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[Generalist palliative care in hospitals during the first wave of the COVID-19 pandemic]. / Allgemeine Palliativversorgung im Krankenhaus während der ersten Welle der COVID-19-Pandemie.
Werner, Liane; Fischer, Marius; van Oorschot, Birgitt; Ziegaus, Anke; Schwartz, Jacqueline; Reuters, Marie-Christine; Schallenburger, Manuela; Henking, Tanja; Neuderth, Silke; Simon, Steffen; Bausewein, Claudia; Roch, Carmen; Neukirchen, Martin.
  • Werner L; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Würzburg, Würzburg, Deutschland.
  • Fischer M; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Würzburg, Würzburg, Deutschland.
  • van Oorschot B; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Würzburg, Würzburg, Deutschland.
  • Ziegaus A; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Würzburg, Würzburg, Deutschland.
  • Schwartz J; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Deutschland.
  • Reuters MC; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Deutschland.
  • Schallenburger M; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Deutschland.
  • Henking T; Hochschule für angewandte Wissenschaften Würzburg-Schweinfurt, Institut für Angewandte Sozialwissenschaften (IFAS), Würzburg.
  • Neuderth S; Hochschule für angewandte Wissenschaften Würzburg-Schweinfurt, Institut für Angewandte Sozialwissenschaften (IFAS), Würzburg.
  • Simon S; Zentrum für Palliativmedizin und Centrum für Integrierte Onkologie Aachen Bonn Cologne Düsseldorf (CIO ABCD), Universitätsklinikum Köln, Köln, Deutschland.
  • Bausewein C; Klinik und Poliklinik für Palliativmedizin, LMU-Klinikum München, Deutschland.
  • Roch C; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Würzburg, Würzburg, Deutschland.
  • Neukirchen M; Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Deutschland.
Dtsch Med Wochenschr ; 147(21): e102-e113, 2022 10.
Article in German | MEDLINE | ID: covidwho-2087362
ABSTRACT

BACKGROUND:

In the research network of German university palliative care centers (PallPan), as part of Network University Medicine (NUM), recommendations for action were developed in regard to the care provided for seriously ill and dying patients during a pandemic. For this purpose, the experiences and needs of hospital staff working closely with patients outside of specialized palliative care units during the first wave of the COVID-19 pandemic were also examined. MATERIALS AND

METHODS:

Nationwide online survey of 8,882 physicians, nurses and therapists working in acute inpatient care in the period from December 2020 to January 2021 by means of a newly developed and piloted questionnaire on changes, burdens and cooperation with specialized palliative care. Grouping based on the changes in the number of seriously ill and dying people in the first wave of the pandemic. Due to the exploratory character of the survey, the data were analyzed descriptively.

RESULTS:

505/8882 completed questionnaires were evaluated (5.7 %). 167/505 (33.1 %) of the respondents reported a lower quality of care for the critically ill and dying. 464/505 (91.8 %) reported exemptions in place for visiting the dying. The most frequently mentioned stress factor was the perceived loneliness of the seriously ill and dying 437/505 (86.5 %), followed by stricter hygiene rules 409/505 (81 %), increased workload 372/505 (73.3 %) and perceived psychological stress on relatives and survivors 395/505 (78.2 %). 141/505 (27.9 %) of respondents used Tablet PCs to support patient-family communication. 310/505 (61.4 %) involved palliative care professionals in patient care, and 356/505 (70.5 %) of respondents found other palliative care services helpful.

CONCLUSION:

Experiences and suggestions for improving palliative care in pandemic times are integrated into the PallPan recommendations for action. Family visits should be allowed and supplemented by digital offers. Palliative Care should also be integrated into both pandemic and contingency plans.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Palliative Care / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: German Journal: Dtsch Med Wochenschr Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Palliative Care / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Language: German Journal: Dtsch Med Wochenschr Year: 2022 Document Type: Article