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Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19

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-spe...

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Autores principales: Davila, Carine, Cartagena, Leslie, Byrne-Martelli, Sarah, Bapat, Ashwini, Stoltenberg, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790186/
https://www.ncbi.nlm.nih.gov/pubmed/36577470
http://dx.doi.org/10.1016/j.jpainsymman.2022.12.013
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author Davila, Carine
Cartagena, Leslie
Byrne-Martelli, Sarah
Bapat, Ashwini
Stoltenberg, Mark
author_facet Davila, Carine
Cartagena, Leslie
Byrne-Martelli, Sarah
Bapat, Ashwini
Stoltenberg, Mark
author_sort Davila, Carine
collection PubMed
description 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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spelling pubmed-97901862022-12-27 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 J Pain Symptom Manage Brief Report 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. American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. 2023-04 2022-12-25 /pmc/articles/PMC9790186/ /pubmed/36577470 http://dx.doi.org/10.1016/j.jpainsymman.2022.12.013 Text en © 2022 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 Brief Report
Davila, Carine
Cartagena, Leslie
Byrne-Martelli, Sarah
Bapat, Ashwini
Stoltenberg, Mark
Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19
title Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19
title_full Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19
title_fullStr Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19
title_full_unstemmed Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19
title_short Creating a Dedicated Palliative Care Team for ICU Spanish Speaking Patients in Response to COVID-19
title_sort creating a dedicated palliative care team for icu spanish speaking patients in response to covid-19
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790186/
https://www.ncbi.nlm.nih.gov/pubmed/36577470
http://dx.doi.org/10.1016/j.jpainsymman.2022.12.013
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