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Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care

Several children receiving palliative care experience dyspnea and pain. An order protocol for distress (OPD) is available at Sainte-Justine Hospital, aimed at alleviating respiratory distress, pain and anxiety in pediatric palliative care patients. This study evaluates the clinical use of the OPD at...

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Autores principales: Marquis, Marc-Antoine, Daoust, Lysanne, Villeneuve, Edith, Ducruet, Thierry, Humbert, Nago, Gauvin, France
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473654/
https://www.ncbi.nlm.nih.gov/pubmed/30609712
http://dx.doi.org/10.3390/healthcare7010003
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author Marquis, Marc-Antoine
Daoust, Lysanne
Villeneuve, Edith
Ducruet, Thierry
Humbert, Nago
Gauvin, France
author_facet Marquis, Marc-Antoine
Daoust, Lysanne
Villeneuve, Edith
Ducruet, Thierry
Humbert, Nago
Gauvin, France
author_sort Marquis, Marc-Antoine
collection PubMed
description Several children receiving palliative care experience dyspnea and pain. An order protocol for distress (OPD) is available at Sainte-Justine Hospital, aimed at alleviating respiratory distress, pain and anxiety in pediatric palliative care patients. This study evaluates the clinical use of the OPD at Sainte-Justine Hospital, through a retrospective chart review of all patients for whom the OPD was prescribed between September 2009 and September 2012. Effectiveness of the OPD was assessed using chart documentation of the patient’s symptoms, or the modified Borg scale. Safety of the OPD was evaluated by measuring the time between administration of the first medication and the patient’s death, and clinical evolution of the patient as recorded in the chart. One hundred and four (104) patients were included in the study. The OPD was administered at least once to 78 (75%) patients. A total of 350 episodes of administration occurred, mainly for respiratory distress (89%). Relief was provided in 90% of cases. The interval between administration of the first protocol and death was 17 h; the interval was longer in children with cancer compared to other illnesses (p = 0.02). Data from this study support the effectiveness and safety of using an OPD for children receiving palliative care.
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spelling pubmed-64736542019-05-02 Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care Marquis, Marc-Antoine Daoust, Lysanne Villeneuve, Edith Ducruet, Thierry Humbert, Nago Gauvin, France Healthcare (Basel) Article Several children receiving palliative care experience dyspnea and pain. An order protocol for distress (OPD) is available at Sainte-Justine Hospital, aimed at alleviating respiratory distress, pain and anxiety in pediatric palliative care patients. This study evaluates the clinical use of the OPD at Sainte-Justine Hospital, through a retrospective chart review of all patients for whom the OPD was prescribed between September 2009 and September 2012. Effectiveness of the OPD was assessed using chart documentation of the patient’s symptoms, or the modified Borg scale. Safety of the OPD was evaluated by measuring the time between administration of the first medication and the patient’s death, and clinical evolution of the patient as recorded in the chart. One hundred and four (104) patients were included in the study. The OPD was administered at least once to 78 (75%) patients. A total of 350 episodes of administration occurred, mainly for respiratory distress (89%). Relief was provided in 90% of cases. The interval between administration of the first protocol and death was 17 h; the interval was longer in children with cancer compared to other illnesses (p = 0.02). Data from this study support the effectiveness and safety of using an OPD for children receiving palliative care. MDPI 2019-01-02 /pmc/articles/PMC6473654/ /pubmed/30609712 http://dx.doi.org/10.3390/healthcare7010003 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Marquis, Marc-Antoine
Daoust, Lysanne
Villeneuve, Edith
Ducruet, Thierry
Humbert, Nago
Gauvin, France
Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care
title Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care
title_full Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care
title_fullStr Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care
title_full_unstemmed Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care
title_short Clinical Use of an Order Protocol for Distress in Pediatric Palliative Care
title_sort clinical use of an order protocol for distress in pediatric palliative care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473654/
https://www.ncbi.nlm.nih.gov/pubmed/30609712
http://dx.doi.org/10.3390/healthcare7010003
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