A Structured Tool for Communication and Care Planning in the Era of the COVID-19 Pandemic

Journal of the American Medical Directors Association
Swati GaurRobin L P Jump

Abstract

Residents in long-term care settings are particularly vulnerable to COVID-19 infections and, compared to younger adults, are at higher risk of poor outcomes and death. Given the poor prognosis of resuscitation outcomes for COVID-19 in general, the specter of COVID-19 in long-term care residents should prompt revisiting goals of care. Visitor restriction policies enacted to reduce the risk of transmission of COVID-19 to long-term care residents requires advance care planning discussions to be conducted remotely. A structured approach can help guide discussions regarding the diagnosis, expected course, and care of individuals with COVID-19 in long-term care settings. Information should be shared in a transparent and comprehensive manner to allay the increased anxiety that families may feel during this time. To achieve this, we propose an evidence-based COVID-19 Communication and Care Planning Tool that allows for an informed consent process and shared decision making between the clinician, resident, and their family.

References

Oct 21, 2014·JAMA Internal Medicine·Rachelle E BernackiUNKNOWN American College of Physicians High Value Care Task Force
Dec 24, 2014·Journal of Advanced Nursing·Sophie AmpeChantal van Audenhove
Mar 14, 2018·The American Journal of Hospice & Palliative Care·Jeff MyersTara Walton

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Citations

Aug 1, 2020·Journal of the American Geriatrics Society·Joseph G Ouslander, David C Grabowski
Jan 19, 2021·Patient Education and Counseling·Elaine WittenbergRenee R Johnson
Dec 15, 2020·The Gerontologist·Barbara ResnickUNKNOWN Gerontological Society of America COVID-19 Task Force
Feb 13, 2021·Journal of the American Geriatrics Society·Michelle J BerningSarah D Berry
Apr 1, 2021·Palliative Medicine·Jeffrey R HannaCatriona R Mayland
Apr 24, 2021·Journal of Pain and Symptom Management·Carmen Lopez-SotoVictoria Metaxa
Aug 2, 2020·Journal of the American Medical Directors Association·David A SmithPaul R Katz
Dec 2, 2020·Journal of the American Medical Directors Association·Jill OliverHenry Yu-Hin Siu
Aug 6, 2021·Journal of the American Medical Directors Association·Matteo TosatoUNKNOWN Gemelli Against COVID-19 Post-Acute Care Team
Sep 10, 2021·BMJ Quality & Safety·Christopher GrondinAshwin Gupta

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Software Mentioned

- 19 Communication and Care Planning Tool
- 19
- 19 Communication Planning

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