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Table 2 Type of messages exchanged

From: The blue tick: WhatsApp as a care tool in pediatric palliative care

Code Message

Definition of Message Type

Example of Message Type

Informative

Symptomatology

Information on physical symptoms, well-being, or discomfort related to aspects of the pathology or associated aids

“I always have burning and cramping in my stomach, and yesterday, I had diarrhea right after eating and started sweating. The other night, I was in bed, started sweating, and felt like fainting again because of stomach cramps.”

  

“I have a lot of discomfort from the new mattress after surgery.”

Procedures

Information and/or organization related to procedures undergone or procedures/visits to other departments or hospitals in the regional/national territory

“Hello, I am going to Treviso, they called us for a video fluoroscopy…"

Visits

Organization and outcomes of medical visits (day hospital Hospice admission)

“Good morning, doctor, do you remember me? I am A. I would love to have a chat with you, when can we talk?”

 

Scheduling meetings/appointments (in-person/remote) with a psychologist; home visits (psychologist, psychologist + doctor)

 

General Health

Information about general well-being

“Anyway, I am doing fine… I measured my oxygen saturation, and it is a bit low.”

Psychological

Personal Aspects

Positive or negative emotions and/or thoughts regarding school, daily life, returning home after procedures/hospitalization, nightmares, and/or somatization related to operations/interventions

“…I know that tomorrow I will cry a little because my life sucks; when I go to school, they tell me to die, so it seems like everyone wants me dead; I know my life sucks, and it does not make sense. I have many problems, they have nothing. It is better to have a shitty life, and tomorrow I know everyone will make fun of me…"

 

Exploration/sharing of symptoms and concerns → managing uncertainty

 

Peer relationship aspects

Emotions and/or positive or negative thoughts regarding sharing personal/disease aspects with peers

“… Let’s say I have this discomfort talking to other boys or girls in the hospital, I do not know why… I start having not-so-positive feelings as if I want to run away from that person and never talk to them again, even though they just want to make friends and be nice to me.”

Family relationship aspects

Emotions and/or positive or negative thoughts regarding intrafamily relationships

“Better this way… so my dad and I do not fight because it is always like this lately.”