Integrating Pediatric Massage into Palliative and Hospice Care

March 31, 2025

In the most delicate moments of life, when a child and their family are navigating a serious or terminal illness, comfort, connection, and compassion become the core of care. While medications and medical procedures play a vital role, there’s something equally powerful that often goes overlooked, the healing power of safe, intentional touch.

Pediatric massage and touch therapy are emerging as valuable, evidence-informed tools in palliative and hospice care, helping to ease discomfort, support emotional well-being, and offer families a deeply meaningful way to connect during an incredibly vulnerable time.

What is Pediatric Palliative and Hospice Care?

Palliative care for children focuses on enhancing quality of life by relieving symptoms and providing support, not just to the child, but to the entire family. Hospice care, often provided in the final stages of life, ensures that a child is surrounded by comfort, dignity, and love.

This care is not only about managing illness, it’s about helping children live as fully as possible for as long as possible. Pediatric massage and touch therapy can be an important part of this approach.

The Role of Pediatric Massage in Palliative Settings

Children receiving palliative or hospice care may experience pain, anxiety, restlessness, muscle tension, or difficulty sleeping. Pediatric massage, when properly adapted to each child’s needs, can:

  • Reduce pain and discomfort
  • Ease muscle tension and promote relaxation
  • Calm anxiety and support better sleep
  • Provide comfort through nurturing, gentle contact
  • Strengthen the emotional connection between child and caregiver

Massage can also be empowering for families, giving parents or loved ones a way to actively participate in their child’s care, offering them moments of closeness, comfort, and calm.

What Makes Pediatric Massage Different in This Setting?

Working with children in palliative and hospice care requires a specialized understanding of their medical conditions, fragility, and emotional needs. Massage therapists and healthcare providers must be trained in how to adapt techniques to meet the specific needs of:

  • Medically complex or nonverbal children
  • Children with limited mobility or sensory sensitivities
  • Children undergoing treatments like chemotherapy or respiratory support


The Liddle Kidz® Foundation offers internationally recognized training in pediatric massage and touch therapy, including specific certifications for pediatric palliative and hospice care, so providers can ensure the safest, most effective approaches are being used.

Touch Therapy in Clinical and Home Hospice Settings

Whether delivered in a hospital, hospice house, or a child’s home, touch therapy can be safely integrated into a child’s daily routine. A skilled provider may offer soothing foot massage, light pressure on the back, or hand-holding techniques designed to calm the nervous system and foster emotional peace.

In some cases, massage and touch therapists train parents and caregivers to use simple, gentle techniques themselves, creating a ripple effect of care that extends beyond each session.

Collaboration is Key

Pediatric massage should always be a part of a collaborative care plan, involving the child’s medical team and family. When integrated thoughtfully, it can enhance the work of doctors, nurses, social workers, and child life specialists, adding a new dimension to holistic pediatric care.

A Final Thought

There may be few things more powerful than the human connection created through touch. For children in palliative or hospice care, this connection offers a sense of security, love, and peace, sometimes without a single word.

Pediatric massage and touch therapy don’t just soothe the body; they honor the whole child, supporting their emotional and spiritual needs, and helping families feel connected through every stage of the journey.

SHARE THIS STORY

LET's HAVE A CUP!