Hospice care pathways and COVID-19

Mercadante, Sebastiano; Giuliana, Fausto; Terruso, Lidia; Albegiani, Gianluca

doi:10.1136/bmjspcare-2020-002505

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…Hospice/PCU admissions decreased uniformly worldwide because of changes in admission criteria and visitation policies. Although some hospices and PCUs accepted COVID-19-positive patients, most opted not to [ 49 , 50 ]. In addition, hospice and PCU policies that banned visitors made hospice admission unacceptable for many families, as this would result in their loved one dying alone [ 51 ▪ ].…”

Section: Impact Of Covid-related Resource Limitationsmentioning

confidence: 99%

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Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Kazazian

Swallow

2022

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewSupportive and palliative care services have been an important component of the overall COVID-19 pandemic response. However, significant changes in the provision and models of care were needed in order to optimize the care delivered to vulnerable cancer patients. This review discusses the evolution of palliative and supportive care service in response to the pandemic, and highlights remaining challenges. Recent findingsDirect competition for resources, as well as widespread implementation of safety measures resulted in major shifts in the mode of assessment and communication with cancer patients by supportive care teams. Telemedicine/virtual consultation and follow-up visits became an integral strategy, with high uptake and satisfaction amongst patients, families and providers. However, inequities in access to the required technologies were sometimes exposed. Hospice/palliative care unit (PCU) bed occupancy declined markedly because of restrictive visitation policies. Collection of patient-reported outcome (PRO) data was suspended in many cancer centers, with resulting under-recognition of anxiety and depression in ambulatory patients. As in many other areas, disparities in delivery of supportive and palliative care were magnified by the pandemic.

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Section: Impact Of Covid-related Resource Limitationsmentioning

confidence: 99%

“…In addition, hospice and PCU policies that banned visitors made hospice admission unacceptable for many families, as this would result in their loved one dying alone [ 51 ▪ ]. In the city of Palermo, hospice unit bed occupancy dropped from 95 to 40% [ 49 ].…”

Section: Impact Of Covid-related Resource Limitationsmentioning

confidence: 99%

Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Kazazian

Swallow

2022

Current Opinion in Supportive &Amp; Palliative Care

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“…Telemedicine is widespread in many countries, and although it has many advantages including: a virtual platform that allows multiple family members/caregivers to participate in the patient's palliative care, helps patients overcome disability and mobility difficulties to receive care, government and regulatory agencies adopt policies that increase reimbursement rates (Gaziel‐Yablowitz et al, 2021; Onesti et al, 2021), treats a wider range of patients (Biswas, Adhikari, & Bhatnagar, 2020; De Guzman & Malik, 2020), and provides a more convenient and comfortable patient experience (Calton et al, 2020; Donelan et al, 2019; Powell et al, 2017; Tasneem et al, 2019), telemedicine still has However, telemedicine still has shortcomings that cannot be ignored. This review shows that not all patients can experience telemedicine due to cultural and language barriers and financial constraints, which can increase inequality in healthcare resources (Chunara et al, 2021; Mercadante et al, 2020; Worster & Swartz, 2017). In addition, for healthcare professionals, telemedicine limits subjective reporting and systematic review of patients (Rosa et al, 2022), compromises the development of follow‐up treatment plans and medication doses (Biswas, Adhikari, Gupta, et al, 2020) and increases their work time.…”

Section: Discussionmentioning

confidence: 99%

Palliative care for cancer patients during the COVID‐19 pandemic: A narrative synthesis from 36 studies of 16 countries

Zhao

et al. 2023

Journal of Clinical Nursing

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BackgroundDuring the COVID‐19 epidemic, palliative care has become even more indispensable for cancer patients.AimTo identify the changes in palliative care for cancer patients and improvements in palliative care quality during the COVID‐19 pandemic.DesignA systematic review and narrative synthesis was conducted in PubMed, Embase and Web of Science. An evaluation tool using mixed methods was used to assess the quality of the study. The main relevant themes identified were used to group qualitative and quantitative findings.ResultsA total of 36 studies were identified, primarily from different countries, with a total of 14,427 patients, 238 caregivers and 354 health care providers. Cancer palliative care has been experiencing several difficulties following the COVID‐19 pandemic, including increased mortality and infection rates as well as delays in patient treatment that have resulted in poorer prognoses. Treatment providers are seeking solutions such as electronic management of patients and integration of resources to care for the mental health of patients and staff. Telemedicine plays an important role in many ways but cannot completely replace traditional treatment. Clinicians strive to meet patients' palliative care needs during special times and improve their quality of life.ConclusionsPalliative care faces unique challenges during the COVID‐19 epidemic. With adequate support to alleviate care‐related challenges, patients in the home versus hospital setting will be able to receive better palliative care. In addition, this review highlights the importance of multiparty collaboration to achieve personal and societal benefits of palliative care.Patient or Public ContributionNo Patient or Public Contribution.

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“…The hospice industry, like all of healthcare, has been hit hard by COVID-19. 5 As a provider focusing largely on care delivered in the home, the challenges of delivering care to dying patients, all fragile, and some with COVID-19 is well documented. Additionally, hospice provides care to those dying in long term care facilities.…”

Section: Introductionmentioning

confidence: 99%

Perspectives of State Association Leaders During the COVID-19 Pandemic

Oliver

Washington

Benson

et al. 2022

Am J Hosp Palliat Care

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Hospice care pathways and COVID-19

Abstract: Downloaded from of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

Cited by 4 publications

References 4 publications

Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Palliative care for cancer patients during the COVID‐19 pandemic: A narrative synthesis from 36 studies of 16 countries

Perspectives of State Association Leaders During the COVID-19 Pandemic

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