Repercussions of the Covid-19 pandemic on the provision of palliative care in pediatrics

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.32586

Keywords:

Palliative care; Pediatrics; Covid-19.

Abstract

SARS-CoV-2 infection has important impacts on the provision of health services in general. To analyze the published research on this impact on pediatric palliative care (PPC). This study is an integrative literature review, carried out at the "Biblioteca Virtual de Saúde" (BVS) in February 2022. After reading 9 articles, it was found that the main impacts on the PPC during the pandemic were the reduction in the quality of health care, damage to mental health, economic insecurity and unemployment of professionals. The use of telecommunications and personal protective equipment and social distancing made it difficult the connection between the professional, the patient and the family, affecting the quality of care. Given the numerous challenges experienced in the execution of palliative care during this health crisis, it is clear the need to implement an action plan for the improvement and strengthening of PPCs. Likewise, the need for more studies to assist in the creation of more assertive actions at pediatric palliative care in this pandemic reality is reinforced.

References

Avagnina, I., Zanin, A., Lazzarin, P., Grigolon, E., Shahi, A., Papa, S., Giacomelli, L. & Benini, F. (2021). COVID-19 in pediatric palliative care: what can we learn from the pandemic and possible future directions. Ann ist super sanita. 57(4), 286-290.

Bradshaw, A., Dunleavy, L., Walshe, C., Preston, N., Cripps, R. L., Hocaoglu, M., Bajwah, S., Maddocks M., Oluyase, A. O., Sleeman, K., Higginson, I. J., Fraser, L. & Murtagh, F. (2021). Understanding and addressing challenges for advance care planning in the COVID-19 pandemic: an analysis of the UK CovPall survey data from specialist palliative care services. Palliative Medicine. 35(7), 1225-1237.

Brito, S. B. P., Braga, I. O., Cunha, C. C., Palácio, M. A. V. & Takenami, I. (2020). Pandemia da COVID-19: o maior desafio do século XXI. Vigilância Sanitária em Debate. 8(2), 54-63.

Brock, K. E., Snaman, J. M., Kaye, E. C., Bower, K. A., Weaver, M. S., Baker, J. N., Wolfe, J. & Ullrich, C. (2019). Models of pediatric palliative oncology outpatient care– benefits, challenges, and opportunities. Journal of oncology practice. 15(9), 476–487.

Bundle, N., Dave, N., Pharris, A., Spiteri, G., Deogan, C., Suk, J. E. & Study group members. (2021). COVID-19 trends and severity among symptomatic children aged 0–17 years in 10 European Union countries, 3 August 2020 to 3 October 2021. Euro surveillance: bulletin Europeen sur les maladies transmissibles= European communicable disease bulletin. 26(50), 2101098.

Caneppele, A. H., Cucolo, D. F., Mininel, V. A., Meireles, E. & Silva, J. A. M. (2020). Colaboração interprofissional em equipes da rede de urgência e emergência na pandemia da Covid-19a a Artigo extraído da Dissertação de Mestrado: “Colaboração Interprofissional em equipes na Rede de Urgência e Emergência em uma cidade do interior de São Paulo”, defendida no ano de 2020, no Programa de Pós-Graduação em Enfermagem, Universidade Federal de São Carlos, de autoria de Aline Heleni Caneppele, orientada por Jaqueline Alcântara Marcelino da Silva, co-orientada por Vivian Aline Mininel. Escola Anna Nery. v.24, e20200312.

Chatzittofis, A., Karanikola, M., Michailidou, K. & Constantinidou, A. (2021). Impact of the COVID-19 Pandemic on the Mental Health of Healthcare Workers. International journal of environmental research and public health. 18(4), 1435.

Cheruku, S. R., Barina, A., Kershaw, C. D., Goff, K., Reisch, J., Hynan, L. S., Ahmed, F., Armaignac, D. L., Patel, L., Belden, K. A., Kaufman, M., Christie, A. B., Deo, N., Bansal, V., Boman, K., Kumar, V. K., Walkey, A., Kashyap, R., Gajic, O. & Fox, A. A. (2022). Palliative care consultation and end-of-life outcomes in hospitalized COVID-19 patientes. Clinical paper. 170, 230-237.

Dei Santi, D. B., Carbonari, K., Murakami, L., Medeiros, A. C. A. B., Narchi, M. D., Pizze, M. E. N. & Pereira, R. H. M. (2020). Covid-19: ações multiprofissionais em cuidados paliativos. Revista da Sociedade de Cardiologia do Estado de São Paulo. 30(4), 560-568.

De Kock, J. H., Latham, H. A., Leslie, S. J., Grindle, M., Munoz, S. A., Ellis, L., Polson, R. & O’Malley, C. M. (2021). Uma rápida revisão do impacto dos profissionais de saúde COVID-19 na saúde: protocolos para o impacto dos bem-estar psicológico. BMC Saúde Pública. 21 (104).

