A Structured Tool for Communication and Care Planning in the Era of the COVID-19 Pandemic.
J Am Med Dir Assoc
; 21(7): 943-947, 2020 07.
Artículo
en Inglés
| MEDLINE | ID: covidwho-526532
ABSTRACT
Residents in long-term care settings are particularly vulnerable to COVID-19 infections and, compared to younger adults, are at higher risk of poor outcomes and death. Given the poor prognosis of resuscitation outcomes for COVID-19 in general, the specter of COVID-19 in long-term care residents should prompt revisiting goals of care. Visitor restriction policies enacted to reduce the risk of transmission of COVID-19 to long-term care residents requires advance care planning discussions to be conducted remotely. A structured approach can help guide discussions regarding the diagnosis, expected course, and care of individuals with COVID-19 in long-term care settings. Information should be shared in a transparent and comprehensive manner to allay the increased anxiety that families may feel during this time. To achieve this, we propose an evidence-based COVID-19 Communication and Care Planning Tool that allows for an informed consent process and shared decision making between the clinician, resident, and their family.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Instituciones de Cuidados Especializados de Enfermería
/
Cuidados a Largo Plazo
/
Infecciones por Coronavirus
/
Pandemias
/
Toma de Decisiones Conjunta
/
Planificación en Salud
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Investigación cualitativa
/
Ensayo controlado aleatorizado
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
/
Middle aged
País/Región como asunto:
America del Norte
Idioma:
Inglés
Revista:
J Am Med Dir Assoc
Asunto de la revista:
Historia de la Medicina
/
Medicina
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
J.jamda.2020.05.062
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