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Projects

Holistic Oncological Palliative Care 4 Europe’s Kids (Hope4Kids)

The Hope4Kids – Holistic Oncologic Palliative Care for Europe’s Kids - Joint Action aims to strengthen and harmonise paediatric palliative care (PPC) across Europe for all children living with life-threatening or life-limiting conditions.   

Across Europe, many children live with severe, complex or rare chronic conditions that significantly affect their quality of life and, in many cases, may shorten life expectancy. PPC is not limited to end-of-life care – it is an active and holistic approach that can be provided from the moment of diagnosis, regardless of disease type or stage, and alongside disease-specific or life-prolonging treatments. The aim of PPC is to prevent and relieve suffering through effective management of pain and other distressing symptoms, as well as to provide psychological, social and spiritual support to children and their families.   

Access to specialised PPC across Europe remains uneven, and care is often integrated late or inadequately into routine paediatric services. As a result, children, their families and informal caregivers frequently experience inconsistent care. Hope4Kids responds to these challenges through a comprehensive and coordinated approach. Key deliverables include mapping of PPC systems across Europe; development of harmonised, evidence-based guidelines in PPC; implementation and evaluation of four pilot interventions across more than 17 study sites; and development of education and training programmes for healthcare professionals, parents and informal caregivers such as teachers. Hope4Kids will also build a European PPC network of professionals and collaborate with other European projects.  

The Hope4Kids project has a duration of 4 years and is coordinated by the Princess Máxima Center for pediatric oncology in the Netherlands. The initiative is built on the cooperation of more than 50 partners and over 70 organisations from 23 European countries. Through this collaboration, Hope4Kids addresses inequalities in access to PPC, quality of care, and integration into health systems. Ultimately, this will ensure that every child and family have timely access to high-quality PPC, regardless of place of residence. 

“Funded by the European Union. Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the European Union or the European Health and Digital Executive Agency. Neither the European Union nor the granting authority can be held responsible for them.”

 

Lees hier de Nederlandse beschrijving

De Europese Joint Action Hope4Kids – Holistic Oncologic Palliative Care for Europe’s Kids -heeft als doel de kinderpalliatieve zorg te versterken en te harmoniseren voor alle kinderen in Europa met een levensbedreigende of levensverkortende aandoening. In heel Europa leven veel kinderen met ernstige, complexe of zeldzame chronische aandoeningen die hun levenskwaliteit aanzienlijk beïnvloeden, en in veel gevallen de levensverwachting kunnen verkorten. Kinderpalliatieve zorg beperkt zich niet tot zorg aan het levenseinde – het is een actieve en holistische aanpak die kan worden geboden vanaf het moment van de diagnose, ongeacht het type of stadium van de ziekte, en naast ziektespecifieke of levensverlengende behandelingen. Het doel van kinderpalliatieve zorg is het voorkomen en verlichten van lijden door middel van de effectieve behandeling van pijn en andere verontrustende symptomen, evenals het bieden van psychologische, sociale en spirituele ondersteuning aan kinderen en hun families. De toegang tot gespecialiseerde kinderpalliatieve zorg in Europa is nog steeds ongelijk verdeeld, en deze zorg wordt vaak pas laat of onvoldoende geïntegreerd in de reguliere zorg. Als gevolg hiervan krijgen kinderen, hun families en informele zorgverleners (zoals leerkrachten) vaak te maken met inconsistente zorg. Hope4Kids biedt een antwoord op deze uitdagingen door middel van een alomvattende en gecoördineerde aanpak. Belangrijke doelen zijn onder meer het in kaart brengen van kinderpalliatieve zorgsystemen in heel Europa; de ontwikkeling van geharmoniseerde, evidence-based richtlijnen voor kinderpalliatieve zorg; de implementatie en evaluatie van vier pilots op meer dan 17 onderzoekslocaties; en de ontwikkeling van onderwijs- en trainingsprogramma's voor zorgprofessionals, ouders en informele zorgverleners. Hope4Kids zal ook een Europees netwerk van kinderpalliatieve zorgprofessionals opzetten en samenwerken met andere Europese projecten. Het Hope4Kids-project heeft een looptijd van 4 jaar en wordt gecoördineerd door het Prinses Máxima Centrum voor kinderoncologie. Het initiatief is gebaseerd op de samenwerking van meer dan 50 partners en meer dan 70 organisaties uit 23 Europese landen. Door deze samenwerking pakt Hope4Kids ongelijkheden aan op het gebied van toegang tot kinderpalliatieve zorg, kwaliteit van zorg en integratie in gezondheidszorgstelsels. Uiteindelijk zal dit ervoor zorgen dat elk kind en elke familie tijdige en holistische kinderpalliatieve zorg kan ontvangen, ongeacht waar in Europa zij zich bevinden.

Linkedin

Linkedin: @JA Hope4Kids

Contact

Contact information: wp2@kinderpalliatief.nl

Partners

International Children’s Palliative Care Network (ICPCN)

ICPCN is a global network seeking to improve acces to children’s palliative care. ICPCN’s network includes members in more than 140 countries. Members have access to ICPCN’s newsletter and online resources including educational content in many languages. ICPCN advocates for access and quality of children’s palliative care with the World Health Organization and other global platforms.

