Qualitative Analysis of Consults by a Pediatric Advanced Care Team During Its First Year of Service-Reference-Cited by-同舟云学术

Qualitative Analysis of Consults by a Pediatric Advanced Care Team During Its First Year of Service

Published:2010-09-11 Issue:2 Volume:28 Page:109-117
ISSN:1049-9091
Container-title:American Journal of Hospice and Palliative Medicine®
language:en
Short-container-title:Am J Hosp Palliat Care

Author:

Byrne Mary¹,Tresgallo Mary²,Saroyan John³,Granowetter Linda⁴,Valoy Glenny³,Schechter William⁵

Affiliation:

1. Columbia University School of Nursing, New York, NY, USA, Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA,

2. Columbia University School of Nursing, New York, NY, USA, Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA, Division of Pediatric Pain Medicine, Symptom Management and Palliative Care, Columbia University Medical Center, New York, NY, USA

3. Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA, Division of Pediatric Pain Medicine, Symptom Management and Palliative Care, Columbia University Medical Center, New York, NY, USA

4. Division of Pediatric Hematology/Oncology, New York University Langone Medical Center, New York, NY, USA

5. Columbia University School of Nursing, New York, NY, USA, Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA, Division of Pediatric Pain Medicine, Symptom Management and Palliative Care, Columbia University Medical Center, New York, NY, USA, Division of Pediatric Anesthesia and Intensive Care, Morgan Stanley Children's Hospital of New York-Presbyterian, New York, NY, USA

Abstract

Phenomenologic analysis of initial consults provided during the first year of a new Pediatric Advanced Care Team (PACT) program provides essential understanding of the experience and inform program direction and future clinical research. Parents bring to the consult a desire to remain experts in their children’s lives yet experience vulnerability as they seek assistance in making critical decisions often under conditions of disquieting uncertainty. Dynamic communication efforts involving the referring providers, PACT team members, and family are a key influence in facilitating consults’ stated goals and in establishing the integrated palliative paradigm in a tertiary care environment. Validation was provided for a new research infrastructure that will function concurrently with the PACT clinical program in this rapidly evolving field.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1049909110376626

Reference24 articles.

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