"Palliative Pandemic Plan," Triage and Symptoms Algorithm as a Strategy to Decrease Providers' Exposure, While Trying to Increase Teams Availability and Guidance for Goals of Care (GOC) and Symptoms Control

The American Journal of Hospice & Palliative Care
Santiago LopezTara A Liberman

Abstract

As the spread of the novel coronavirus disease 2019 (COVID-19) continues worldwide, health care systems are facing increased demand with concurrent health care provider shortages. This increase in patient demand and potential for provider shortages is particularly apparent for palliative medicine, where there are already shortages in the provision of this care. In response to the developing pandemic, our Geriatrics and Palliative (GAP) Medicine team formulated a 2-team approach which includes triage algorithms for palliative consults as well as acute symptomatic management for both patients diagnosed with or under investigation (PUI) for COVID-19. These algorithms provided a delineated set of guidelines to triage patients in need of palliative services and included provisions for acute symptoms management and the protection of both the patient care team and the families of patients with COVID-19. These guidelines helped with streamlining care in times of crisis, providing care to those in need, supporting frontline staff with primary-level palliative care, and minimizing the GAP team's risk of infection and burnout during the rapidly changing pandemic response.

References

Feb 16, 2010·Journal of Pain and Symptom Management·James DownarUNKNOWN Associated Medical Services Inc. Educational Fellows in Care at the End of Life
Mar 8, 2013·The New England Journal of Medicine·Timothy E Quill, Amy P Abernethy
Oct 1, 2016·The American Journal of Medicine·Arif H KamalEvan R Myers
Feb 6, 2020·JAMA : the Journal of the American Medical Association·Carlos Del Rio, Preeti N Malani
Mar 14, 2020·JAMA : the Journal of the American Medical Association·Giacomo GrasselliMaurizio Cecconi
Mar 18, 2020·JAMA : the Journal of the American Medical Association·Edward Livingston, Karen Bucher

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Citations

Aug 11, 2020·PLoS Neglected Tropical Diseases·Andreas BenderCatherine L Moyes
Sep 17, 2021·The American Journal of Hospice & Palliative Care·Tan Seng BengNik Nathasha Hani Nik Isahak

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