom management and decrease required hospital admissions for children with brain tumors.

2013-04

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