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Workplace Health Saf ; 69(12): 580-584, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1571726


The COVID-19 pandemic poses challenges for palliative care. Terminal patients cannot wear masks and may demonstrate unspecific symptoms reminiscent of those caused by COVID-19. This report is about a terminally ill patient with lung cancer who displayed fever, cough, and fatigue. During hospital admission screening, the patient tested negative for SARS-CoV-2. When admitting his wife to stay with him, she also had to test for SARS-CoV-2 and displayed a positive test result. Until the positive results were reported, six staff members were infected with SARS-CoV-2, even though they were routinely wearing respirators. This resulted in the palliative care unit having to be closed. Hospitals need strict and adequate testing and re-testing strategies even for intra-hospital transfers. Workers must strictly adhere to recommended respirator practices. Ventilation of patient rooms is essential due to the possible enrichment of particle aerosols containing viruses, as negative pressure rooms are not recommended in all countries.

COVID-19 , Lung Neoplasms , Disease Outbreaks , Female , Humans , Lung Neoplasms/complications , Male , Palliative Care , Pandemics , SARS-CoV-2 , Terminally Ill
J Hosp Palliat Nurs ; 22(6): 432-434, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-760059


The COVID-19 pandemic has caused health care facilities to restrict visitors for patients in all care settings. Most pediatric care facilities have restricted visitation to one parent at a time, unfortunately even if the child is in critical condition or is terminally ill. These situations have necessitated the use of technology such as the Zoom platform to have difficult conversations concerning complex medical decision-making and goals of care. In cases where the child is deemed at immediate end of life, many facilities will allow both parents to be at the bedside, but no other family or friends that may be integral support to the parents or child. These situations have compelled the use of FaceTime, Zoom, or Skype technology to facilitate real-time support at end of life for these young patients and their caregivers. This article presents a case where technologies such as these were utilized to assist a family in goals-of-care discussions and at end of life for an infant in the intensive care unit at a large urban pediatric care facility during the COVID-19 pandemic.

Coronavirus Infections/epidemiology , Palliative Care , Parents , Pneumonia, Viral/epidemiology , Terminally Ill , Videoconferencing , Visitors to Patients , Betacoronavirus , COVID-19 , Female , Hospice and Palliative Care Nursing , Humans , Infant , Infection Control , Intensive Care Units, Pediatric , Pandemics , SARS-CoV-2