The first experience of mobile pediatric palliative team in Ukraine
The aim of the study was to identify needs among young children with life-limiting diseases under 4 years old and their parents living in rural area of Kharkiv region Ukraine during home visiting. Materials and methods. After the creation of the first mobile pediatric palliative team, we reviewed...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Zaporozhye State Medical University
2016-12-01
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| Series: | Zaporožskij Medicinskij Žurnal |
| Subjects: | |
| Online Access: | http://zmj.zsmu.edu.ua/article/view/85524/83155 |
| _version_ | 1818474282729078784 |
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| author | O. О. Riga Joan Marston A. Yu. Penkov |
| author_facet | O. О. Riga Joan Marston A. Yu. Penkov |
| author_sort | O. О. Riga |
| collection | DOAJ |
| description | The aim of the study was to identify needs among young children with life-limiting diseases under 4 years old and their parents living in rural area of Kharkiv region Ukraine during home visiting.
Materials and methods. After the creation of the first mobile pediatric palliative team, we reviewed the visits of 31 families at home to define their clinical, and psychological, and social needs. The first mobile pediatric palliative care team has been created for 2015. 31 families who have young children with life –threating diseases were visited to determine their clinical, and psychological, and social needs.
Results. All children (31) had severe pathology of the central nervous system: congenital birth defects (29 %); cerebral palsy (35.4 %); genetic disorders (12.9 %). Parental and children’s needs were divided into three categories. Medical needs: orthopedic (93.5 %), vaccination (93.5 %), food (80.6 %), posture (61.3 %), salivation (32.2 %), anticonvulsant therapy (16 %). Psychological problems: communication with siblings (100 %); socialization of children (90.3 %); sensory activity (83.8 %), parental relationships (74.2 %). Social issues: the need for support/social worker or volunteers (58.1 %), poverty (58.1 %), communication with local rehabilitation centers (54.8 %), the need for medical equipment (41.9 %).
Along with high medical, social and psychological needs of children with incurable diseases, both they and their families feel the lack of pediatric palliative care, and at present they have no access to it. The authors suggest that pediatric palliative care in Ukraine requires its development, application and inclusion in the general health care at all levels of the health system. The establishment of a national concept of modern educational programs, protocols and standards, dissemination of public information communities is also very necessary due to author’s point of view.
Conclusions. Mobile team that performs home visits may be one of the best ways to start creation of the pediatric palliative care services. |
| first_indexed | 2024-04-14T04:35:26Z |
| format | Article |
| id | doaj.art-d51008829e87444080b6150ea9d2dfa2 |
| institution | Directory Open Access Journal |
| issn | 2306-4145 2310-1210 |
| language | English |
| last_indexed | 2024-04-14T04:35:26Z |
| publishDate | 2016-12-01 |
| publisher | Zaporozhye State Medical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj.art-d51008829e87444080b6150ea9d2dfa22022-12-22T02:11:54ZengZaporozhye State Medical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102016-12-0166266http://dx.doi.org/10.14739/2310-1210.2016.6.85524The first experience of mobile pediatric palliative team in UkraineO. О. RigaJoan MarstonA. Yu. PenkovThe aim of the study was to identify needs among young children with life-limiting diseases under 4 years old and their parents living in rural area of Kharkiv region Ukraine during home visiting. Materials and methods. After the creation of the first mobile pediatric palliative team, we reviewed the visits of 31 families at home to define their clinical, and psychological, and social needs. The first mobile pediatric palliative care team has been created for 2015. 31 families who have young children with life –threating diseases were visited to determine their clinical, and psychological, and social needs. Results. All children (31) had severe pathology of the central nervous system: congenital birth defects (29 %); cerebral palsy (35.4 %); genetic disorders (12.9 %). Parental and children’s needs were divided into three categories. Medical needs: orthopedic (93.5 %), vaccination (93.5 %), food (80.6 %), posture (61.3 %), salivation (32.2 %), anticonvulsant therapy (16 %). Psychological problems: communication with siblings (100 %); socialization of children (90.3 %); sensory activity (83.8 %), parental relationships (74.2 %). Social issues: the need for support/social worker or volunteers (58.1 %), poverty (58.1 %), communication with local rehabilitation centers (54.8 %), the need for medical equipment (41.9 %). Along with high medical, social and psychological needs of children with incurable diseases, both they and their families feel the lack of pediatric palliative care, and at present they have no access to it. The authors suggest that pediatric palliative care in Ukraine requires its development, application and inclusion in the general health care at all levels of the health system. The establishment of a national concept of modern educational programs, protocols and standards, dissemination of public information communities is also very necessary due to author’s point of view. Conclusions. Mobile team that performs home visits may be one of the best ways to start creation of the pediatric palliative care services.http://zmj.zsmu.edu.ua/article/view/85524/83155Palliative CareChildrenHome Visits |
| spellingShingle | O. О. Riga Joan Marston A. Yu. Penkov The first experience of mobile pediatric palliative team in Ukraine Zaporožskij Medicinskij Žurnal Palliative Care Children Home Visits |
| title | The first experience of mobile pediatric palliative team in Ukraine |
| title_full | The first experience of mobile pediatric palliative team in Ukraine |
| title_fullStr | The first experience of mobile pediatric palliative team in Ukraine |
| title_full_unstemmed | The first experience of mobile pediatric palliative team in Ukraine |
| title_short | The first experience of mobile pediatric palliative team in Ukraine |
| title_sort | first experience of mobile pediatric palliative team in ukraine |
| topic | Palliative Care Children Home Visits |
| url | http://zmj.zsmu.edu.ua/article/view/85524/83155 |
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