ICPCN

European Association for Palliative Care (EAPC)

EAPC is a professional organization “committed to supporting the promotion and development of palliative care throughout Europe and beyond”. Our Center staff frequently attend and present at the EAPC annual conference. In addition they serve in leadership positions and support the administrative work of the EAPC Reference Group for Children and Young People. Our Director, Meggi Schuilling-Otten is currently Chair of the EAPC Reference Group for Children and Young People. This group serves to promote children’s palliative care throughout Europe.

European Association for Palliative Care

Maruzza Foundation

The Maruzza Foundation works to ensure the right to access palliative care for all children who need it. The Maruzza Foundation hosts the Maruzza International Congress in Rome, a major gathering for paediatric palliative care researchers and clinicians.

Maruzza Foundation

Resources

Courageous Parents Network

CPN aims to orient, equip and empower families and others caring for a child with a serious medical condition and provide digital resources and an extensive media library used by families and clinicians.

Center to Advance Palliative Care

The Center to Advance Palliative Care is a US based organization that has supported the growth of palliative care as a specialty clinical service since 1999. Their website offers free resources on pediatric program development, marketing of palliative care, and educational offerings for operations managers and clinicians. Program Development. 

Center to Advance Palliative Care

Childhood Cancer International

CCI is the largest childhood cancer patient support organization, with member organizations in more than 100 countries.

Childhood Cancer International

Together for Short Lives (TFSL)

TFSL is a UK based organization that provides family support (emotional and financial), advocates for children’s palliative care in the UK, and providers resources to clinicians working with children who have life-limiting illnesses. TFSL also hosts an online provider network where clinicians can share expertise with one another.

Research Resources

International News

Paediatric day at the EAPC congress: a great succes

An interactive day filled with inspiring speakers.


From June 15 - 17, the EAPC World Congress took take place in Rotterdam, The Netherlands. On Friday June 16, discussions revolved around  paediatric palliative care. It was such an inspiring day full of joy, time together talking and listening to great speakers. Read some highlights of the day below.

The Paediatric Day at the EAPC Congress was packed with interesting and informative presentations. The morning started with a breakfast session about Advance Care Planning with children and young people, parents and professionals which drew so many people in.

It makes me happy to start this day with research, which has practical impact - Lorna Fraser 


Clinician Suffering - people need to be heard, need time and individual mechanism for self-care

The first half of the morning focused on the theme 'Witness to suffering'. Danai Papadatou, Stephen Liben and Barbara Sourkes talked about the importance of knowing what we do, why we are doing it, and what drives us into palliative care. It is  the base of palliative care and we need to move from being 'only' empathic to also having self-compassion. As easy as it sounds, it is often a difficult step to allow ourselves to be vulnerable enough. People need to be heard, need time and individual mechanisms for self care, and by people, we mean all of us. Not only patients and caregivers but also us, the professionals.

International research

The results of important international research in the field of paediatric palliative care were shared during 12 short presentations, each one inspiring and valuable. For example:

A podcast for families caring for a child who is dying
Inspiring to hear were the podcast series with parents and carers talking about their daily lives, struggles, sharing experiences. It gives parents self-paced time to listen to the other parents’ stories, what they can bare at the moment and feel this unique experience of sharing.

I ended up to be beautifully messed - Julia Anania 

podcast

Newly published Dutch guidelines of children's palliative care
Erna Michiels and Kim van Teunenbroek talked about the newly published Dutch guidelines of children’s palliative care which, in its entirety, is evidence based. The recommendation will be translated into English soon.

Palliative care for everyone, also for people and children on the move
Taking care of children with palliative care in humanitarian settings has many challenges as Julia Downing showed in her talk from a refugee camp in Uganda, co-operating with local hospices. Many organisations working in refugee camps are starting to include more and more palliative care in their services, such as MSF, UNICEF, ICRC.

What happens as we die?
Most of us have never seen anyone die. Few have any idea what to expect as death approaches, and most have unrealistic fears about it. Kathryn Mannix wants to change that. Listen to her TEDx Talk or read her great book entitled “With the End in Mind”.

We choose our words with a same intention as surgeon choose is surgical instruments - Kathryn Mannix


New board

EAPC has a new board and paediatrics are now represented on it. Ana Lacerda, oncologist and palliative care doctor from Portugal, chair of the Reference Group for Children and Young People EAPC was elected as one of the new board members. Ana: "We need to make sure that paediatrics are literally mentioned in all strategic documents, countries’ policies and guidelines as we tend to forget that there are children with palliative needs as well". Congratulations Ana!


On to 2025!

It was the best Paediatric day put together so far - Fin Craig

Fin’s words leave us with an even bigger challenge for the next Paediatric Day in Helsinki, Finland, in 2025. You can be part of it. And if you have some tips for the programme, please contact us.


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