Pediatric Palliative Care C C E E N N L L E E Fatigue Subjective, multidimensional experience of exhaustion Commonly associated with many diseases Impacts all dimensions of quality of life
Pediatric Palliative Care C C E E N N L L E E Causes of Fatigue Disease related Psychological Treatment related
Pediatric Palliative Care C C E E N N L L E E Assessment of Fatigue Subjective Objective Laboratory data
Pediatric Palliative Care C C E E N N L L E E Treatment of Fatigue Pharmacologic Non-pharmacologic Rest Energy conservation PT/OT Anderson et al., 2010; Davies et al., 2002; Erickson, 2004; Hellsten & Medellin, 2010; Yennurajalingam & Bruera, 2010
Pediatric Palliative Care C C E E N N L L E E Neonates and Fatigue Limit number/amount of feedings Provide supportive environment
Pediatric Palliative Care C C E E N N L L E E Anemia / Bleeding Symptoms Causes Assessment Treatment
Pediatric Palliative Care C C E E N N L L E E Depression Manifestations in children may differ from adults Ranges from sadness to suicidal Chronic and terminally ill children are at risk Children tend to react to distress and emotions of adults closest to them.
Pediatric Palliative Care C C E E N N L L E E Causes of Depression Disease related Psychological Treatment related Other
Pediatric Palliative Care C C E E N N L L E E Assessment of Depression Situational factors Presence of risk factors Previous psychiatric history/treatment
Pediatric Palliative Care C C E E N N L L E E Treatment of Depression Antidepressants Stimulants Promote autonomy Grief/psychiatric counseling Draw on strengths Therapy
Pediatric Palliative Care C C E E N N L L E E Sisterly Love
Pediatric Palliative Care C C E E N N L L E E Anxiety Subjective feeling of apprehension Often without specific cause Categories of mild, moderate, severe
Pediatric Palliative Care C C E E N N L L E E Assessment of Anxiety Physical symptoms Cognitive symptoms Assess for presence of uncontrolled symptoms/fears
Pediatric Palliative Care C C E E N N L L E E Treatment of Anxiety Medications Empathetic listening Assurance and support Maximize symptom management Relaxation/imagery
Pediatric Palliative Care C C E E N N L L E E Palliative Caring
Pediatric Palliative Care C C E E N N L L E E Conclusion Multiple symptoms common Coordination of care with physicians and others Use drug and non-drug treatment Child/family teaching and support
Pediatric Palliative Care C C E E N N L L E E As Life Slips Away