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Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU
In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293759/ https://www.ncbi.nlm.nih.gov/pubmed/32544647 http://dx.doi.org/10.1016/j.jpainsymman.2020.06.008 |
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author | Schoenherr, Laura A. Cook, Allyson Peck, Sarah Humphreys, Jessica Goto, Yuika Saks, Naomi T. Huddleston, Lindsey Elia, Giovanni Pantilat, Steven Z. |
author_facet | Schoenherr, Laura A. Cook, Allyson Peck, Sarah Humphreys, Jessica Goto, Yuika Saks, Naomi T. Huddleston, Lindsey Elia, Giovanni Pantilat, Steven Z. |
author_sort | Schoenherr, Laura A. |
collection | PubMed |
description | In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral-based consultation methods that can result in needs going unidentified and/or unmet. Here, we describe a novel system to proactively identify and meet the PC needs of all patients with COVID-19 being cared for in our hospital's intensive care units. Patients were screened through a combination of chart review and brief provider interview, and PC consultations were provided via telemedicine for those with unmet needs identified. In the first six weeks of operation, our pilot program of proactive screening and outreach resulted in PC consultation for 12 of the 29 (41%) adult patients admitted to the intensive care unit with COVID-19 at our institution. Consultations were most commonly for patient and family support as well as for goals of care and advance care planning, consistent with identified PC needs within this unique patient population. |
format | Online Article Text |
id | pubmed-7293759 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72937592020-06-14 Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU Schoenherr, Laura A. Cook, Allyson Peck, Sarah Humphreys, Jessica Goto, Yuika Saks, Naomi T. Huddleston, Lindsey Elia, Giovanni Pantilat, Steven Z. J Pain Symptom Manage Article In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral-based consultation methods that can result in needs going unidentified and/or unmet. Here, we describe a novel system to proactively identify and meet the PC needs of all patients with COVID-19 being cared for in our hospital's intensive care units. Patients were screened through a combination of chart review and brief provider interview, and PC consultations were provided via telemedicine for those with unmet needs identified. In the first six weeks of operation, our pilot program of proactive screening and outreach resulted in PC consultation for 12 of the 29 (41%) adult patients admitted to the intensive care unit with COVID-19 at our institution. Consultations were most commonly for patient and family support as well as for goals of care and advance care planning, consistent with identified PC needs within this unique patient population. American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. 2020-09 2020-06-14 /pmc/articles/PMC7293759/ /pubmed/32544647 http://dx.doi.org/10.1016/j.jpainsymman.2020.06.008 Text en © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Schoenherr, Laura A. Cook, Allyson Peck, Sarah Humphreys, Jessica Goto, Yuika Saks, Naomi T. Huddleston, Lindsey Elia, Giovanni Pantilat, Steven Z. Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU |
title | Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU |
title_full | Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU |
title_fullStr | Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU |
title_full_unstemmed | Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU |
title_short | Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU |
title_sort | proactive identification of palliative care needs among patients with covid-19 in the icu |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293759/ https://www.ncbi.nlm.nih.gov/pubmed/32544647 http://dx.doi.org/10.1016/j.jpainsymman.2020.06.008 |
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