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Pediatric Palliative Care

Next Reply: Re:Pediatric Palliative Discharge Criteria
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Post Pediatric Palliative Discharge Criteria
Author: BarbZenker
Date: Nov 10, 2011 3:15 pm
We are working on defining both admission and discharge criteria for pediatric palliative patients in a community based palliative program. We plan to incorporate the Pediatric Palliative Care Referral Criteria created by Dr. Friebert and Dr. Osenga in our admission criteria but are wondering if anyone has developed discharge criteria for pediatric patients. If so, would you be willing to share your criteria offline? We would appreciate any suggestions you can offer. Thank you!

Barb (Zenker) Voigtman
Replies: order by [Date] [Author] [Subject]
Re:Pediatric Palliative Discharge Criteria (by kellykomatz on 11/10/2011)
Barb
I would be happy to discuss in further detail as you ask offline. kkomatz@communityhospice.com
But as part of your admission should be goals of care and interventions for the patient and family. We currently have patients in our palliative care program who have been patients for years. They continue to be enrolled due to the continued roller coaster ride the patient experiences as well as life changes in the family unit. There have been others that have been graduated from the program - patient has a stable course now, family feels well equipped to care for the child, etc. So again although at time of admission, a diagnosis is an appropriate screening for palliative care supportive wrap around services, does the patient and family have unmet needs that being enrolled in such a program can address and then once met have graduation.
Re:Pediatric Palliative Discharge Criteria (by shuff2 on 11/11/2011)
Barb I'd be happy to talk about levels of care, including graduation and discharge from PC services as we have defined. I can be reached at 410-288-8009 or shuff2@jhmi.edu

Sue Huff
Director
Pediatrics at Home
Johns Hopkins Medicine
Baltimore, MD

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