Firefly Chat

The PPCC Firefly Chat is a series of interactive virtual discussions with parents and professionals - FREE of charge - that explore issues facing children with medical complexity and their families and the pediatric palliative and hospice care community.

2025 PPCC Firefly Chat Dates
FF Chats are FREE but registration is required.
All sessions are 12-1pm ET.
     * Feb 12 -  POLST Forms
     * May 14 - Art Therapy
     * Aug 13 - Managing Complex Care in the Home
     * Nov 12 - Communication and Language Barriers

Firefly Chat - Managing Pediatric Complex Care in the Home Setting
View the Recording      Firefly Chat Highlights

Families of children with complex health care needs have to navigate the transition of those care needs to the home setting.  During this Firefly Chat, we will talk with a clinician, home care nursing representative and family caregiver to openly discuss best practices as well as challenges families experience in receiving care at home.  This session will highlight the importance of communication, interdisciplinary collaboration and strategies to best support patients and families.  We will also recognize barriers and challenges to meeting the needs of our complex patients in the home setting.

During this Firefly Chat, we focused on these key areas:

          1.    Setting expectations for families/caregivers and care providers
          2.   Communicating effectively with all involved parties
          3.   Navigating concerns and addressing stressors
          4.   Highlighting the biggest wins for in-home care
     

Presenters:

Kelly Mannion, BSN, RN
Nurse coordinator on the Pediatric Advanced Care Team (PACT) at The Children's Hospital of Philadelphia

Kelly completed her undergraduate studies in nursing at the University of Pennsylvania and began her clinical career at CHOP in 2017 on the inpatient oncology unit. Kelly’s experience in oncology solidified her interest in caring for children and families navigating serious illness and she joined PACT to continue this work in 2022. As a nurse coordinator, she provides skilled assessment and intervention for children with complex conditions and is helping to develop the team's community based pediatric palliative care program. 

Lori Wescott, BSN, RN
Transitional Care Manager (TCP) at BAYADA Home Health Care

Lori completed her undergraduate studies in nursing at The Johns Hopkins University School of Nursing and began her clinical career in pediatric intensive care in Denver, Colorado. She continued in neonatal and pediatric intensive care for 12 years at multiple pediatric facilities, until she started her career at BAYADA Home Health Care as a pediatric clinical manager. For the past 13 years, she has continued at BAYADA, now as a transitional care manager, helping assist in the transition of medically complex children home to their families. Utilizing her clinical experience, Lori works with the facility medical teams, patients, families and area BAYADA offices to provide the safe transition home for her patients.

Parent Presenter:
Allyson Weber, BSN, RN
Mom, Bereaved Mom, Nurse

Allyson is mom to Christopher and bereaved mom to Timothy (4/22/01- 1/18/06). She works as a pediatric nurse for Bayada Home Health Care and serves on the PPCC BOD and the Parent Advisory Board.  Allyson has worked as a nurse in the areas of Med-Surg rehabilitation, OR and hospice home care. Her most challenging and rewarding work has taken place in her own home caring for two quadriplegic medically fragile sons and both of her parents during their time in hospice care. In addition to Christopher, she is blessed to live with her husband, Bruce, a physical therapist, and her college age son, Matthew. Allyson's oldest son, Josh, lives with his wife in NJ with their two daughters.


Moderator:  

Dana Dombrowski, MSW, LSW  

Social Worker and Psychosocial Program Coordinator at The Children’s Hospital of Philadelphia

Dana Dombrowski graduated from the University of Connecticut in 2003 with a BS in Family Development and a minor in Sociology. She went on to attend graduate school at the University of Pennsylvania where she received her Master’s degree in Social Work in 2005. Upon completion of this program, she obtained her LSW and was hired by The Children’s Hospital of Philadelphia as a Pediatric Oncology Social Worker. She worked in that position specializing in patients with a terminal cancer diagnosis, grief and loss for over 8 years. In 2013, Dana joined CHOP’s palliative care team (PACT Team) as a social worker and the psychosocial program coordinator.

View the Recording HEREFirefly Chat Highlights

Firefly Chat Archive

Managing Pediatric Complex Care in the Home Setting

Families of children with complex health care needs have to navigate the transition of those care needs to the home setting. During this Firefly Chat, we talked with a clinician, home care nursing representative and family caregiver to openly discuss best practices as well as challenges families experience in receiving care at home. This session highlighted the importance of communication, interdisciplinary collaboration and strategies to best support patients and families.

Art Therapy in Pediatric Palliative Care: Creative Coping

Art Therapy is a valuable tool that often helps people explore emotions, develop self-awareness and cope with stressors. In this Firefly Chat, our panelists include a young adult patient who underwent transplant as a child, as well as the art therapist who supported their family.

