Palliative Care

This article originally appeared in Star Chronicle, a newsletter published for the Children's Medical Center.

A life-limiting illness in a family is difficult for everyone involved, but when it is a child who has one, the patient and family need support and care to help them through the challenges. To meet the needs of children and families, UMass Memorial staff offers two pediatric palliative care programs, one through the Children's Medical Center and the other through Home Health and Hospice.

Certain barriers in the past have prevented these children from receiving services that would improve their quality of life. In 2006, a new Massachusetts law allowed the establishment of 10 pediatric palliative care programs under hospice funded by the Massachusetts Department of Public Health; one was given to UMass Memorial Home Health and Hospice.

The program, available to children living in and around Worcester, offers services to meet the physical, emotional and spiritual needs of children with life-limiting illnesses and their families. A life-limiting illness is defined as an illness that can limit normal life expectancy such as advanced or progressive cancer, cystic fibrosis or major organ failure. Staff visits patients' homes and provides music and massage therapies, counseling, nursing care and bereavement support at no charge.

This program provides patients and their loved ones with great family centered care. Staff works closely with the Children's Medical Center and has all the resources of the hospital.

The Children's Medical Center is launching its own palliative care program for children. The committee, chaired by Naheed Usmani, MD, pediatric hematology/oncology, is working with the Hospice program through a nurse practitioner liaison for uniformity of care.

According to Dr. Usmani, "Our goal is to provide interdisciplinary care that relieves suffering and improves quality of life for our patients with advanced illness and their families." Plans include educational outreach, a palliative care clinic for outpatient consultations, home visits and a "comfort care room" providing a home-like atmosphere in an inpatient setting for terminally ill children.

Children with life-limiting illnesses and their families should have no limit to resources when it comes to palliative care. UMass Memorial is dedicated to compassionate care and meeting very special needs of children and their families