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The Crucial Role of Nurses and Social Workers in Initiating End-of-Life Communication to Reduce Overtreatment in the Midst of the COVID-19 Pandemic.
Raftery, Chris; Lewis, Ebony; Cardona, Magnolia.
  • Raftery C; Gold Coast Hospital and Health Service, Southport, Queensland, Australia.
  • Lewis E; School of Public Health and Community Medicine, The Universityof New South Wales, Randwick, New South Wales, Australia.
  • Cardona M; School of Psychology, The University of New South Wales, Randwick, New South Wales, Australia.
Gerontology ; 66(5): 427-430, 2020.
Article in English | MEDLINE | ID: covidwho-1066968
ABSTRACT
The large scale and rapid spread of the current COVID-19 pandemic has changed the way hospitals and other health services operate. Opportunities for patient-centered decision-making at the end of life are being jeopardized by a scarcity of health system resources. In response, the traditional doctor-initiated advanced care planning (ACP) for critical illness may also need to be readjusted. We propose nurse-led and allied health-led ACP discussions to ensure patient and family inclusion and understanding of the disease prognosis, prevention of overtreatment, and potential outcomes in crisis times. We highlight known barriers and list enablers, long-term and short-term opportunities to assist in the culture change.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Communication / Nurse's Role / Advance Care Planning / Social Workers / Medical Overuse / Betacoronavirus Type of study: Diagnostic study Limits: Humans Language: English Journal: Gerontology Year: 2020 Document Type: Article Affiliation country: 000509103

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Communication / Nurse's Role / Advance Care Planning / Social Workers / Medical Overuse / Betacoronavirus Type of study: Diagnostic study Limits: Humans Language: English Journal: Gerontology Year: 2020 Document Type: Article Affiliation country: 000509103