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O'Donnell A, Gonyea J, Wensley T, Nizza M. High-quality patient-centered palliative care: interprofessional team members' perceptions of social workers' roles and contribution. J Interprof Care 2024; 38:1-9. [PMID: 37525994 DOI: 10.1080/13561820.2023.2238783] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 07/11/2023] [Indexed: 08/02/2023]
Abstract
A core tenet of interprofessional collaborative practice (IPCP) is that efficient and effective teams are critical for the delivery of high-quality, patient-centered care. Although palliative care has a history of excellent care, increasing demands and larger patient loads are challenging teams to adapt and strengthen team functioning in hospital settings. The purpose of this qualitative study was to better understand the IPCP contributions of advanced palliative social workers (PSWs) through the eyes of their colleagues. Twenty-four interprofessional palliative care (IPPC) team members from other professions (i.e. nurse practitioners, physicians, physician assistants) from 16 hospitals across the U.S. participated in 20-minute semi-structured interviews. The Patient-Centered Clinical Method (PCCM) was used as a conceptual model to aid in the interpretation of the data. This model illuminated the centrality of PSWs' role in building and sustaining a therapeutic alliance between the patient and the IPPC team, through assessing and promoting care that centers the patient's experience with illness, creating space to initiate, process and revisit difficult healthcare conversations and helping to modulate the pace and intensity of emotionally laden discussions. PSWs also support the therapeutic relationship with the IPPC team by providing continuity and connection across and during the hospital experience and supporting the well-being of the IPPC team. This study offers novel insights into how PSWs contribute to patient-centered IPPC and furthers the articulation of the role of PSWs in hospital settings.
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Affiliation(s)
| | - Judith Gonyea
- School of Social Work, Boston University, Boston, USA
| | | | - Megan Nizza
- School of Social Work, Boston University, Boston, USA
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2
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Levine A, Winn PA, Fogel AH, Lelkes E, McPoland P, Agrawal AK, Bogetz JF. Barriers to Pediatric Palliative Care: Trainee and Faculty Perspectives Across Two Academic Centers. J Palliat Med 2023; 26:1348-1356. [PMID: 37318791 PMCID: PMC10623063 DOI: 10.1089/jpm.2022.0580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/14/2023] [Indexed: 06/16/2023] Open
Abstract
Objective: Barriers to palliative care for children with serious illness include system constraints and vastly different training and attitudes toward palliative care. This study aimed to explore trainee and faculty physician perceptions of barriers to palliative care across two pediatric centers to (1) examine differences between trainees and faculty and (2) compare these data with previous studies. Methods: A mixed-methods study was conducted in fall 2021 among pediatric trainees and faculty physicians at three pediatric hospitals in two pediatric centers in the western United States. Surveys were distributed through hospital listservs and analyzed descriptively and through inductive thematic analysis. Results: There were a total of 268 participants: 50 trainees and 218 faculty physicians. Of the trainees, 46% (23) were fellows and 54% (27) were pediatric residents. Trainees and faculty reported the same four most common barriers, which were consistent with previous studies: family not ready to acknowledge an incurable condition (64% trainees and 45% faculty); family preference for more life-sustaining therapies than staff (52% and 39%); uncertain prognosis (48% and 38%); and parent discomfort with possibility of hastening death (44% and 30%). Other barriers commonly reported included time constraints, staff shortages, and conflict among family about treatment goals. Language barriers and cultural differences were also cited. Conclusions: This study examining palliative care across two pediatric centers suggests that providers' perceptions of family preferences and understanding of illness persist as barriers to the delivery of pediatric palliative care services. Future research should examine family-centered and culturally mindful interventions to better elucidate family perspectives on their child's illness to align care.