Ehrlich, B. S., Movsisyan, N., Batmunkh, T., Kumirova, E., Borisevich, M. V., Kirgizov, K., Graetz, D. E., McNeil, M. J., Yakimkova, T., Vinitsky, A., Ferrara, G., Li, C., Lu, Z., Kaye, E. C., Baker, J. N. & Agulnik, A. (2020). A multicountry assessment in Eurasia: Alignment of physician perspectives on palliative care integration in pediatric oncology with World Health Organization guidelines. Cancer. 126 (16), 3777-3787.

Ekberg, K., Weinglass, L., Ekberg, S., Danby, S. & Herbert, A. (2020). The pervasive relevance of COVID-19 within routine paediatric palliative care consultations during the pandemic: A conversation analytic study. Palliat Med. 34(9), 1202-1219.

Ellis, K. & Lindley, L. C. (2020). A virtual children’s hospice in response to COVID-19: the scottish experience. Journal of pain and symptom management. 60(2), 40-43.

Falcão, B. C. S., Almeida, J. M. C., Santos, A. T., Silva, E. L., Coutinho, N. P. S. & Fonseca, L. M. B. (2021). Aspectos éticos relacionados ao processo de comunicação efetiva durante pandemia COVID-19: revisão integrativa. Revista nursing. 24(278), 5902-5906.

Florêncio, R. S., Cestari, V. R. F., Souza, L. C., Flor, A. C., Nogueira, V. P., Moreira, T. M. M., Salvetti, M. G. & Pessoa, V. L. M. P. (2020). Cuidados paliativos no contexto da pandemia de COVID-19: desafios e contribuições. Acta Paulista de Enfermagem. v. 33, eAPE 20200188.

Gomes, A .L. Z. & Othero, M. B. (2016). Cuidados Paliativos. Estudos Avançados, 30(88).

Grigoletto, V., Nardin, B., Taucar, V., Barbi, E. & De Zen, L. (2022). The ongoing impacto f Covid-19 pandemic on children with medical complexity: the experience of na Italian pediatric palliative care netowork. Italian Journal of Pediatrics, 48(10).

Hajjar, L. & Kragen, B. (2021). Timely communication through telehealth: added value for a caregiver during COVID-19. Frontiers in Public Health, 9, e755391.

Iglesias, S. B. O, Zollner, A. C. R.. & Constantino, C. F. (2016). Cuidados Paliativos Pediátricos. Residência Pediátrica, publicação oficial da Sociedade Brasileira de Pediatria, 6, 46-54.

Kamal, A. H., Thienprayoon, R. M., Aldridge, M., Bull, J., Fazzalaro, K., Meier, D. E., Mueller, L., Rodgers, P. E., McKenna, K. A. & Pantilat, S. Z. (2021). Cuidados Paliativos de Especialidade no COVID-19: Experiências Iniciais da Colaborativa de Qualidade em Cuidados Paliativos. Revista de Medicina Paliativa, 24(11).

Kluger, B. M., Vaughan, C. L., Robinson, M .T., Creutzfeldt, C., Subramanian, I. & Holloway, R. G. (2020). Neuropalliative care essentials for the COVID-19 crisis. Neurology, 95(9).

Kwok, E. Y. L., Chiu, J., Rosenbaum, P. & Cunningham, B. J. (2022). The process of telepractice implementation during the COVID-19 pandemic: a narrative inquiry of preschool speech-language pathologists and assistants from one center in Canada. BMC Health Services Reserach, 22(81).

Lazzarin, P., Avagnina, I., Divisic, A., Agosto, C., Giacomelli, L. & Benini, F. (2020). Management strategies adopted by a paediatric palliative care network in northern Italy during the COVID-19 pandemic. Acta Paediatrica, 109(9), 1897-1898.

Lowe, S., Pereira, S.M. & Yardley, S. (2021). Communication in palliative care during the COVID-19 pandemic: lessons from rapidly changing, uncertain, complex, and high-stake intervetions. Palliative Medicine, 35(7), 1222–1224.

McNeil, M. J., Kaye, E. C., Vedaraju, Y., Baker, J. N., Devidas, M., Downing, J., Graetz, D., Ranadive, R., Rosenberg, A. R., Wiener, L. & Weaver, M. S. (2021). Global experiences of pediartic palliative care teams during the first 6 months of the SARS-CoV-2 pandemic. Journal of pain and symptom management, 62, 91-99.

Moreno, S. C., Díaz, L. C. & Rangel, RL (2017). Encontrar sentido para continuar vivendo el reto al perder um hijo por cáncer infantil: revisión integrativa. Persona y Bioética, 21(1).

