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Palliative Medicine ; 35(1 SUPPL):226, 2021.
Article in English | EMBASE | ID: covidwho-1477016


Background: In Italy, Specialist Palliative Care Teams (SPCTs) have had an essential role during the COVID-19 Pandemic, most of all developing models of 'shared care' with non-specialist in Palliative Care. SPCTs contributed to physical symptom control and to psychological or spiritual support for patients, carers and health care professionals (HCPs), with a special focus on advance care planning. Our SPCT, during the first epidemic wave of COVID-19, developed and implemented an intensive experiential training program for all HCPs of the Infectious Disease Department supporting them in clinical, decisionmaking and communication fields. Aim of the study: This study aims to evaluate the changes of palliative care needs and patient management perceived by HCPs between the first (T1) and second wave (T2) of the COVID-19. Population and methods: The intensive experiential training was addressed to HCPs (forty physicians and nurses) involved in T1 of COVID- 19. The training included supervision of daily briefings, bedside consultations, brief lectures on palliative care topics (especially delirium and dyspnea), a booklet addressing the assessment and treatment of palliative care needs. This is a qualitative longitudinal study. Semi-structured interviews were performed after T1 and T2 of COVID-19 exploring the changing palliative care needs perceived and the solutions approached. The results of the interviews have been analyzed through thematic analysis to identify any possible changes in meanings attributed to that phenomenon from T1 to T2. Results: The interviews analyzed at T1 highlighted three main thematic areas:1.The professional's unpreparedness for this emergency;2.The request to the SPCT for support and training in clinical, decision-making and communication fields;3.The positive feedback by HCPs about the collaboration with SPCT. The results of the analysis of the interviews after T2 and the meaning shift between T1 and T2 will be presented during the Congress.