University Medical Center Rostock

Prof. Dr. med. Jan Däbritz, Department of Pediatrics, Mucosal Immunology Group

Prof. Dr. med. Carl Friedrich Classen, Section for Pediatric Oncology und Palliative Care

Dipl.-Psych. Christian Grabautzki, psychosocial service

PD Dr. med. habil. Johannes Ehler, Department of Anesthesiology and Intensive Care Medicine, Interdisciplinary Pediatric Intensive Care Unit, NeuroIntens Research Group

Prof. Dr. Peter Kropp, Institute of Medical Psychology and Medical Sociology

National cooperations

PD. Dr. med. habil. Dirk Manfred Olbertz, Department of Neonatology, Südstadt Hospital Rostock

Prof. Dr. med. Monika Führer, Center for Pediatric Palliative Care, University Children's Hospital, Ludwig-Maximilians University of Munich, Munich

Dr. phil. Kerstin Hein, Center for Pediatric Palliative Care, University Children's Hospital, Ludwig-Maximilians University of Munich, Munich

"PalliativIntens Team"

The project "PalliativIntens Team" is currently being carried out. It is funded by the FORUN-Program and the Clinician Scientist Program of the University Medical Center Rostock.

Background

Approximately 40% of all deaths in childhood occur in the neonatal period. Neonates make up about 80% of this group and die predominantly in the neonatal intensive care unit. Due to the constant development of medical possibilities, not only the probability of survival in neonatal (NICU) and paediatric intensive care units (PICU) is increasing, but also the morbidity of the affected patients. The integration of a palliative attitude and practice into paediatric and neonatal intensive care is becoming increasingly important (1-3). Scientific publications on this topic have been written for about 20 years, with a focus on reviews, expert opinions and experience reports (4-6). To date, few intervention studies have shown significant improvements in palliatve care by implementing aprotocols, standard operation procedure or palliative care counsils (7-10).

Aim

To assess the effect of a standard operating procedure (SOP) on barriers, moral distress, attitudes towards and practice of care for palliative care patients in the local NICU, PICU and adult intensive care unit (AICU). The focus of the project is therefore on the team.

Methods

First of all, the scope of palliative care is determined within the framework of a retrospective analysis of the courses of critically ill patients in the NICU and PICU in Rostock on the basis of defined endpoints. Quantitative staff surveys (physicians, nurses, psychosocial service of the NICU, PICU and AICU) are planned to record the moral disstress caused by, attitudes towards and barriers to palliative care of seriously ill patients. In addition, tailor-made SOPs are developed on the basis of a systematic literature research and according to a qualitative staff survey (semi-structured individual interviews and content analysis (physicians, nursing staff, psychosocial service of the NICU, PICU and AICU)). One year after implementation of the SOP practice, attitude and stress will be conducted again.

Staff of the NICU and PICU of Greifswald University Medical Centre and the Children's Hospital Wilhelmstift Hamburg, Germany will be involved as control groups for the items moral disstress, attitude and barriers.

Sources

1 Balaguer, A. et al. BMC Ped. 2012, 2 Catania, TR et al. J Pall Med. 2017, 3 Parravicini, E. Ped. 2017, 4 Dageville, C. et al. Neonatology. 2011, 5 Davidson, JE et al. Crit Care Med. 2017, 6 Frontera, JA et al. Crit Care Med. 2015, 7 Lutmer et al. Ped Crit Care Med. 2016, 8 Samsel und Lechner J Perinat. 2015, 9 Younge et al. J Perinat. 2015, 10 Taylor et al BMJ Supp Pall Care 2018

"PalliativIntens Kids&Parents"

The follow-up project after PalliativIntens Team is currently being conceptualised. In the preliminary work, we were then able to show whether a SOP for palliative care in a neonatal, paediatric and adult intensive care unit could reduce the moral distress of staff, influence their attitudes and improve the hollistic quality of care for critically ill patients.

Aim

To assess the effect of a national guideline on the symptom burden of children and the psychological distress, anxiety and quality of life of mothers/parents in the NICU. The focus of the follow-up project is therefore on the children and parents.

