Pediatric Palliative Care and Hospice: Symptom Management

presented by Joan Chrastek, RN, CHPN, DNP, FPCN

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Financial: Joan Chrastek receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Joan Chrastek has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 46 Minutes; Learning Assessment Time: 34 Minutes

This course provides an overview of the most common symptoms that children can experience when they need palliative or hospice care. This course discusses symptoms that appear commonly across the life span and goes over the differences that symptoms may present in children versus in adults. This course covers the importance of accurate ongoing assessment of symptoms as well as the use of both pharmacological and nonpharmacological interventions in the treatment of these symptoms. Cultural considerations and partnering with family caregivers is an important aspect. A mother will share her views and experiences to help the learner understand symptom management from a parent's point of view. Distressing symptoms drastically reduce the quality of a child's life and the lives of family members, so it is essential that nurses who care for children with palliative and hospice needs are aware of these common symptoms and interventions.

Meet Your Instructor

Joan Chrastek, RN, CHPN, DNP, FPCN

Joan "Jody" Chrastek was born and brought up in India and trained as a nurse in Scotland. She has worked as a midwife and hospice nurse in the UK, India, and the USA with adults and children. She has worked in hospice and palliative care for more than 35 years in both inpatient and community…

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1. Assessment

The first chapter discusses general guidelines of symptom management and lists the most common symptoms. It provides an excellent symptom assessment tool and emphasizes the importance of careful listening to really understand the situation.

2. Common Symptoms: Overview of Dyspnea, Nausea, and Anorexia

This chapter gives an overview of pediatric dyspnea, nausea, and anorexia as commonly experienced in some children with palliative care and hospice needs. The medication and nonmedication interventions are discussed. It is important for the nurse to be aware of these and understand how to help minimize distressing symptoms.

3. Constipation, Fatigue, Anxiety, and Seizures

Constipation is a common symptom in adults and pediatrics. It can be very distressing and is best prevented rather than treated. This chapter discusses constipation as well as the common symptoms of anxiety, fatigue, and seizures. It examines a holistic response to manage these symptoms to improve quality of life.

4. Traditional and Cultural Preferences

As our population becomes more diverse, it is essential for nurses to practice cultural humility in their interactions. This chapter examines these issues and includes an interview with a mother to help the learner better understand the parent’s viewpoint.

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