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    Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic

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    Authors
    Gracey, Kristina
    Martin, Stephen A.
    Reidy, Jennifer
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Department of Medicine, Division of Palliative Care
    Document Type
    Journal Article
    Publication Date
    2020-09-01
    Keywords
    palliative care
    public health
    COVID-19 pandemic
    primary care
    patient wishes
    decision making
    Family Medicine
    Health Services Administration
    Infectious Disease
    Palliative Care
    Primary Care
    Telemedicine
    Virus Diseases
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    Link to Full Text
    https://www.aafp.org/afp/2020/0901/p312.html
    Abstract
    In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness. Drawing on longitudinal relationships, primary care physicians can help patients and their families reach decisions that best align with patient goals. These crucial conversations may take place under intense pressure. COVID-19, for example, can cause sudden decompensation, leading to abrupt respiratory failure and death. Other factors, including unpredictable clinical courses and resource limitations, may further complicate guiding patients through goal-aligned decision-making. Patients' expressed wishes (e.g., to stay at home no matter what) can conflict with their goals (e.g., to die with minimal discomfort). Dying with severe dyspnea from COVID-19 pneumonia is traumatic and may contribute to complicated grieving and lifelong regret and guilt for caregivers. In addition to relationship-based advance care planning, physicians can use palliative care and ethical principles to develop high-quality crisis care plans that best meet patient needs, even during emergencies.
    Source

    Gracey K, Martin S, Reidy J. Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic. Am Fam Physician. 2020 Sep 1;102(5):312-315. PMID: 32866361. Link to article on publisher site

    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/27323
    PubMed ID
    32866361
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