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Affiliation(s)
- Alyssa Levine
- Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA
| | - Phoebe A. Winn
- Divisions of Emergency Medicine and Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, Oakland, California, USA
| | - Alexis H. Fogel
- Divisions of Emergency Medicine and Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, Oakland, California, USA
| | - Efrat Lelkes
- Division of Pediatric Critical Care, Benioff Children's Hospital San Francisco, University of California, San Francisco, San Francisco, California, USA
| | - Paula McPoland
- Division of Pediatric Bioethics and Palliative Care, Department of Pediatrics, University of Washington School of Medicine, Seattle Children's Hospital, Seattle, Washington, USA
| | - Anurag K. Agrawal
- Divisions of Oncology, Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, Oakland, California, USA
| | - Jori F. Bogetz
- Division of Pediatric Bioethics and Palliative Care, Department of Pediatrics, Center for Clinical and Translational Research, Seattle Children's Research Institute, University of Washington School of Medicine, Seattle, Washington, USA
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3
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Tatterton MJ, Fisher MJ, Storton H, Walker C. The role of children's hospices in perinatal palliative care and advance care planning: The results of a national British survey. J Nurs Scholarsh 2022. [DOI: 10.1111/jnu.12866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 11/19/2022] [Accepted: 12/02/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Michael J. Tatterton
- School of Nursing and Healthcare Leadership, Faculty of Health Studies University of Bradford Bradford UK
- Bluebell Wood Children's Hospice North Anston UK
- International Children's Palliative Care Network c/o Together for Short Lives Bristol UK
| | - Megan J. Fisher
- School of Nursing and Healthcare Leadership, Faculty of Health Studies University of Bradford Bradford UK
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Yang N, Zhang Y, Liu Z, Wang F, Yang G, Hu X. Influence of Social Workers' Empathy Ability on Suicidal Ideation of Cancer Patients. Front Public Health 2022; 10:925307. [PMID: 35968492 PMCID: PMC9364132 DOI: 10.3389/fpubh.2022.925307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 06/09/2022] [Indexed: 11/23/2022] Open
Abstract
Background The nursing goal of patients with cancer is to provide them with holistic care, including physical, psychological, and social adaptation, and spirituality. This research aimed to explore the influence of the social workers' empathy ability on suicidal ideation of patients with cancer and its path. Methods There was a sum of 358 patients with cancer and the 45 social workers serving them participated in the survey. Data of their self-efficacy, depression symptom, stigma, and suicidal ideation were measured before the social work provided (T1) and 3 months after the social work finished (T2) were collected and compared. Pearson correlation analysis was used to assess the relationships between social workers' empathy ability and patient indicators at T2. The influence path of social workers' empathy ability on cancer patients' suicidal ideation was explored by path analysis at T2. Results At T2, patients reported higher self-efficacy and lower depression symptoms, stigma, and suicidal ideation than at T1. At T2, social workers' empathy ability was positively related to patients' self-efficacy and was negatively related to depression symptoms, stigma, and suicidal ideation. Social workers' empathy ability affected patients' suicidal ideation directly. In addition, patients' self-efficacy, depression symptoms, and stigma played mediating roles in the influence of social workers' empathy abilities on their suicidal ideation. Conclusion Social workers' empathy ability not only directly affected cancer patients' suicide ideation but also affected suicide ideation through the mediating roles of self-efficacy, depression symptoms, and stigma. Therefore, the improvement of the empathy ability of medical social workers needs to be paid attention to.
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Affiliation(s)
- Ningxi Yang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, China
- Innovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, China
| | - Yuting Zhang
- Health Science Center, Shenzhen University, Shenzhen, China
| | - Zhibo Liu
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, China
| | - Fang Wang
- Innovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, China
| | - Guoqing Yang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, China
| | - Xiuying Hu
- Innovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, China
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5
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Jonas D, Patneaude A, Purol N, Scanlon C, Remke S. Defining Core Competencies and a Call to Action: Dissecting and Embracing the Crucial and Multifaceted Social Work Role in Pediatric Palliative Care. J Pain Symptom Manage 2022; 63:e739-e748. [PMID: 35235858 DOI: 10.1016/j.jpainsymman.2022.02.341] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 02/22/2022] [Accepted: 02/22/2022] [Indexed: 10/19/2022]
Abstract
While social workers are a well-established, part of the pediatric palliative care team, this manuscript presents the first published definition of the core competencies of a pediatric palliative care social worker. National experts in the field, guided by the pediatric special interest group of the Social Work Hospice and Palliative Network (SWHPN), worked together to articulate, and define core competencies. As the field of pediatric palliative care (PPC) continues to grow and develop, these competencies will help to better delineate the specific skill base of social workers in PPC. Such competencies may also create clearer role definition for emerging PPC social workers, guide training, clinical supervision, and mentorship in the field. They can also support improved interdisciplinary practice by assisting interprofessional colleagues in understanding and articulating the critical role of social workers as part of the PPC team. Additionally, such competencies may contribute to the growing development of role descriptions necessary for the hiring of social workers onto growing PPC teams, while also providing a framework for the creation and support of curricula centered on the subspeciality education and training of the next generation of PPC social workers.
