PP455 [End of Life Care » Palliative care]: PALLIATIVE AND END OF LIFE CARE IN PEDIATRIC INTENSIVE CARE UNIT - AN EXPERIENCE FROM A TERTIARY CARE CENTER IN SOUTH INDIA

Abstract

required PPC services while 58% of them were referred for Physiotherapy services. Those not referred were primarily more stable for short-PICU-stay monitoring. The highest referrals (91.2%) were for respiratory and pain management while early mobilization was the 2nd-highest referral (75.4%), followed by the services for seating and ambulatory equipment prescription (51%). Personalized family support accounted for 35.1% of the referral, in which multidisciplinary pre-discharge plan and caregivers' empowerment program including home respiratory care, strategies for symptomatic relief. Co-jointed home visits were carried out to facilitate safe home discharge. Physiotherapists also provided support for early community integration e.g., outdoor visits. CONCLUSIONS:This review presents a comprehensive multidisciplinary PPR for patients receiving PPC services in PICU. The teamwork successfully initiates the steps for structured PPR, aiming at providing both children and their family a meaningful journey.