TASKS OF PHYSICAL THERAPY IN PEDIATRIC PALLIATIVE CARE

According to the World Health Organization, pediatric palliative care (PPC) aims to prevent and alleviate suffering through early identification and treatment of physical, psychosocial, or spiritual symptoms. This study seeks to analyze physical therapy strategies within PPC that address the adverse effects of illness. The purpose of the study is to analyze physical therapy strategies in pediatric palliative care aimed at overcoming the negative effects of the disease. Research methods: general scientific methods (analysis, synthesis, generalization of scientific and methodological literature, acts of the legislative and legal framework of Ukraine on the issues of physical therapy for children in need of PFD, method of theoretical cognition, systematic approach. Results of the study. The organization of physical therapy for children with multiple complex impairments presents several challenges. To meet the demands of PPC, specific components are developed to address needs such as initial parental consultations, ongoing monitoring, consultative support, and the establishment of criteria for effective physical therapy. Selection of physical therapy modalities is tailored to the pediatric patient's requirements, encompassing physical, motor, communicative, and emotional development, as well as the realization of the child's innate abilities and potential. Interventions such as play therapy, orthotic management, verticalization, verbal and non-verbal communication systems, and active parental involvement in long-term rehabilitation are essential to meet the needs of children with life-limiting conditions. Conclusions. The objectives of physical therapy in PPC include ensuring physical and psychological comfort, maximizing participation in fulfilling both basic and social needs, which constitutes a primary priority within the physical therapy system. Additionally, it involves the prevention of respiratory and orthopedic complications and the reduction of chronic pain syndromes.