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The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall)
CONTEXT: Systematic data on the care of people dying with COVID-19 are scarce. OBJECTIVES: To understand the response of and challenges faced by palliative care services during the COVID-19 pandemic, and identify associated factors. METHODS: We surveyed palliative care and hospice services, contacte...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863772/ https://www.ncbi.nlm.nih.gov/pubmed/33556496 http://dx.doi.org/10.1016/j.jpainsymman.2021.01.138 |
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author | Oluyase, Adejoke O. Hocaoglu, Mevhibe Cripps, Rachel L. Maddocks, Matthew Walshe, Catherine Fraser, Lorna K. Preston, Nancy Dunleavy, Lesley Bradshaw, Andy Murtagh, Fliss E.M. Bajwah, Sabrina Sleeman, Katherine E. Higginson, Irene J. |
author_facet | Oluyase, Adejoke O. Hocaoglu, Mevhibe Cripps, Rachel L. Maddocks, Matthew Walshe, Catherine Fraser, Lorna K. Preston, Nancy Dunleavy, Lesley Bradshaw, Andy Murtagh, Fliss E.M. Bajwah, Sabrina Sleeman, Katherine E. Higginson, Irene J. |
author_sort | Oluyase, Adejoke O. |
collection | PubMed |
description | CONTEXT: Systematic data on the care of people dying with COVID-19 are scarce. OBJECTIVES: To understand the response of and challenges faced by palliative care services during the COVID-19 pandemic, and identify associated factors. METHODS: We surveyed palliative care and hospice services, contacted via relevant organizations. Multivariable logistic regression identified associations with challenges. Content analysis explored free text responses. RESULTS: A total of 458 services responded; 277 UK, 85 rest of Europe, 95 rest of the world; 81% cared for patients with suspected or confirmed COVID-19, 77% had staff with suspected or confirmed COVID-19; 48% reported shortages of Personal Protective Equipment (PPE), 40% staff shortages, 24% medicines shortages, 14% shortages of other equipment. Services provided direct care and education in symptom management and communication; 91% changed how they worked. Care often shifted to increased community and hospital care, with fewer admissions to inpatient palliative care units. Factors associated with increased odds of PPE shortages were: charity rather than public management (OR 3.07, 95% CI 1.81–5.20), inpatient palliative care unit rather than other settings (OR 2.34, 95% CI 1.46–3.75). Being outside the UK was associated with lower odds of staff shortages (OR 0.44, 95% CI 0.26–0.76). Staff described increased workload, concerns for their colleagues who were ill, whilst expending time struggling to get essential equipment and medicines, perceiving they were not a front-line service. CONCLUSION: Palliative care services were often overwhelmed, yet felt ignored in the COVID-19 response. Palliative care needs better integration with health care systems when planning and responding to future epidemics/pandemics. |
format | Online Article Text |
id | pubmed-7863772 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-78637722021-02-09 The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall) Oluyase, Adejoke O. Hocaoglu, Mevhibe Cripps, Rachel L. Maddocks, Matthew Walshe, Catherine Fraser, Lorna K. Preston, Nancy Dunleavy, Lesley Bradshaw, Andy Murtagh, Fliss E.M. Bajwah, Sabrina Sleeman, Katherine E. Higginson, Irene J. J Pain Symptom Manage Original Article CONTEXT: Systematic data on the care of people dying with COVID-19 are scarce. OBJECTIVES: To understand the response of and challenges faced by palliative care services during the COVID-19 pandemic, and identify associated factors. METHODS: We surveyed palliative care and hospice services, contacted via relevant organizations. Multivariable logistic regression identified associations with challenges. Content analysis explored free text responses. RESULTS: A total of 458 services responded; 277 UK, 85 rest of Europe, 95 rest of the world; 81% cared for patients with suspected or confirmed COVID-19, 77% had staff with suspected or confirmed COVID-19; 48% reported shortages of Personal Protective Equipment (PPE), 40% staff shortages, 24% medicines shortages, 14% shortages of other equipment. Services provided direct care and education in symptom management and communication; 91% changed how they worked. Care often shifted to increased community and hospital care, with fewer admissions to inpatient palliative care units. Factors associated with increased odds of PPE shortages were: charity rather than public management (OR 3.07, 95% CI 1.81–5.20), inpatient palliative care unit rather than other settings (OR 2.34, 95% CI 1.46–3.75). Being outside the UK was associated with lower odds of staff shortages (OR 0.44, 95% CI 0.26–0.76). Staff described increased workload, concerns for their colleagues who were ill, whilst expending time struggling to get essential equipment and medicines, perceiving they were not a front-line service. CONCLUSION: Palliative care services were often overwhelmed, yet felt ignored in the COVID-19 response. Palliative care needs better integration with health care systems when planning and responding to future epidemics/pandemics. Elsevier 2021-09 /pmc/articles/PMC7863772/ /pubmed/33556496 http://dx.doi.org/10.1016/j.jpainsymman.2021.01.138 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Oluyase, Adejoke O. Hocaoglu, Mevhibe Cripps, Rachel L. Maddocks, Matthew Walshe, Catherine Fraser, Lorna K. Preston, Nancy Dunleavy, Lesley Bradshaw, Andy Murtagh, Fliss E.M. Bajwah, Sabrina Sleeman, Katherine E. Higginson, Irene J. The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall) |
title | The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall) |
title_full | The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall) |
title_fullStr | The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall) |
title_full_unstemmed | The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall) |
title_short | The Challenges of Caring for People Dying From COVID-19: A Multinational, Observational Study (CovPall) |
title_sort | challenges of caring for people dying from covid-19: a multinational, observational study (covpall) |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863772/ https://www.ncbi.nlm.nih.gov/pubmed/33556496 http://dx.doi.org/10.1016/j.jpainsymman.2021.01.138 |
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