Sensitisation/public awareness |
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Requirement of transparent information and knowledge about palliative care for children and adolescents |
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Specialist paediatric nursing |
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Lack of specialist paediatric nurses and the availability of qualified nursing services |
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Pain therapy/qualified medical care |
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Deficit of physicians qualified in specialist paediatric pain therapy and paediatric palliative medicine |
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Psychosocial support |
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High importance of psychosocial support in order to meet the complexity of care, emotional needs/isolation, cope with the families' financial emergency, offer practical/organisational support and give attention to siblings |
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Networking |
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Different levels of networking: case-independent networking, coordination/case-management, clarification of roles and interfaces, professional exchange/helpers conference |
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Well-organised care at home |
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Management of the interface between inpatient and outpatient care, anticipatory care planning, safety for the parents, challenges in contact with parents |
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Infrastructure |
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Local proximity of care, (more) specialist teams, permanent key contact person, continuing home care by inpatient service in charge, continuing care for young adults, respite care facilities |