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Lessons Learned from Caring for Patients with COVID-19 at the End of Life.
Rao, Anirudh; Kelemen, Anne.
  • Rao A; Section of Palliative Care, Department of Medicine, MedStar Washington Hospital Center, Washington, DC, USA.
  • Kelemen A; Department of Medicine, Georgetown University Medical Center, Georgetown University, Washington, DC, USA.
J Palliat Med ; 24(3): 468-471, 2021 03.
Article in English | MEDLINE | ID: covidwho-729074
ABSTRACT
Over 140,000 people in the United States have died as a result of infection with COVID-19. These patients have varying death experiences based on their location of death, the availability and utilization of various medical technologies, the amount of strain on the local health care system, the involvement of specialist palliative care (PC) teams, and access to essential medications to alleviate symptoms at the end of life. The objective of this report is to describe the death experiences of four patients cared for in an urban academic medical center who received very different degrees of medical interventions and to examine the interventions of our interdisciplinary PC team. We conclude that PC teams must adapt to this new landscape by creating best practices for ensuring adequate symptom control, modifying approaches for withdrawal of life-sustaining medical technologies, and gaining facility with communication through teleconferencing platforms to meet the challenge of alleviating suffering for people dying from COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Palliative Care / Terminal Care / Hospice Care / Withholding Treatment / COVID-19 / Nursing Staff, Hospital Type of study: Case report / Observational study / Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Palliat Med Journal subject: Health Services Year: 2021 Document Type: Article Affiliation country: Jpm.2020.0251

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Palliative Care / Terminal Care / Hospice Care / Withholding Treatment / COVID-19 / Nursing Staff, Hospital Type of study: Case report / Observational study / Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Palliat Med Journal subject: Health Services Year: 2021 Document Type: Article Affiliation country: Jpm.2020.0251