‍A Discussion on POLST Forms for the Pediatric Patient in the Home Setting

‍Physician Orders for Life-Sustaining Treatment (POLST) forms are orders for life-sustaining treatment outside of the hospital setting. While these orders are more common and can feel straightforward for adults, there is often additional complexity for children, teens and young adults and their parents/legal guardians. In this FF Chat, our panelists highlight the importance and challenges of gathering information, working with the interdisciplinary team (IDT) and completing POLST documentation.

My Child with Medical Complexity is Turning 18, Now What? Guardianship and More

When a child with medical complexity becomes an adult, there are new and complicated systems to navigate. In this Firefly Chat, a parent will highlight what her family faced during the guardianship application process and transition out of pediatric based services. There will also be a discussion about decisions, sources of support/resources and challenges that families may face.

Care Mapping for Children with Medical Complexity

The concept of Care Mapping is discussed and how this can help families/caregivers embrace a wider circle of services and create positive connections and interactions. In addition, our presenter shares her experiences with her own children and foster children and her work in the foster care system.

Perinatal Palliative Care: Care Across the Continuum

Join our panelists as they highlight how perinatal palliative care can be the beginning layer of support for families as they navigate their child’s medical journey. Our panel will share their experiences in perinatal palliative care and offer insight and practical suggestions for creating an atmosphere of open communication and honest discussions to develop individualized care plans.

Interdisciplinary Spiritual Care with Patients and Families

A board certified chaplain, licensed social worker and bereaved parents dialogue about the importance of addressing spirituality at end of life. This Firefly Chat focuses on the importance of offering spiritual support to all individuals and those who identify as “not religious".

Visualizing Loss - A Collaborative Filmmaking Project: Website

Learn more about the Collaborative Filmmaking Project and how 5 families shared their grief and bereavement experiences in their own unique ways.

Visualizing Loss - A Collaborative Filmmaking Project - 2 Hour Special Event

Each of 5 participants created a short film that celebrated the legacy of their child and explored a range of key topics related to their grief journey and experience navigating palliative care for their child. The films illustrate various elements of the grief journey, which are unique for each family.  

Honoring Our Children: Initiating Conversations About Funeral Planning and Memorialization

Making arrangements at the end of a child's life is something that is approached differently by every family and caregiver. Our host and panelists share their experience talking with different families, illuminating the incredibly diverse ways in which people plan, prepare for, and memorialize when a child's death occurs.

Finding Joy in Pediatric Palliative Care: Identifying, Capturing and Experiencing Joy as Caregivers of Children with Medical Complexities

Joy isn’t the first word that most people associate with pediatric palliative care, but it is a powerful part of the experience for many families. We hear from parents and caregivers as they explain how they identified, captured, and experienced joy as a part of their child’s medical journey.

More Than Medicine: Using Creative Supports and Therapies to Help Children with Medical Complexities

Caring for a child with medical complexities can be stressful, overwhelming and challenging. While traditional medicines are often the first-line of treatment, the use of alternative therapies and supports are becoming more readily available. Listen to a Recreation Therapist and a Massage Therapist who help care for children with medical complexities both in the hospital and home setting.

What Can Bereaved Siblings Teach Us?

Palliative care and end-of-life care for children focuses on the whole family including siblings. Parents and medical professionals often worry that siblings “get lost” during the illness. Hear a palliative care provider and a bereaved sibling explore how the death of his brother affected him and his family.

The Challenges of Organizing Medical Data

Children with medical complexities frequently see multiple specialists and are sometimes traveling to more than one hospital or medical center for care. Families are tasked not only with sharing their stories over and over, but also trying to remember critical health data points, medication names and doses in addition to important contacts in their child’s care. This chat highlights strategies for organizing medical data.

Grief and the Holidays

For many who are grieving the loss of a child, celebrating the holidays can be even more challenging and stressful. As with the grief journey, what one person finds comforting may not work for all. In this Firefly Chat we talk with a family about their experience honoring their child who passed, navigating their grief and managing the “expectations” over the seasons.

Let's Talk About Masks: Identifying Barriers and Solutions to Communicating Effectively

Presentation Materials

Stressed But Not Stressed out: Practical Tools for Managing Stress

Presentation Materials

Mindfulness/Gratitude Practices

A Day in the Life of a Caregiver

What is it really like caring for a medically complex child in your home? Learn directly from the parents living the experience how to best support and help families in this very unique situation.

384 Fox Chapel Road, Pittsburgh, PA 15238 | Contact Betsy Hawley at: betsy@ppcc-pa.org

PPCC is not a health care provider and does not give medical advice or treatment. PPCC does not endorse or recommend any listed facilities, service providers, or support groups herein. PPCC offers the list and information as a resource only. PPCC does not pre-evaluate, or consider the Medicare/Medicaid status of the providers.

The Pediatric Palliative Care Coalition is a registered 501(c) (3) not-for-profit organization.  Donations are tax-deductible according to the IRS’s rules and regulations.  The official registration and financial information for PPCC may be obtained from the Pennsylvania Department of State by calling toll-free within Pennsylvania 1-800-732-0999.