A RETROSPECTIVE AUDIT FOR PRE-HOSPITAL RESPECT DOCUMENTATION FOR CHILDREN WITH COMPLEX LIFE LIMITING NEURO-DISABILITY ADMITTED TO PAEDIATRIC INTENSIVE CARE UNIT
Title
A RETROSPECTIVE AUDIT FOR PRE-HOSPITAL RESPECT DOCUMENTATION FOR CHILDREN WITH COMPLEX LIFE LIMITING NEURO-DISABILITY ADMITTED TO PAEDIATRIC INTENSIVE CARE UNIT
Creator
Varma R; Mohamed M; Kayani R
Identifier
Publisher
Archives of Disease in Childhood
Date
2024
Subject
clinical audit; intensive care; neurodisability; pediatric intensive care unit; adolescent; caregiver; child; conference abstract; controlled study; female; hospice care; human; infant; major clinical study; male; palliative therapy; retrospective study; special situation for pharmacovigilance; terminal care
Description
Objectives As per NICE guidelines [NG 61], children and young people with life limiting conditions and their carers or parents should have enough time and opportunities for discussions about difficult decisions around end-of-life care. A retrospective audit of all children with complex life limiting neurodisabilities who died in the paediatric intensive care unit was carried out to assess if they were: a) Known to any other team/hospice care b) Have documented RESPECT form or end-of-life care discussion. Methods A retrospective review of medical records was done of all children who died in the paediatric intensive care unit between May 2014 to Sept 2022. Children who died in PICU but did not have any pre-existing life limiting neuro-disability and children who had cancer were excluded. Results Only 2 out of 33 eligible patients (6%) had end-of-life care discussion prior to admission to PICU. Another 1 patient was known to the palliative care team but did not have any documented end-of-life care plan. Conclusion Children with pre-existing life limiting neuro-disabilities and their families are not getting enough time and opportunities for discussions about difficult decisions around end-of-life care.
Rights
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Citation List Month
October List 2024
Collection
Citation
Varma R; Mohamed M; Kayani R, “A RETROSPECTIVE AUDIT FOR PRE-HOSPITAL RESPECT DOCUMENTATION FOR CHILDREN WITH COMPLEX LIFE LIMITING NEURO-DISABILITY ADMITTED TO PAEDIATRIC INTENSIVE CARE UNIT,” Pediatric Palliative Care Library, accessed February 19, 2025, https://pedpalascnetlibrary.omeka.net/items/show/19750.