NURSING APPROACH IN PEDIATRIC PALLIATIVE CARE FOR PAIN RELIEF
Keywords:
Palliative Care, Pediatrics, Assistance, NursingAbstract
Introduction: Pediatric palliative care (PPC) aims to improve the quality of life of children and adolescents with serious, life-limiting, or life-threatening illnesses, as well as their families. The pediatric approach requires special attention to the child's physical, emotional, and psychosocial development, as well as family support during and after the illness and bereavement process.
Objectives: To analyze nursing care in pediatric palliative care for pain relief; to identify the main approaches adopted by the nursing team for pain relief; to highlight the family as a protagonist in the care process; and to present the pharmacological and non-pharmacological strategies used in pain management in palliative patients, discussing their benefits, limitations, and best practices for optimizing treatment.
Methods: This is an integrative literature review that collects data from bibliographic sources and analyzes them to deduce possible similarities or differences. An integrative literature review is a research method that combines the results of primary studies. The literature review is part of evidence-based practice (EBP), an approach that uses scientific evidence to support clinical practice.
Results: The need for pediatric palliative care (PPC) is recognized. Children with complex chronic illnesses, cancer, or life-limiting conditions benefit from PPC to improve quality of life and reduce suffering. The studies highlight the importance of a multidisciplinary approach, including symptom control and emotional and spiritual support. Symptom control—pain, dyspnea, fatigue, and nausea—are the most prevalent symptoms in children receiving palliative care. Pharmacological and non-pharmacological approaches (such as music therapy and acupuncture) are effective. The study highlights the importance of the family as a protagonist in the care process and presents the pharmacological and non-pharmacological strategies used in pain management in palliative patients.
Conclusion: Pediatric palliative care is essential to ensure dignity, comfort, and quality of life for children with serious illnesses. The implementation of public policies and professional training are essential to expanding access to this care.
