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. Author manuscript; available in PMC: 2022 Jul 1.
Published in final edited form as: Support Care Cancer. 2021 Jan 3;29(7):3981–3989. doi: 10.1007/s00520-020-05959-z

TABLE 2.

The goals of pediatric palliative care as described by Israeli pediatric oncologists

Symptom Professionals
involved		 Pediatric PCi treatment
Pain treatment Pediatric & radiation oncologists, nurses, Pediatric PC specialists, pain experts, anesthesiologists specializing in pediatrics, surgeons.

  • Pain relief/analgesic (oral treatment, IV treatment, lidocaine, morphine drip)

  • Patches

  • Radiation

  • Chemotherapy

  • Surgery

  • Hypnosis
Lack of appetite, nausea, and vomiting Pediatric oncologists, nurses, nutritionists, Pediatric PC specialists, complimentary medicine.

  • Nutrition

  • Parenteral alimentation

  • Feeding tube

  • Fluid delivery

  • Medication (ex. Paloxi)

  • Shiatsu
Low immunity and its consequences (e.g. mucositis) Pediatric oncologists Infection prevention:

  • Antibiotics


Infection treatment:

  • Medication cocktail
Treating respiratory distress & suffocation Pediatric oncologists

  • Morphine inhalation

  • Steroids

  • Radiation for lung metastasis

  • Home: oxygen
Neurological symptoms Radiation oncologists

  • Radiation for brain metastasis
Treating incurable disease Pediatric oncologists

  • Chemotherapy

  • Biological treatment
Disabilities and reduced functioning Physical therapists

  • Facilitation of practice and instruction
Depression and anxiety Psychiatrists, nurses, psychologists, social workers, Pediatric PC specialists, art therapists, music therapists.

  • Psychiatric medications

  • Psychotherapy

  • Emotional therapy
Long term side effects: Infertility Peripheral neuropathy General long-term consequences Pediatric oncologists

  • Sperm & egg collection

  • Medications to prevent future peripheral neuropathy

  • Different organ follow-ups (heart function).
i

PC: Palliative Care