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Iranian Journal of Pediatric Hematology and Oncology، جلد ۹، شماره ۱، صفحات ۴۸-۶۲
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Challenges of palliative care for children with cancer in Iran: a review
چکیده انگلیسی مقاله Pediatric palliative care is a holistic caring approach for children and families that begins with diagnosis of a life-threatening illness and continues until death; it aimed to relieve pain and other symptoms in physical, mental, social and spiritual aspects. In spite of available evidence concerning optimal outcomes of the provision of palliative care, establishment of a palliative care system for children has hardly been feasible so far due to a number of challenges. Therefore, this review study aimed at identifying the challenges of the provision of pediatric palliative care along with the relevant solutions. The identified challenges were classified into two categories including structure-based challenges (i.e. lack of a clear structure in the health system and classification of services, shortage of specialized staff, insufficient home care services, absence of health care tariffs along with insurance coverage of palliative care services) and process-based challenges (i.e. absence of guidelines, lack of educational programs for family, family attitudes and beliefs, communication barriers, and lack of access to opioids). Thereafter, the solutions for each challenge are provided in accordance with the available literature separately. Given the significance of palliative care for children with cancer and in order to improve the quality of life of the children and the families, it appears necessary that policymakers and managers take account of the challenges as well as the feasibility and the implementation of provided solutions.  
کلیدواژه‌های انگلیسی مقاله Neoplasms, Palliative care, Pediatrics
نویسندگان مقاله | Maryam Rassouli
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Naiire Salmani
Faculty of Department of Meybod Nursing, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.


| Zahra Mandegari
Faculty of Department of Meybod Nursing, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.


| Atena Dadgari
Faculty of Department of Meybod Nursing, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.


| Bahare Fallah Tafti
Shahid Sadoughi University of Medical Sciences, Yazd, Iran.


| Imane Bagheri
Faculty of Department of Meybod Nursing, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
نشانی اینترنتی http://ijpho.ssu.ac.ir/browse.php?a_code=A-10-519-2&slc_lang=fa&sid=1
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کد مقاله (doi)
زبان مقاله منتشر شده fa
موضوعات مقاله منتشر شده تخصصی
نوع مقاله منتشر شده پژوهشی
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