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      Applying Palliative Care Principles to Communicate With Children About COVID-19

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          Abstract

          Children are seeing rapid changes to their routines and facing an unpredictable future. Palliative care teams may consider expanding their communication training and skill sets to help families consider caring ways to communicate with their children and grandchildren about the coronavirus. Palliative care teams are wise to encourage families to ground their communication with children on key values: honesty and trust, self-compassion, safety, sensitivity, connection, preparedness, community building, recognition of death as a part of the life cycle, and legacy.

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          Epidemiological Characteristics of 2143 Pediatric Patients With 2019 Coronavirus Disease in China

          Yuanyuan Dong, Xi Mo, Yabin Hu … (2020)
          To identify the epidemiological characteristics and transmission patterns of pediatric patients with the 2019 novel coronavirus disease (COVID-19) in China.
          Article 0 comments Cited 1598 times – based on 0 reviews     Review now
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            Clinical features of severe pediatric patients with coronavirus disease 2019 in Wuhan: a single center’s observational study

            Dan Sun, Hui Li, Xiao-Xia Lu … (2020)
            Background An outbreak of coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 was first detected in Wuhan, Hubei, China. People of all ages are susceptible to SARS-CoV-2 infection. No information on severe pediatric patients with COVID-19 has been reported. We aimed to describe the clinical features of severe pediatric patients with COVID-19. Methods We included eight severe or critically ill patients with COVID-19 who were treated at the Intensive Care Unit (ICU), Wuhan Children’s Hospital from January 24 to February 24. We collected information including demographic data, symptoms, imaging data, laboratory findings, treatments and clinical outcomes of the patients with severe COVID-19. Results The onset age of the eight patients ranged from 2 months to 15 years; six were boys. The most common symptoms were polypnea (8/8), followed by fever (6/8) and cough (6/8). Chest imaging showed multiple patch-like shadows in seven patients and ground-glass opacity in six. Laboratory findings revealed normal or increased whole blood counts (7/8), increased C-reactive protein, procalcitonin and lactate dehydrogenase (6/8), and abnormal liver function (4/8). Other findings included decreased CD16 + CD56 (4/8) and Th/Ts*(1/8), increased CD3 (2/8), CD4 (4/8) and CD8 (1/8), IL-6 (2/8), IL-10 (5/8) and IFN-γ (2/8). Treatment modalities were focused on symptomatic and respiratory support. Two critically ill patients underwent invasive mechanical ventilation. Up to February 24, 2020, three patients remained under treatment in ICU, the other five recovered and were discharged home. Conclusions In this series of severe pediatric patients in Wuhan, polypnea was the most common symptom, followed by fever and cough. Common imaging changes included multiple patch-like shadows and ground-glass opacity; and a cytokine storm was found in these patients, which appeared more serious in critically ill patients.
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              Diagnosis and treatment recommendations for pediatric respiratory infection caused by the 2019 novel coronavirus

              Zhi-Min Chen, Jun-Fen Fu, Qiang Shu … (2020)
              Since December 2019, an epidemic caused by novel coronavirus (2019-nCoV) infection has occurred unexpectedly in China. As of 8 pm, 31 January 2020, more than 20 pediatric cases have been reported in China. Of these cases, ten patients were identified in Zhejiang Province, with an age of onset ranging from 112 days to 17 years. Following the latest National recommendations for diagnosis and treatment of pneumonia caused by 2019-nCoV (the 4th edition) and current status of clinical practice in Zhejiang Province, recommendations for the diagnosis and treatment of respiratory infection caused by 2019-nCoV for children were drafted by the National Clinical Research Center for Child Health, the National Children’s Regional Medical Center, Children’s Hospital, Zhejiang University School of Medicine to further standardize the protocol for diagnosis and treatment of respiratory infection in children caused by 2019-nCoV.
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                Author and article information

                Contributors
                Meaghann S. Weaver
                Journal
                Journal ID (nlm-ta): J Pain Symptom Manage
                Journal ID (iso-abbrev): J Pain Symptom Manage
                Title: Journal of Pain and Symptom Management
                Publisher: American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc.
                ISSN (Print): 0885-3924
                ISSN (Electronic): 1873-6513
                Publication date PMC-release: 31 March 2020
                Publication date (Electronic): 31 March 2020
                Affiliations
                [a ]Division of Palliative Care, Department of Pediatrics, Children's Hospital and Medical Center, Omaha, Nebraska, USA
                [b ]National Cancer Institute, Center for Cancer Research, National Institutes of Health, Bethesda, Maryland, USA
                Author notes
                [∗ ] Address correspondence to: Meaghann S. Weaver, MD, MPH, FAAP, Division of Palliative Care, Department of Pediatrics, Children's Hospital and Medical Center, 8200 Dodge Street, Omaha, NE 68114, USA. meweaver@ 123456childrensomaha.org
                Article
                Publisher ID: S0885-3924(20)30171-8
                DOI: 10.1016/j.jpainsymman.2020.03.020
                PMC ID: 7270779
                PubMed ID: 32240751
                SO-VID: 7f5250c8-d081-4736-9435-f1ef49081a2d
                Copyright © © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                Date accepted : 24 March 2020
                Categories
                Subject: Article

                Keywords: pediatric,communication,children,pediatric palliative,coronavirus,covid-19
                Data availability:
                Keywords: pediatric, communication, children, pediatric palliative, coronavirus, covid-19

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