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Affiliation(s)
- Danielle Jonas
- Silver School of Social Work, (D.J) New York, New York, USA.
| | - Arika Patneaude
- Bioethics and Palliative Care, (A.P.) Seattle Children's Hospital, Seattle, Washington, USA
| | - Nicholas Purol
- Director of Pediatric Advanced Care Team (PACT) Social Work Fellowship, Boston Children's (N.P.) Hospital and Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Caitlin Scanlon
- Hope and Healing Bereavement Program, Riley Hospital for Children, (C.S.) Indiana University Health, Indianapolis, Indiana, USA
| | - Stacy Remke
- Senior Clinical Teaching Specialist, (S.R.) University of Minnesota School of Social Work, St. Paul, Minnesota, USA
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Glajchen M, Goehring A, Johns H, Portenoy RK. Family Meetings in Palliative Care: Benefits and Barriers. Curr Treat Options Oncol 2022; 23:658-667. [PMID: 35316479 PMCID: PMC8938578 DOI: 10.1007/s11864-022-00957-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2022] [Indexed: 11/05/2022]
Abstract
OPINION STATEMENT Specialists in palliative care view the family meeting as a means to engage patients and their families in a serious illness discussion that may clarify the values of patients and caregivers, provide information, determine care preferences, and identify sources of illness-related distress and burden. The family meeting is considered the best practice for achieving patient- and family-centered care in palliative care. Although studies of the family meeting are limited, those extant suggest that these interventions may reduce caregiver distress, mitigate the perception of unmet needs, prepare family members for caregiving, and improve bereavement outcomes. The experience of palliative care specialists further suggests that the family meeting may reinforce the therapeutic alliance with families, promote consensus, and reduce the need for ad hoc meetings. Physician satisfaction may be enhanced when the treatment plan includes the opportunity to show empathy and see the family's perspective-core elements of the clinical approach to the family meeting. In the oncology setting, the potential to achieve these positive outcomes supports the integration of the family meeting into practice. Clinical skills for the planning and running of family meetings should be promoted with consideration of a standardized protocol for routine family meetings at critical points during the illness and its treatment using an interdisciplinary team. Further research is needed to refine understanding of the indications for the family meeting and determine the optimal timing, structure, and staffing models. Outcome studies employing validated measures are needed to better characterize the impact of family meetings on patient and family distress and on treatment outcomes. Although better evidence is needed to guide the future integration of the family meeting into oncology practice, current best practices can be recommended based on available data and the extensive observations of palliative care specialists.
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Affiliation(s)
- Myra Glajchen
- MJHS Institute for Innovation in Palliative Care, 39 Broadway, 3rd Floor, New York, NY 10006 USA
- Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY USA
| | | | - Hannah Johns
- MJHS Institute for Innovation in Palliative Care, 39 Broadway, 3rd Floor, New York, NY 10006 USA
| | - Russell K. Portenoy
- MJHS Institute for Innovation in Palliative Care, 39 Broadway, 3rd Floor, New York, NY 10006 USA
- Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY USA
- MJHS Hospice and Palliative Care, New York, NY USA
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Farley S, Bansal S, Barks MC, Pollak KI, Kaye EC, Quarles A, Briglia K, Johnson E, Lakis K, Lemmon ME. Role of Social Workers in Family Conferences for Critically Ill Infants. J Palliat Med 2022; 25:1236-1242. [PMID: 35285675 PMCID: PMC9347387 DOI: 10.1089/jpm.2021.0574] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Communication challenges in the neonatal intensive care unit include fragmented communication, challenges managing expectations amidst uncertainty, and navigating complex medical information. Social workers are well suited to mitigate these challenges. Objective: In this study, we aimed to characterize the extent and nature of social worker participation in family conferences for critically ill infants. Design: We used a longitudinal observational mixed-methods design, enrolling infants with a neurological condition, their parent(s), and their clinicians. All audio-recorded conferences were transcribed and de-identified. Emergent themes and subthemes were identified using conventional content analysis. Results: We enrolled 40 infants and 61 parents. Sixty-eight conferences were held and audio recorded for 24 infants. Social workers were present for 51 of these conferences (n = 51/68, 75%) across 18 cases (n = 18/24, 75%). We identified four themes, conceptualized as distinct roles played by social workers in family conferences: (1) Translator: social workers served as a communicative bridge between parents and the medical team; (2) Coordinator: social workers simplified logistics and connected parents to community resources, including home health agencies and financial assistance; (3) Expectation manager: social workers provided anticipatory guidance and helped parents conceptualize the remainder of the hospital stay, discharge, and life at home; and (4) Advocate: social workers validated parental values and concerns and provided immediate emotional support. Conclusions: Social workers participated in three-quarters of family conferences for critically ill infants. When they participated, they facilitated communication, coordinated care, managed expectations, and advocated for families. These findings underscore the important, varied, and concurrent roles social workers play in the care of critically ill infants. Future communication and family support interventions should leverage these distinct roles.
