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Our staff of compassionate and experienced pediatric specialists includes clinicians and other healthcare providers with expertise in palliative care, symptom management, complementary medicine, and speech-language pathology.
Pediatric palliative care is intended to optimize the quality of life, promote healing, and provide comfort for children with life-threatening illnesses.
The Pediatric Advanced Care Team (PACT) at Dana-Farber/Boston Children's Cancer and Blood Disorders Center, part of the Department of Psychosocial Oncology and Palliative Care, is a team of interdisciplinary clinicians with expertise in pediatric palliative care, who add an extra layer of support to the care of children with serious illness and their families.
The PACT team consults with you, your family, and your primary care team to bring together information and guidance needed to make the best health care decisions for your child.
Our services include:
We bring together experts from a wide variety of disciplines to care for your child. Our care team includes:
We consider you and your child to be integral parts of the care team and not simply recipients of care. We work closely with you to customize a plan of care for your child.
Dana-Farber/Boston Children's Pediatric Advanced Care Team has served as a model program for pediatric institutions around the United States. Joanne Wolfe, MD, MPH, our Division Chief and medical director, is nationally recognized for her pediatric palliative care expertise.
Wolfe and other members of the team participate in regional and national efforts to improve care for children with advanced illness.
The Pediatric Advanced Care Team's services include:
PACT members will work closely with your child, family, and primary care team to develop a comprehensive quality-of-life care plan. We do not replace your child's primary care team; rather, we support treatment of the illness and at the same time strive for optimal quality of life.During your consultation, we will evaluate factors such as you child's feelings and health, your family's needs, and the care team's medical plan in order to make the best possible recommendations. Our clinicians can meet with your child and family at the hospital, at one of our outpatient facilities, or at your home..
Our team members want your child and family to make educated decisions. We are available to talk with you and provide educational resources on a variety of topics, including communication and decision-making, pain and symptom management, palliative care, hospice and home care, family dynamics, sibling issues, school interactions, and spiritual concerns.
It's important that your child and family have support both at the hospital and when you return home. We can help identify supportive agencies and community-based organizations. In addition, we can provide emotional and psychosocial support, and help arrange end-of-life care when necessary.
A consultation can be arranged at any time during your child's treatment. Our team is available to provide consultation 24 hours a day.
Our staff of compassionate and experienced pediatric specialists includes clinicians and other healthcare providers with expertise in palliative care, symptom management, complementary medicine, and speech-language pathology. Our team also includes an expert in interfaith spiritual care.
Our clinicians are focused on family-centered care. From your first visit, you'll work with a team of professionals who are committed to supporting your family's physical and emotional needs.
James Tulsky, MDChair, Department of Psychosocial Oncology and Palliative Care
Joanne Wolfe, MD, MPHDivision Chief of Pediatric Palliative Care, Dana-Farber Cancer InstituteDirector of Palliative Care, Boston Children's Hospital
Richard Goldstein, MDAttending Physician
Emma Jones, MDAttending Physician
Shih-Ning Liaw, MD, FAAPAttending Physician
Jonathan Mullin, MDAttending Physician
Christina Ullrich, MD, MPHAttending Physician
Janet Duncan, RN, MSN, CPNPPediatric Nurse PractitionerFounding Nurse Practitioner for the Pediatric Advanced Care Team (PACT)
Jenna Freitas, CPNPPediatric Nurse Practitioner
Rachael Menius, MSN, CPNP-AC, CPONPediatric Nurse Practitioner
Marsha Joselow, LICSW, MSWClinical Social WorkerPediatric Palliative Care Social Work Fellowship Director
Nicholas Purol, LICSW, MSWClinical Social Worker
Rita FountainPractice Coordinator
Andrea KolligianAdministrative Support Specialist
This video from the American Cancer Society shows how the pediatric palliative care team at Dana-Farber/Boston Children's is helping children with cancer survive and thrive.
Our team is available by page 24 hours a day. For urgent matters or after hours:
To call the Dana-Farber page operator, dial 617-632-3352 and ask for the clinician by name or the Pediatric Advanced Care Team clinician on call.
To call the Boston Children's Hospital page operator, dial 617-355-6000 and ask for the clinician by name.
For non-urgent matters Monday-Friday, please call 617-632-5042 during regular business hours or email PactA@dfci.harvard.edu (for children with neonatal, neurological, metabolic or genetic conditions), or PactB@dfci.harvard.edu (for children with cancer, cardiac, pulmonary, or renal conditions, or solid organ transplant candidates or recipients). If you are unable to reach us at this number or through email, please use the paging instructions above.The Pediatric Advanced Care Team provides consultations in inpatient, outpatient, and home settings.
Pediatric Advanced Care TeamDana-Farber Cancer Institute450 Brookline Avenue, SW 411Boston, MA 02215