For the first time, Pediatric Clinics is devoting one issue to two clinically focused topics: Pediatric Palliative Care and Pediatric Hospital Medicine. Dr. Ottolini has organized her section to focus on a variety of issues of relevant to all pediatricians, but which pose special challenge to the Pediatric Hospitalists. As pediatric care has advanced, children who would not have survived infancy are growing into young adults with complex chronic diseases and dependence upon technology. They frequently require hospitalization to address exacerbation of underlying disease processes and procedures to improve their quality of life. The articles are devoted to patient care challenges of troubleshooting malfunctioning technology, co-managing medically complex patients pre and post-op with surgical colleagues, and the Hospitalist’s evolving role in performing procedures and sedation in this population of vulnerable patients. Also discussed rare strategies to maximize communication with parents, patients and primary care providers during hospitalization, especially for medically complex patients. Dr. Ullrich and Dr. Wolfe Pediatric have worked to bring relevant articles on palliative care to the pediatrician. While life-threatening conditions in childhood are rare, children with LTC account for a high proportion of pediatric hospital care, and about one half of such children die in the inpatient setting. The number of hospital-based pediatric palliative care programs has increased dramatically over the past decade to meet the palliative care needs of hospitalized children including symptom management, facilitation of communication, decision-making and advance care planning support, and coordination of care. Given these considerations, it is evident that the topics of pediatric palliative care and hospital medicine are fitting counterparts for this comprehensive issue.
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 3 4. CME Accreditation Page - p. 4 5. Contributors - p. 5 6. Contents - p. 6 7. Contents - p. 7 8. Forthcoming Issues - p. 8 9. Hospital Medicine and Pediatric Palliative Care - p. 9 10. Pediatric Hospital Medicine - p. 10 11. Preface - p. 11 12. Shared Decision-Making About Assistive Technology for the Child with Severe Neurologic Impairment - p. 12 13. Pediatric Hospital Medicine Role in the Comanagement of the Hospitalized Surgical Patient - p. 18 14. Family-Centered Rounds - p. 23 15. Effective Communication with Primary Care Providers - p. 27 16. Pediatric Hospitalists Working in Community Hospitals - p. 32 17. Quality Improvement and Comparative Effectiveness - p. 38 18. Pediatric Sedation - p. 44 19. Pediatric Palliative Care - p. 51 20. Caring for Children Living with Life-Threatening Illness: A Growing Relationship Between Pediatric Hospital Medicine and Pediatric Palliative Care - p. 52 21. Pediatric Hospital Care for Children with Life-threatening Illness and the Role of Palliative Care - p. 53 22. Pediatric Palliative Care Consultation - p. 62 23. Improving Quality of life in Hospitalized Children - p. 69 24. Transitions to and from the Acute Inpatient Care Setting for Children with Life-Threatening Illness - p. 76 25. Adolescents and Young Adults with Life-Threatening Illness - p. 88 26. Pediatric Palliative Care for Children with Complex Chronic Medical Conditions - p. 95 27. Interdisciplinary Care - p. 109 28. End-of-Life Care for Hospitalized Children - p. 115 29. Index - p. 122
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For the first time, Pediatric Clinics is devoting one issue to two clinically focused topics: Pediatric Palliative Care and Pediatric Hospital Medicine. Dr. Ottolini has organized her section to focus on a variety of issues of relevant to all pediatricians, but which pose special challenge to the Pediatric Hospitalists. As pediatric care has advanced, children who would not have survived infancy are growing into young adults with complex chronic diseases and dependence upon technology. They frequently require hospitalization to address exacerbation of underlying disease processes and procedures to improve their quality of life. The articles are devoted to patient care challenges of troubleshooting malfunctioning technology, co-managing medically complex patients pre and post-op with surgical colleagues, and the Hospitalist’s evolving role in performing procedures and sedation in this population of vulnerable patients. Also discussed rare strategies to maximize communication with parents, patients and primary care providers during hospitalization, especially for medically complex patients. Dr. Ullrich and Dr. Wolfe Pediatric have worked to bring relevant articles on palliative care to the pediatrician. While life-threatening conditions in childhood are rare, children with LTC account for a high proportion of pediatric hospital care, and about one half of such children die in the inpatient setting. The number of hospital-based pediatric palliative care programs has increased dramatically over the past decade to meet the palliative care needs of hospitalized children including symptom management, facilitation of communication, decision-making and advance care planning support, and coordination of care. Given these considerations, it is evident that the topics of pediatric palliative care and hospital medicine are fitting counterparts for this comprehensive issue.
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 3 4. CME Accreditation Page - p. 4 5. Contributors - p. 5 6. Contents - p. 6 7. Contents - p. 7 8. Forthcoming Issues - p. 8 9. Hospital Medicine and Pediatric Palliative Care - p. 9 10. Pediatric Hospital Medicine - p. 10 11. Preface - p. 11 12. Shared Decision-Making About Assistive Technology for the Child with Severe Neurologic Impairment - p. 12 13. Pediatric Hospital Medicine Role in the Comanagement of the Hospitalized Surgical Patient - p. 18 14. Family-Centered Rounds - p. 23 15. Effective Communication with Primary Care Providers - p. 27 16. Pediatric Hospitalists Working in Community Hospitals - p. 32 17. Quality Improvement and Comparative Effectiveness - p. 38 18. Pediatric Sedation - p. 44 19. Pediatric Palliative Care - p. 51 20. Caring for Children Living with Life-Threatening Illness: A Growing Relationship Between Pediatric Hospital Medicine and Pediatric Palliative Care - p. 52 21. Pediatric Hospital Care for Children with Life-threatening Illness and the Role of Palliative Care - p. 53 22. Pediatric Palliative Care Consultation - p. 62 23. Improving Quality of life in Hospitalized Children - p. 69 24. Transitions to and from the Acute Inpatient Care Setting for Children with Life-Threatening Illness - p. 76 25. Adolescents and Young Adults with Life-Threatening Illness - p. 88 26. Pediatric Palliative Care for Children with Complex Chronic Medical Conditions - p. 95 27. Interdisciplinary Care - p. 109 28. End-of-Life Care for Hospitalized Children - p. 115 29. Index - p. 122
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