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Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19.
Davila, Carine; Cartagena, Leslie; Byrne-Martelli, Sarah; Bapat, Ashwini; Stoltenberg, Mark.
  • Davila C; Division of Palliative Care and Geriatrics (C.D., L.C., S.B.M., M.S.), Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School (C.D., M.S.), Boston, Massachusetts, USA. Electronic address: cdavila@mgh.harvard.edu.
  • Cartagena L; Division of Palliative Care and Geriatrics (C.D., L.C., S.B.M., M.S.), Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Byrne-Martelli S; Division of Palliative Care and Geriatrics (C.D., L.C., S.B.M., M.S.), Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Bapat A; EpioneMD (A.B.), Carlisle, Massachusetts, USA.
  • Stoltenberg M; Division of Palliative Care and Geriatrics (C.D., L.C., S.B.M., M.S.), Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School (C.D., M.S.), Boston, Massachusetts, USA.
J Pain Symptom Manage ; 65(4): e315-e320, 2023 04.
Article in English | MEDLINE | ID: covidwho-2240108
ABSTRACT
CONTEXT The Latinx population faced higher rates of infection and severe illness during the COVID-19 pandemic, resulting in an increased need for palliative care services.

OBJECTIVES:

We describe the creation and impact of a formal palliative care initiative developed for seriously ill, Spanish-speaking patients during the COVID-19 pandemic at a tertiary care academic medical center.

METHODS:

Patients were enrolled in the Spanish Palliative Care Initiative during a two-month period starting in April 2020. Selected patients were longitudinally followed by a rotating team of Spanish-speaking palliative care clinicians. Following the intervention, a retrospective chart review was conducted to evaluate the impact of the program.

RESULTS:

We enrolled 22 patients. The most frequent palliative care task completed during the initial visit was information giving (77%) and during follow-up visits were goals of care discussion (59%) and coping support (59%). Fifteen patients (68%) had a change in code status and 4 patients (18%) were discharged to hospice.

CONCLUSION:

The creation of a focused clinical program targeting a historically marginalized population offered opportunity for early palliative care intervention in clinical care for Spanish-speaking patients. This underscores the need for Spanish-language concordant palliative care to improve serious illness care, and end-of-life care, by providing continuity of care, spiritual care, and ICU team support.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Palliative Care / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: J Pain Symptom Manage Journal subject: Neurology / Psychophysiology / Therapeutics Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Palliative Care / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: J Pain Symptom Manage Journal subject: Neurology / Psychophysiology / Therapeutics Year: 2023 Document Type: Article