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J Telemed Telecare. 2014 Oct;20(7):360-4. doi: 10.1177/1357633X14552370.

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

Author information

1
Centre for Online Health, University of Queensland, Brisbane, Australia Queensland Children's Medical Research Institute, Royal Children's Hospital, Brisbane, Queensland, Australia n.bradford@uq.edu.au.
2
Centre for Online Health, University of Queensland, Brisbane, Australia Queensland Children's Medical Research Institute, Royal Children's Hospital, Brisbane, Queensland, Australia.
3
School of Nursing and Midwifery, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
4
Paediatric Palliative Care Service, Royal Children's Hospital, Brisbane, Queensland, Australia Discipline of Paediatrics and Child Health, School of Medicine, University of Queensland, Brisbane, Australia.
5
Paediatric Palliative Care Service, Royal Children's Hospital, Brisbane, Queensland, Australia.

Abstract

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.

PMID:
25399995
DOI:
10.1177/1357633X14552370
[Indexed for MEDLINE]

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