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Russell Draper

Decoupling Palliative Care Stigma


Introduction

Yesterday, we marked World Hospice and Palliative Care Day, a day that holds profound significance for many families confronting the challenges of serious illness. On this occasion, we echoed a message that deeply resonates with countless individuals, a message borrowed from CPN's recent social media post: "A referral to palliative care does not mean 'the team thinks my child is going to die soon.' Palliative care is for all of the life following diagnosis, while hospice care is reserved for the end of life." This distinction is not merely a matter of words; it's a matter of immense importance that can significantly impact the lives of those navigating the tumultuous journey of illness.

Understanding Palliative Care and Hospice Care

In the United Kingdom, where we draw strength from unity, these terms often remain entangled in misconceptions and misunderstandings. Palliative care, as the name implies, is about caring for individuals dealing with a serious illness, helping them to not only alleviate pain and manage symptoms but also to improve their overall quality of life. This support extends across the entire spectrum of life post-diagnosis, making it an invaluable resource for patients and their families.

Conversely, hospice care is designed for those nearing the end of their journey. It's an essential service that focuses on providing comfort, dignity, and support during the final stages of life. While both palliative and hospice care share a common goal of enhancing well-being, it is crucial to differentiate between them to ensure that patients and their families receive the appropriate care at the right time.

The Personal Story

Our journey, like many others, took us to a crossroads that no family should have to face. In late 2021, we received a phone call that sent our world into a tailspin. Teddy's neurologist was on the other end, explaining that his EEG had deteriorated significantly, and things were looking grim. It was a few days before Christmas, a time when the world revels in joy and festivities, but for us, it was a period of uncertainty and despair.

The neurologist's recommendation hit us like a ton of bricks – he believed that it was time to place Teddy on palliative care. We asked for time to digest this heart-wrenching news, our minds grappling with an avalanche of emotions. However, the neurologist had to quickly end the call and advised us to contact his secretary – a cold reality check of the urgency and seriousness of the situation.

The holiday season, meant to be a time of warmth and togetherness, was marred by a sense of impending loss. We spent Christmas contemplating whether it would be our last with Teddy. The agony of it all, compounded by the long journey we had already traveled with our beloved child, took an immeasurable toll on our mental health and left us grappling with PTSD.

The Role of Helen and Douglas House

Amidst the darkest of days, we found a ray of hope and support at Helen and Douglas House in Oxford. This exceptional facility provides palliative care for children and young adults, offering not just medical assistance but a holistic approach to their well-being. It's a place where love and care are palpable in the air, where the focus isn't on counting days but on making each day count.

Our experience with Helen and Douglas House was nothing short of transformative. They not only provided Teddy with the medical care he needed but also gave us, as a family, the strength to face each day with hope. Their dedication to ensuring that families like ours find moments of joy in the midst of adversity is a testament to the power of palliative care.

The Importance of Decoupling Palliative Care and Hospice Care

Our story is not unique, and countless families across the UK go through similar ordeals every day. The confusion and stigma around palliative care only add to their burden. Decoupling palliative care from hospice care is not just a matter of semantics but a necessity to ensure that patients and families understand the full spectrum of care available to them.

When palliative care is introduced early in a patient's journey, it can make all the difference. It's about focusing on what matters most to the child and family, managing pain and symptoms effectively, and helping them have 'good days' despite the challenges they face. It's not about signaling the end; it's about enhancing the quality of life.

Statistics and Facts on Palliative Care in the UK

In the United Kingdom, the importance of palliative care is underscored by the fact that 20% of deaths each year occur in children. Understanding the need for palliative care is crucial, as it isn't just a last resort; it's a fundamental component of comprehensive healthcare. However, statistics show that there is a lack of awareness and access to palliative care services. In the UK, less than 50% of patients who need palliative care have access to it. This is a stark reality that needs to change.

The government's role in supporting palliative care cannot be underestimated. Funding and resources must be allocated to ensure that everyone who requires palliative care receives it promptly and comprehensively. By doing so, we can make a profound difference in the lives of children and their families who are facing the unimaginable.

Conclusion

In conclusion, the distinction between palliative care and hospice care is not just a matter of words; it's a matter of life. It's about ensuring that families like ours do not face the added burden of fear, confusion, and stigma when they need support the most. Palliative care is about making every day count, not just the last few. The experience at Helen and Douglas House has been a beacon of hope for us, and we hope that by sharing our story and the importance of decoupling these two critical services, we can make a difference for other families too.

As we reflect on World Hospice and Palliative Care Day, let's stand together to raise awareness, dispel misconceptions, and ensure that every family in the UK can access the palliative care they need – a care that's about life, hope, and the power of compassion.

Remember, "A referral to palliative care does not mean 'the team thinks my child is going to die soon.' Palliative care is for all of the life following diagnosis, and that makes all the difference in the world."

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