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Affiliation(s)
- Sam Farley
- Duke University, Durham, North Carolina, USA
| | | | - Mary Carol Barks
- Duke University, Durham, North Carolina, USA
- Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA
| | - Kathryn I. Pollak
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA
- Duke Cancer Institute, Duke University School of Medicine, Durham, North Carolina, USA
| | - Erica C. Kaye
- Department of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee, USA
| | - Anna Quarles
- Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA
| | - Kathleen Briglia
- Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA
| | - Erika Johnson
- Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA
| | - Kristen Lakis
- Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA
- Division of Palliative Care, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA
| | - Monica E. Lemmon
- Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA
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8
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Bloomer MJ, Poon P, Runacres F, Hutchinson AM. Facilitating family needs and support at the end of life in hospital: A descriptive study. Palliat Med 2022; 36:549-554. [PMID: 34965777 PMCID: PMC8972949 DOI: 10.1177/02692163211066431] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Caring for family members of dying patients is a vital component of end-of-life care, yet family members' needs at the end of life may be unmet. AIM To explore hospital clinician assessment and facilitation of family needs and practices to support families at the end of life. DESIGN Descriptive study utilising a retrospective medical record audit. SETTING AND SAMPLE Undertaken in a large public hospital, the sample included 200 deceased patients from four specialities; general medicine (n = 50), intensive care (n = 50), inpatient palliative care (n = 50) and aged rehabilitation (n = 50). Data were analysed according to age; under 65-years and 65-years or over. RESULTS Deceased patients' mean age was 75-years, 60% were Christian and Next-of-Kin were documented in 96% of cases. 79% spoke English, yet interpreters were used in only 6% of cases. Formal family meetings were held in 64% of cases. An assessment of family needs was undertaken in 52% of cases, and more likely for those under 65-years (p = 0.027). Cultural/religious practices were supported/facilitated in only 6% of all cases. Specialist palliative care involvement was more likely for those aged 65-years or over (p = 0.040) and social work involvement more likely for those under 65-years (p = 0.002). Pastoral care and bereavement support was low across the whole sample. CONCLUSIONS Prioritising family needs should be core to end-of-life care. Anticipation of death should trigger routine referral to support personnel/services to ensure practice is guided by family needs. More research is needed to evaluate how family needs assessment can inform end-of-life care, supported by policy.
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Affiliation(s)
- Melissa J Bloomer
- School of Nursing and Midwifery, Deakin University, Geelong, VIC, Australia
- Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia
- Monash Health, Centre for Quality and Patient Safety Research – Monash Health Partnership, Clayton, VIC, Australia
| | - Peter Poon
- Supportive and Palliative Care Unit Monash Health, Clayton, VIC, Australia
- School of Medicine, Monash University, Clayton, VIC, Australia
- Eastern Palliative Care Association, Melbourne, VIC, Australia
| | - Fiona Runacres
- Supportive and Palliative Care Unit Monash Health, Clayton, VIC, Australia
- School of Medicine, Monash University, Clayton, VIC, Australia
- Department of Palliative Care, Calvary Health Care Bethlehem, South Caulfield, VIC, Australia
- The University of Notre Dame, Darlinghurst, NSW, Australia
| | - Alison M Hutchinson
- School of Nursing and Midwifery, Deakin University, Geelong, VIC, Australia
- Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia
- Monash Health, Centre for Quality and Patient Safety Research – Monash Health Partnership, Clayton, VIC, Australia
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10
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Taels B, Hermans K, Van Audenhove C, Boesten N, Cohen J, Hermans K, Declercq A. How can social workers be meaningfully involved in palliative care? A scoping review on the prerequisites and how they can be realised in practice. Palliat Care Soc Pract 2021; 15:26323524211058895. [PMID: 34870204 PMCID: PMC8637690 DOI: 10.1177/26323524211058895] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 10/14/2021] [Indexed: 11/20/2022] Open
Abstract
Palliative care is a holistic practice using a multidisciplinary approach in addressing multidimensional needs. Although the social aspects surrounding the end-of-life phase suggest a place for social work in it, the profession is often inadequately involved in daily practice. This contrasts strongly with the potential meaningful contributions of social workers in this field. To date, no comprehensive list of prerequisites for meaningful social work involvement in palliative care exists. This review aims to gain more insight on the prerequisites for meaningful social work involvement in palliative care and how to realise them in practice. It could therefore provide pathways for future intervention development in enhancing the involvement of social workers and maximising their contributions in palliative care. A scoping review methodology was used. A systematic selection of peer-reviewed articles ranged from 2000 to April 2021 - out of the electronic databases Web of Science, Scopus and Pubmed - was conducted. The 170 articles that met the eligibility criteria were analysed for relevant content using open and axial coding processes. The findings are reported according to the PRISMA-ScR checklist. The nine prerequisites listed in this review concern the level of individual social work capacities and the level of contextual factors structuring social work practices. A majority of articles have, however, focused on the level of individual social work capacities in a rather specialist view on palliative care. Future research should further address the contextual level of social work involvement in the broader practice of death, dying and bereavement.
