Palliative care for the children of Voronezh region

Palliative care for children is a medical service that develops separately from adult palliative care. The purpose of this study is to analyze the medico-social structure of palliative care for children of Voronezh region. Data were collected from 47 medical institutions of Voronezh region. It included the number of children, the area of residence, social status, diagnosis. The method of nutrition and respiration of the child, the need for oxygen therapy, artificial ventilation, psychological and social assistance were also evaluated. It was revealed that the largest number of palliative patients was detected in the Left-Bank district. According to the structure of the detected palliative pathologies, non-oncological diseases prevail in children of the Voronezh region. Also, acquired neurological diseases are most common - cerebral palsy and congenital anomalies of brain development. Oncological diseases in children, according to our data, occupy a small proportion (4%). In the Voronezh Region, depending on the probability of a fatal outcome, irreversible but not progressive conditions with severe disability and the patient's exposure to complications prevail, which requires the organization of a multidisciplinary approach to palliative therapy, the introduction of new diagnostic methods and rehabilitation measures.