Challenges and dilemmas in providing continuous pediatric palliative care in Varaždin County- two narrative case presentations

Authors

  • Nataša Dumbović DZ Varaždinske županije
  • Ivana Martinec Dom zdravlja Varaždinske županije
  • Jelena Vincek Dom zdravlja Varaždinske županije

DOI:

https://doi.org/10.13112/pc.1030

Keywords:

PALLIATIVE CARE; CHILDREN; HOME CARE

Abstract

In recent years, home-based palliative care has become increasingly important, allowing children to spend their final days in a familiar and loving environment, surrounded by family and friends. By presenting the following case studies, we aimed to highlight the complexity of providing home-based palliative care for terminally ill children, with a particular focus on the organizational challenges and dilemmas that professionals face when providing home-based palliative care. Through these concrete examples, we will analyze the approach to home-based palliative care and highlight the challenges and benefits it brings, as well as the role of interdisciplinary teams in providing comprehensive support.

References

1. World Health Organization. Palliative care: key facts, 2020.

2. Ministarstvo zdravstva Republike Hrvatske. Nacionalna strategija palijativne skrbi. 2019.

3.Hammer NM, Bidstrup PE, Brok J, Devantier M, Sjøgren P, Schmiegelow K, Larsen A, Kurita GP, Olsen M, Larsen HB. Home-Based Specialized Pediatric Palliative Care: A Systematic Review and Meta-Analysis. J Pain Symptom Manage. 2023 Apr;65(4):e353-e368. doi: 10.1016/j.jpainsymman.2022.12.139. Epub 2023 Jan 6. PMID: 36621694.

4. Craig F, Abu-Saad Huijer H, Benini F, Kuttner L, Wood C, Feraris PC, Zernikow B. IMPaCCT: Standards pädiatrischer Palliativversorgung in Europa [IMPaCCT: standards of paediatric palliative care]. Schmerz. 2008 Aug;22(4):401-8. German. doi: 10.1007/s00482-008-0690-4. PMID: 18516628.

5. Benini F, Spizzichino M, Trapanotto M, Ferrante A. Pediatric palliative care. Ital J Pediatr. 2008 Dec 1;34(1):4. doi: 10.1186/1824-7288-34-4. PMID: 19490656; PMCID: PMC2687538.

6. Barrett L, Fraser L, Noyes J, Taylor J, Hackett J. Understanding parent experiences of end-of-life care for children: A systematic review and qualitative evidence synthesis. Palliat Med. 2023 Feb;37(2):178-202. doi: 10.1177/02692163221144084. Epub 2022 Dec 22. PMID: 36546591; PMCID: PMC9896294.

7. Koch KD, Jones BL. Supporting Parent Caregivers of Children with Life-Limiting Illness. Children (Basel). 2018 Jun 26;5(7):85. doi: 10.3390/children5070085. PMID: 29949926; PMCID: PMC6069074.

Published

2025-07-23

Issue

Section

Case Report

How to Cite

Dumbović, N., Martinec, I., & Vincek, J. (2025). Challenges and dilemmas in providing continuous pediatric palliative care in Varaždin County- two narrative case presentations. Paediatria Croatica, 69(3), 172-176. https://doi.org/10.13112/pc.1030

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