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Affiliation(s)
- Brent Taels
- LUCAS – Centre for Care Research and
Consultancy, Department of Public Health and Primary Care, KU Leuven, 3000
Leuven, Belgium
| | - Kirsten Hermans
- LUCAS – Centre for Care Research and
Consultancy, Department of Public Health and Primary Care, KU Leuven,
Leuven, Belgium
| | - Chantal Van Audenhove
- LUCAS – Centre for Care Research and
Consultancy, Department of Public Health and Primary Care, KU Leuven,
Leuven, Belgium
| | - Nadine Boesten
- LUCAS – Centre for Care Research and
Consultancy, Department of Public Health and Primary Care, KU Leuven,
Leuven, Belgium
- Organisation, Policy & Social Inequalities
in Healthcare Research Group, Department of Public Health, Vrije
Universiteit Brussel, Brussel, Belgium
| | - Joachim Cohen
- End-of-Life Care Research Group, Department of
Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussel,
Belgium
| | - Koen Hermans
- LUCAS – Centre for Care Research and
Consultancy, Department of Public Health and Primary Care, KU Leuven,
Leuven, Belgium
| | - Anja Declercq
- LUCAS – Centre for Care Research and
Consultancy, Department of Public Health and Primary Care, KU Leuven,
Leuven, Belgium
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11
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Jonas DF, Drouin K, Greenman J, Klein V, Scanlon C, Frechette E, Cramer L, Eagan A, Rusch R, Joselow M, Purol N. The Long Shadow: Collateral Impact and Finding Resilience Amidst a Global Pandemic Pediatric Palliative Care Social Work During COVID-19. JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE 2021; 17:218-236. [PMID: 33722184 DOI: 10.1080/15524256.2021.1894312] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
This manuscript illuminates the nuanced ways in which the COVID-19 pandemic has impacted the pediatric palliative care social work role and clinical care in caring for children with life-limiting illnesses and their families throughout the country. The authors discuss memorable moments, logistical impacts, telehealth usage, decision-making experiences, end of life care, bereavement practices, specialized interventions, and self-care. The paper concludes with lessons learned and practical recommendations for the future.
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Affiliation(s)
| | - Kristin Drouin
- Nemours A.I. duPont Hospital for Children, Wilmington, Delaware, USA
| | - Jennifer Greenman
- Division of Comfort and Palliative Care, Children's Hospital Los Angeles, Los Angeles, California, USA
| | | | - Caitlin Scanlon
- Pediatric Palliative Care Team, Riley Hospital For Children, Indiana University Health, Indianapolis, Indiana, USA
| | | | - Lauren Cramer
- Pediatric Advanced Care Team, Boston Children's Hospital and Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Arielle Eagan
- Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
- The KonTerra Group, Washington, District of Columbia, USA
- Amwell Medical Group, Boston, Massachusetts, USA
| | - Rachel Rusch
- Division of Comfort and Palliative Care, Children's Hospital Los Angeles, Los Angeles, California, USA
| | - Marsha Joselow
- Pediatric Advanced Care Team, Boston Children's Hospital and Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Nicholas Purol
- Pediatric Advanced Care Team, Boston Children's Hospital and Dana-Farber Cancer Institute, Boston, Massachusetts, USA
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