Principles of a paediatric palliative care consultation can be achieved with home telemedicine

Natalie K Bradford; Nigel R Armfield; Jeanine Young; Anthony Herbert; Christine Mott; Anthony C Smith

doi:10.1177/1357633X14552370

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Principles of a paediatric palliative care consultation can be achieved with home telemedicine

Journal article

Peer reviewed

Principles of a paediatric palliative care consultation can be achieved with home telemedicine

Natalie K Bradford, Nigel R Armfield, Jeanine Young, Anthony Herbert, Christine Mott and Anthony C Smith

Journal of Telemedicine and Telecare, Vol.20(7), pp.360-364

2014

DOI: https://doi.org/10.1177/1357633X14552370

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Abstract

paediatric palliative care

home telemedicine

telemedicine consultations

We compared the records of paediatric palliative consultations undertaken face-to-face, with telemedicine consultations undertaken in patients' homes. A convenience sample of consecutive paediatric palliative care patients was identified from the hospital's palliative care database. A total of 100 consultations was reviewed (50 telemedicine consultations during home visits and 50 face-to-face consultations) according to 14 established principles and components of a paediatric palliative care consultation. In the telemedicine group there was a higher proportion of patients in a stable condition (58% vs 7%), and a lower proportion of patients in terminal phase (2% vs 17%). Discussion about pain and anorexia were significantly more common in the telemedicine group. Discussion about follow up was significantly more common in the telemedicine group (86% vs 56%), whilst resuscitation planning was more common in deteriorating patients receiving inpatient care. All other components and principles of a palliative care consultation were documented equally regardless of method of consultation. The findings confirm that palliative consultations via telemedicine are just as effective as face-to-face consultations in terms of the documented components of the consultation.

Details

Title: Principles of a paediatric palliative care consultation can be achieved with home telemedicine
Authors: Natalie K Bradford (Author) - University of Queensland
Nigel R Armfield (Author) - University of Queensland
Jeanine Young (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Anthony Herbert (Author) - University of Queensland
Christine Mott (Author) - Royal Children's Hospital, Brisbane
Anthony C Smith (Author) - University of Queensland
Publication details: Journal of Telemedicine and Telecare, Vol.20(7), pp.360-364
Publisher: Sage Publications Ltd.
Date published: 2014
DOI: 10.1177/1357633X14552370
ISSN: 1357-633X
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99448825902621
Output Type: Journal article

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