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COVID-19: impact on pediatric palliative care

Scott, Hannah May; Coombes, Lucy; Braybrook, Debbie; Roach, Anna; Harðardóttir, Daney; Bristowe, Katherine; Ellis-Smith, Clare; ... Harding, Richard; + view all (2022) COVID-19: impact on pediatric palliative care. Journal of Pain and Symptom Management 10.1016/j.jpainsymman.2022.02.330. (In press). Green open access

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Abstract

CONTEXT: Children and young people (CYP) with life-limiting or life-threatening conditions (LLLTC) and their families are potentially vulnerable during COVID-19 lockdowns due to pre-existing high clinical support needs and social participation limitations. OBJECTIVES: To explore the impact of the COVID-19 pandemic and lockdowns on this population. METHODS: Sub-analysis of an emergent COVID-19 related theme from a larger semi-structured interview study investigating priority pediatric palliative care outcomes. 106 UK-wide purposively-sampled CYP with LLLTC, parent/carers, siblings, health professionals and commissioners. RESULTS: COVID-19 was raised by participants in 12/44 interviews conducted after the UK's first confirmed COVID-19 case. Key themes included loss of vital social support, disruption to services important to families, and additional psychological distress. CONCLUSIONS: Continued delivery of child- and family-centred palliative care requires innovative assessment and delivery of psycho-social support. Disruptions within treatment and care providers may compound support needs, requiring co-ordination for families facing multi-agency delays.

Type: Article
Title: COVID-19: impact on pediatric palliative care
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jpainsymman.2022.02.330
Publisher version: https://doi.org/10.1016/j.jpainsymman.2022.02.330
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: COVID-19, Palliative care, Pediatrics
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10145861
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