Nascimento, C. C., Silva, P. H. S., Cirilo, S. S. V. & Silva, F. B. F. (2020). Desafios e Recomendações à Atenção Oncológica durante a Pandemia da Covid-19. Revista Brasileira de Cancerologia, 66.

Norris, S. E., Strumph, K. & Rahmani, N. E. (2020). Padiatric palliative care when COVID-19 positive adults are dying in a Children’s Hospital. Pediatrics perspectives, 146(3).

Okur, D. S. (2021). Clinical impact of COVID-19 on Turkish children with neurological and neuromuscular diseases: One center experience. Medicine. 100(51), e28401.

Oliveira, W. K., Duarte, E., Franca, G. V. A., & Garcia, L. P. (2020). Como o Brasil pode deter a COVID-19. Epidemiologia Serviços de Saúde. 29(2), e2020044.

Pacheco, C. L., & Goldim, J. R. (2019). Percepções da equipe interdisciplinar sobre cuidados paliativos em oncologia pediátrica. Revista bioética. 27(1), 67-75.

Pinho, A. A. A., Nascimento, I. R. C., Ramos, I. W. S., & Alencar, V. O. (2020). Repercussões dos cuidados paliativos pediátricos: revisão integrativa. Revista bioética. 28(4), 710-717.

Santini, A., Avagnina, I., Salamon, E., Giacomelli, L., Shah, A., & Benini, F. (2020). How the COVID-19 lockdown affected the parents of offspring who needed palliative care in the Veneto region of Italy. Acta Paediatrica. 109(12), 2674-2676.

Schneider, A. S., Ludwig, M. C. F., Neis, M., Ferreira, A. M., & Issi, H. B. (2020). Percepções e vivências da equipe de enfermagem frente ao paciente pediátrico em cuidados paliativos. Ciência, Cuidado E Saúde. 19, e41789.

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. einstein (São Paulo). 8(1), 102-106.

Strang, P., Bergström, J., Martinsson, L., & Lundström, S. (2020). Dying From COVID-19: Loneliness, End-of-Life Discussions, and Support for Patients and Their Families in Nursing Homes and Hospitals. A National Register Study. Journal of pain and symptom management. 60(4), 2–13.

Vindrola-Padros, C.; Andrews, L.; Dowrick, A.; Djellouli, N.; Fillmore, H.; Gonzalez, E. B.; Javadi, D.; Lewis-Jackson, S.; Manby, L.; Mitchinson, L.; Symmons, S. M.; Martin, S.; Regenold, N.; Robinson, H.; Sumray, K.; Singleton, G.; Syversen, A.; Vanderslott, S.; & Johnson, G. (2020). Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK. BMJ Open. 10(11), e040503.

Ward, J. L.; Harwood, R.; Smith, C.; Kenny, S.; Clark, M.; Davis, P. J.; Draper, E. S.; Hargreaves, D.; Ladhani, S.; Linney, M.; Luyt, K.; Turner, S.; Whittaker, E.; Fraser, L. K.; & Viner, R. M. (2022). Risk factors for PICU admission and death among children and young people hospitalized with COVID-19 and PIMS-TS in England during the first pandemic year. Nature Medicine. 28, 193-200.

Weaver, M. S., & Wiener, L. (2020). Applying palliative care principles to communicate with children about COVID-19. Journal of pain and symptom management. 60(1), 8-11.

Weaver, M. S., Rosenberg, A. R., Fry, A., Shostrom, V., & Wiener, L. (2021). Impact of the Coronavirus Pandemic on Pediatric Palliative Care Team Structures, Services, and Care Delivery. Journal of palliative medicine. 24(8), 1213–1220.

World Health Organization. (‎2018)‎. Integrating palliative care and symptom relief into responses to humanitarian emergencies and crises: a WHO guide, https://apps.who.int/iris/bitstream/handle/10665/274565/9789241514460-eng.pdf?sequence=1&isAllowed=y

Zhou, X., Cai, S., & Guo, Q. (2021). Responses of pediatric palliative care to the COVID-19 pandemic in China. Pediatric Research. 89, 1320-1321.

Published

27/07/2022

How to Cite

SILVA, L. M.; GONÇALVES, L. da S.; COLARES, L. M.; MACEDO, M. B. Q.; PEREIRA, M. D. .; MOREIRA, L. A.; SILVA, S. A. B. . Repercussions of the Covid-19 pandemic on the provision of palliative care in pediatrics . Research, Society and Development, [S. l.], v. 11, n. 10, p. e198111032586, 2022. DOI: 10.33448/rsd-v11i10.32586. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32586. Acesso em: 4 oct. 2022.

Issue

Section

Review Article