Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience

[Abstract]. Introduction: The COVID-19 pandemic is stressing healthcare systems throughout the world. Significant numbers of patients are being admitted to the hospital with severe illness, often in the setting of advanced age and underlying co-morbidities. Therefore, palliative care is an important...

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Autores principales: Fausto, James, Hirano, Lianne, Lam, Daniel, Mehta, Amisha, Mills, Blair, Owens, Darrell, Perry, Elizabeth, Curtis, Randall
Formato: Other publications
Publicado: 2020-03-24
Materias:
Acceso en línea:https://doi.org/10.1016/j.jpainsymman.2020.03.025
https://hdl.handle.net/20.500.12663/932
id PAO-20.500.12663-932
record_format dspace
spelling Fausto, James
Hirano, Lianne
Lam, Daniel
Mehta, Amisha
Mills, Blair
Owens, Darrell
Perry, Elizabeth
Curtis, Randall
2020-04-03T19:49:46Z
2020-04-03T19:49:46Z
2020-03-24
https://doi.org/10.1016/j.jpainsymman.2020.03.025
https://hdl.handle.net/20.500.12663/932
[Abstract]. Introduction: The COVID-19 pandemic is stressing healthcare systems throughout the world. Significant numbers of patients are being admitted to the hospital with severe illness, often in the setting of advanced age and underlying co-morbidities. Therefore, palliative care is an important part of the response to this pandemic. The Seattle area and UW Medicine have been on the forefront of the pandemic in the US. Methods: UW Medicine developed a strategy to implement a palliative care response for a multi-hospital healthcare system that incorporates conventional capacity, contingency capacity, and crisis capacity. The strategy was developed by our palliative care programs with input from the healthcare system leadership. Results: In this publication, we share our multi-faceted strategy to implement high-quality palliative care in the context of the COVID-19 pandemic that incorporates conventional, contingency, and crisis capacity and focuses on the areas of the hospital caring for the most patients: the emergency department, the intensive care units, and the acute care services. The strategy focuses on key content areas including identifying and addressing goals of care, addressing moderate and severe symptoms, and supporting family members. Conclusions: Strategy planning for delivery of high-quality palliative care in the context of the COVID-19 pandemic represents an important area of need for our healthcare systems. We share our experiences developing such a strategy to help other institutions conduct and adapt such strategies more quickly.
English
COVID-19
Coronavirus
Pandemics
Delivery of Health Care
Hospitals
Intensive Care Units
Emergency Service, Hospital
Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience
Journal of Pain and Symptom Management
Others
Clinical characterization and management
Other publications
Save Lives / Salvar Vidas
elec_str_mv Organización Panamericana de la Salud
collection Organización Panamericana de la Salud
title Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience
spellingShingle Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience
Fausto, James
Hirano, Lianne
Lam, Daniel
Mehta, Amisha
Mills, Blair
Owens, Darrell
Perry, Elizabeth
Curtis, Randall
COVID-19
Coronavirus
Pandemics
Delivery of Health Care
Hospitals
Intensive Care Units
Emergency Service, Hospital
title_short Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience
title_full Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience
title_fullStr Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience
title_full_unstemmed Creating a Palliative Care Inpatient Response Plan for COVID19 – The UW Medicine Experience
title_sort creating a palliative care inpatient response plan for covid19 – the uw medicine experience
author Fausto, James
Hirano, Lianne
Lam, Daniel
Mehta, Amisha
Mills, Blair
Owens, Darrell
Perry, Elizabeth
Curtis, Randall
author_facet Fausto, James
Hirano, Lianne
Lam, Daniel
Mehta, Amisha
Mills, Blair
Owens, Darrell
Perry, Elizabeth
Curtis, Randall
topic COVID-19
Coronavirus
Pandemics
Delivery of Health Care
Hospitals
Intensive Care Units
Emergency Service, Hospital
topic_facet COVID-19
Coronavirus
Pandemics
Delivery of Health Care
Hospitals
Intensive Care Units
Emergency Service, Hospital
publishDate 2020-03-24
format Other publications
description [Abstract]. Introduction: The COVID-19 pandemic is stressing healthcare systems throughout the world. Significant numbers of patients are being admitted to the hospital with severe illness, often in the setting of advanced age and underlying co-morbidities. Therefore, palliative care is an important part of the response to this pandemic. The Seattle area and UW Medicine have been on the forefront of the pandemic in the US. Methods: UW Medicine developed a strategy to implement a palliative care response for a multi-hospital healthcare system that incorporates conventional capacity, contingency capacity, and crisis capacity. The strategy was developed by our palliative care programs with input from the healthcare system leadership. Results: In this publication, we share our multi-faceted strategy to implement high-quality palliative care in the context of the COVID-19 pandemic that incorporates conventional, contingency, and crisis capacity and focuses on the areas of the hospital caring for the most patients: the emergency department, the intensive care units, and the acute care services. The strategy focuses on key content areas including identifying and addressing goals of care, addressing moderate and severe symptoms, and supporting family members. Conclusions: Strategy planning for delivery of high-quality palliative care in the context of the COVID-19 pandemic represents an important area of need for our healthcare systems. We share our experiences developing such a strategy to help other institutions conduct and adapt such strategies more quickly.
url https://doi.org/10.1016/j.jpainsymman.2020.03.025
https://hdl.handle.net/20.500.12663/932
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