Pediatric Palliative Care

Pediatric palliative care is active care for a child living with a life-limiting or life-threatening condition. Its purpose is to relieve suffering, preserve comfort and connection, and help the child and family make care decisions that fit their values and hopes. It starts at diagnosis, not only when curative treatment has stopped. A child receiving chemotherapy, disease-modifying therapy, surgery, or intensive symptom treatment may also receive palliative care. This concurrent approach prevents a false choice between “treating the illness” and “providing comfort.” The clinical focus shifts as the child’s condition changes, but comfort, communication, and family support remain relevant throughout the illness trajectory. Care is delivered by an interprofessional team that may include the child and family, primary care providers, community nurses, specialist palliative-care clinicians, physicians or nurse practitioners, pharmacists, social workers, child-life specialists, spiritual-care providers, therapists, and school supports. Specialist centres often provide consultation and complex-symptom support while community teams provide care closer to home. This hub-and-spoke model reduces fragmented care during a period when families may already be managing appointments, equipment, medications, and uncertainty. [2] Palliative care is...