Integration of palliative care into COVID-19 pandemic planning.

BMJ Supportive & Palliative Care
Nada FadulEduardo Bruera

Abstract

The COVID-19 pandemic is expected to surpass the healthcare system's capacity to provide intensive care to all patients who deteriorate as a result of the disease. This poses a unique challenge to healthcare teams of rationing care during pandemic when resources are scarce. Healthcare providers will need to acquire new skills in care decision making and effective symptom control for patients who do not receive life-saving measures. In this review, we describe some of the important palliative care considerations that need to be incorporated into COVID-19 pandemic planning. The main aspects to be considered include decision algorithms for rationing care, training on effective symptoms management, alternative delivery methods of palliative care services such as telemedicine and finally death and bereavement support for surviving family members who are likely to be isolated from their loved one at the moment of death.

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Citations

Jan 12, 2021·Journal of the American Medical Directors Association·Leah V EstradaPatricia W Stone
Jan 19, 2021·Clinical Epidemiology and Global Health·Shiv RajanMranalini Verma
Feb 9, 2021·Journal of Pain and Symptom Management·Michael W RabowRodney O Tucker
Feb 8, 2021·Journal of Pain and Symptom Management·Kirsten WentlandtCamilla Zimmermann
May 7, 2021·Journal of Palliative Medicine·Jordana L MeyersonLara Michal Skarf
Oct 7, 2021·Prehospital and Disaster Medicine·Rafael Castro DelgadoRodrigo Escribano Balín
Nov 12, 2021·Current Opinion in Supportive and Palliative Care·Daisy J A Janssen

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