Characteristics of a population of children hospitalized under health conditions that may need pediatric palliative care

First patients in the Pediatric Palliative Care Unit at the Pereira Rossell Hospital Center (UCPP-CHPR)

  • Mercedes Bernadá Universidad de la República, Facultad de Medicina, Pediatría. Profesora Agregada. Centro Hospitalario Pereira Rossell, Unidad de Cuidados Paliativos, Coordinadora
  • Patricia Dall'Orso Universidad de la República, Facultad de Medicina, Pediatría. Profesora Adjunta
  • Gabriela Fernández Universidad de la República, Facultad de Medicina, Departamento de Psicología Médica, Ex Profesora Adjunta. Licenciada en Psicología
  • Edgardo González Asociación Española, Hospi Saunder. Médico oncólogo
  • Marigel Dallo Universidad de la República, Facultad de Medicina, Departamento de Psicología Médica, Asistente. Licenciada en Psicología
  • Fabiana Caperchione Universidad de la República, Facultad de Medicina, Departamento de Psicología Médica, Asistente. Licenciada en Psicología
  • Raquel Bellora Licenciada en Trabajo Social
  • Valeria Le Pera Universidad de la República, Facultad de Medicina, Pediatría, Ex Residente
  • Roxana Carrerou Universidad de la República, Facultad de Medicina, Pediatría. Postgrado
  • Silvia Guillén Universidad de la República, Facultad de Medicina, Escuela Universitaria de Tecnología Médica, Prof. Adjunta. Licenciada en Fisioterapia
  • Estela Ferreira Centro Departamental de Canelones Dr. Francisco Soca, Directora. Ex supervisora del CHPR. Licenciada en Enfermería
  • Alicia Giordano Centro Hospitalario Pereira Rossell, Unidad de Cuidados Intensivos de Niños (UCIN), Nurse supervisora. Licenciada en Enfermería
Keywords: PALLIATIVE CARE, CHILD

Abstract

Introduction: Law 18,335 provides that: "All individuals have the right to receive comprehensive health services ... including palliative care". The World Health Organization (WHO) defined pediatric palliative care as "a global model for health care services both for the child with a disease that limits and/or threatens his life, and his family". Pereira Rossell Hospital Center has created a Pediatric Palliative Care Unit to provide attention and train professionals in these health care services.
Objective:to describe the main characteristics of the first patients seen in the above mentioned unit.
Method: We conducted a retrospective, descriptive study of the characteristics of the children seen from December 30, 2008 through December 30, 2010, based on their files and medical records. All children hospitalized in the intermediate health care in the Department of Pediatrics were included in the study.
Results:87 patients were seen, 54 of them were girls. Median age was three years old (ranging from 28 days until 16 years old). Health conditions requiring palliative care were varied, mainly non-progressive severe neurological disorders. The most frequent cause of hospitalization was respiratory infections, although several other biological, psychological and social problems were seen. 25% of the children died, most of them in the hospital.
Conclusions:pediatric palliative care is a right. Thus, all health professionals working with children must be familiar with the problems presented and receive training for a comprehensive approach of the condition, since it is an obligation of the health system to guarantee this right.

References

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Published
2011-12-31
How to Cite
1.
Bernadá M, Dall’Orso P, Fernández G, González E, Dallo M, Caperchione F, Bellora R, Le Pera V, Carrerou R, Guillén S, Ferreira E, Giordano A. Characteristics of a population of children hospitalized under health conditions that may need pediatric palliative care. Rev. Méd. Urug. [Internet]. 2011Dec.31 [cited 2024Nov.9];27(4):220-7. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/372