Publications

Lademann H, Bertsche A, Petzold A, Zack F, Büttner A, Däbritz J, Hauenstein C, Bahn E, Spang C, Reuter D, Warnke P, Ehler J: Acute Disseminated Encephalomyelitis with Seizures and Myocarditis: A Fatal Triad. Medicina 2020;25:227 (6pp)

Lademann H, Abshagen K, Däbritz J, Olbertz DM: Outcome after asphyxia and therapeutic hypothermia in preterm infants: a case series. Submitted 2020.

Lademann H, Gerber B, Olbertz DM, Darvin ME, Stauf L, Ueberholz K, Heinrich V, Lademann J, Briese V: Non-Invasive Spectroscopic Determination of the Antioxidative Status of Gravidae and Neonates. Skin Pharmacol Physiol 2015;28:189–195

Lademann J, Meinke MC, Jung S, Lademann H, Schanzer S, Zastrow L, Köcher W, Darvin ME: Cutaneous carotenoids as marker substances for nutrition and stress. J App Aesth 2015;1.15 (8pp)

Maeter H, Briese V, Gerber B, Darvin ME, Lademann K, Olbertz DM: Case study: in vivo stress diagnostics by spectroscopic determination of the cutaneous carotenoid antioxidant concentration in midwives depending on shift work. Las Phy Lett 2013;10:105701 (6pp)

Congress activities

Lademann H, Abshagen K, Däbritz J, Olbertz DM. Hypothermiebehandlung nach perinataler Asphyxie - Motorische und kognitive Entwicklung Frühgeborener in den ersten zwei Lebensjahren. PO110. 46. Jahrestagung der Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI). Online-Kongress, 29-31.10.2020

Müller J, Lademann H, Neumann L, Olbertz DM, Däbritz J. Kognitive Entwicklung Frühgeborener unterhalb der 32. SSW und/oder y 1500 g – Korrelation zwischen Risikofaktoren und kognitiver Entwicklungsverzögerungen in den BSID-II. PO111. 46. Jahrestagung der Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI). Online-Kongress, 29-31.10.2020

Lademann H, Neumann L, Müller J, Schulz A, Däbritz J, Olbertz DM. Somatische Entwicklung sehr unreifer Frühgeborener in den ersten zwei Lebensjahren. PO109. 46. Jahrestagung der Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI). Online-Kongress, 29-31.10.2020

Lademann H, Schulz M, Olbertz DM, Däbritz J. Neonatale Palliativversorgung an einem Level I Perinatalzentrum: Eine retrospektive 10-Jahres-Studie. PO137. 46. Jahrestagung der Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI). Online-Kongress, 29-31.10.2020

Lademann H, Schulz M, Classen CF, Junghanss C, Kropp P, Däbritz J, Olbertz DM. Palliativversorgung an einem Level I Perinatalzentrum – Eine retrospektive 10-Jahres-Studie. P106.13. Kongress der Deutschen Gesellschaft für Palliativmedizin (DGP). Online-Kongress, 9.-12.09.2020

Lademann H, Olbertz DM, Kropp P, Junghanss C, Däbritz J und Classen CF. Implementierung eines strukturierten Palliativprogrammes in einer neonatologischen sowie einer pädiatrischen Intensivstation. 7. Wissenschaftliche Arbeitstage der Deutschen Gesellschaft für Palliativmedizin (DGP). Angenommen 2020, verschoben auf 2021.

Müller J, Lademann H, Olbertz DM, Däbritz J. Früherkennung kognitiver Entwicklungsdefizite sehr unreifer Frühgeborener in den ersten zwei Lebensjahren. P126. 44. Jahrestagung der Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI). Rostock, 07.-09. 06. 2018. Monatsschr Kinderheilkd 2018; 166:S1–S93 

Press

Article in the Ärzteblatt Mecklenburg-Vorpommern, Februar 2021

Article in the Unimedialog, Februar 2021 

Doctoral theses/ Job vacancy

We currently have no vacancies. Scientists and psychology students (Master's degree) in particular are cordially invited to write an unsolicited application.

Contact

Please send unsolicited applications to Maria Schulz

Application form

Please send us your complete application documents in one document as a PDF:

• cover letter/letter of motivation
• curriculum vitae (tabular form)
• certificate of state exam
• certificate of baccalaureate
• qualification certificates
• letter of recommendation, if applicable
• If applicable, further certificates