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102
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Pai RR, Nayak MG, Sangeetha N. Palliative Care Challenges and Strategies for the Management Amid COVID-19 Pandemic in India: Perspectives of Palliative Care Nurses, Cancer Patients, and Caregivers. Indian J Palliat Care 2020; 26:S121-S125. [PMID: 33088101 PMCID: PMC7534986 DOI: 10.4103/ijpc.ijpc_182_20] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Accepted: 05/26/2020] [Indexed: 12/04/2022] Open
Abstract
The WHO selected 2020 to recognize the work of nurses and midwives because it is the bicentenary of the birth of the founder of modern nursing, Florence Nightingale. It has been demonstrated amply now as the nurses are the largest sector of health-care workers in every country, playing a pivotal role in response to the novel coronavirus (COVID-19) pandemic worldwide. Every day, nurses are working tirelessly by leaving their homes to assist the sick, allay community fears, and address concerns. This article is written by interviewing the staff nurses working in the wards/outpatient departments of a reputed palliative care center in Karnataka State, reviewing the recent nurses' blogs, editorial commentaries, WHO guidelines, CDC guidelines, and recent short communications on COVID-19 pandemic. The authors in this article attempted to address the palliative care challenges and strategies for the management during the COVID-19 pandemic in India.
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Affiliation(s)
- Radhika R Pai
- Department of Nursing Foundation, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Malathi G Nayak
- Department of Community Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - N Sangeetha
- Department of Education and Research, Bangalore Hospice Trust - Karunashraya, Bengaluru, Karnataka, India
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104
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Stall NM, Farquharson C, Fan-Lun C, Wiesenfeld L, Loftus CA, Kain D, Johnstone J, McCreight L, Goldman RD, Mahtani R. A Hospital Partnership with a Nursing Home Experiencing a COVID-19 Outbreak: Description of a Multiphase Emergency Response in Toronto, Canada. J Am Geriatr Soc 2020; 68:1376-1381. [PMID: 32441770 PMCID: PMC7280605 DOI: 10.1111/jgs.16625] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 05/14/2020] [Accepted: 05/15/2020] [Indexed: 12/14/2022]
Abstract
Nursing homes have become "ground zero" for the coronavirus disease 2019 (COVID-19) epidemic in North America, with homes experiencing widespread outbreaks, resulting in severe morbidity and mortality among their residents. This article describes a 371-bed acute-care hospital's emergency response to a 126-bed nursing home experiencing a COVID-19 outbreak in Toronto, Canada. Like other healthcare system responses to COVID-19 outbreaks in nursing homes, this hospital-nursing home partnership can be characterized in several phases: (1) engagement, relationship, and trust building; (2) environmental scan, team building, and immediate response; (3) early-phase response; and (4) stabilization and transition period. J Am Geriatr Soc 68:1376-1381, 2020.
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Affiliation(s)
- Nathan M Stall
- Division of General Internal Medicine and Geriatrics, Sinai Health System and the University Health Network, Toronto, Ontario, Canada.,Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.,Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.,Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | | | - Chris Fan-Lun
- Department of Pharmacy Services, Mount Sinai Hospital, Sinai Health System, Toronto, Ontario, Canada.,Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
| | - Lesley Wiesenfeld
- Department of Psychiatry, Mount Sinai Hospital, Sinai Health System, Toronto, Ontario, Canada.,Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Carla A Loftus
- Department of Psychiatry, Mount Sinai Hospital, Sinai Health System, Toronto, Ontario, Canada
| | - Dylan Kain
- Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Jennie Johnstone
- Infection Prevention and Control, Sinai Health System, Toronto, Ontario, Canada.,Public Health Ontario, Toronto, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.,Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada
| | - Liz McCreight
- Infection Prevention and Control, Sinai Health System, Toronto, Ontario, Canada
| | - Russell D Goldman
- The Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ontario, Canada.,Division of Palliative Care, Department of Family and Community, University of Toronto, Toronto, Ontario, Canada
| | - Ramona Mahtani
- The Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ontario, Canada.,Division of Palliative Care, Department of Family and Community, University of Toronto, Toronto, Ontario, Canada
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105
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Jansen M, Irving H, Gillam L, Sharwood E, Preisz A, Basu S, Delaney C, McDougall R, Johnston C, Isaacs D, Lister P. Ethical considerations for paediatrics during the COVID-19 pandemic: A discussion paper from the Australian Paediatric Clinical Ethics Collaboration. J Paediatr Child Health 2020; 56:847-851. [PMID: 32471008 PMCID: PMC7300784 DOI: 10.1111/jpc.14946] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 05/03/2020] [Indexed: 12/11/2022]
Affiliation(s)
- Melanie Jansen
- Paediatric Intensive Care UnitChildren's Hospital at WestmeadSydneyNew South WalesAustralia,Faculty of MedicineUniversity of QueenslandBrisbaneQueenslandAustralia
| | - Helen Irving
- Faculty of MedicineUniversity of QueenslandBrisbaneQueenslandAustralia,Department of OncologyQueensland Children's HospitalBrisbaneQueenslandAustralia,Centre for Children's Health Ethics and LawChildren's Health QueenslandBrisbaneQueenslandAustralia
| | - Lynn Gillam
- Melbourne School of Population and Global HealthUniversity of MelbourneMelbourneVictoriaAustralia,Children's Bioethics CentreRoyal Children's HospitalMelbourneVictoriaAustralia
| | - Erin Sharwood
- Faculty of MedicineUniversity of QueenslandBrisbaneQueenslandAustralia,Centre for Children's Health Ethics and LawChildren's Health QueenslandBrisbaneQueenslandAustralia,Departments of Endocrinology & OncologyChildren's Health QueenslandBrisbaneQueenslandAustralia
| | - Anne Preisz
- Clinical EthicsSydney Children's Hospital NetworkSydneyNew South WalesAustralia,Sydney Health EthicsUniversity of SydneySydneyNew South WalesAustralia,School of MedicineUniversity of Notre DameNotre DameIndianaUnited States
| | - Shreerupa Basu
- Paediatric Intensive Care UnitChildren's Hospital at WestmeadSydneyNew South WalesAustralia
| | - Clare Delaney
- Children's Bioethics CentreRoyal Children's HospitalMelbourneVictoriaAustralia
| | - Rosalind McDougall
- Melbourne School of Population and Global HealthUniversity of MelbourneMelbourneVictoriaAustralia
| | - Carolyn Johnston
- Melbourne Law SchoolUniversity of MelbourneMelbourneVictoriaAustralia
| | - David Isaacs
- Infectious DiseasesChildren's Hospital at WestmeadSydneyNew South WalesAustralia,Paediatrics and Child HealthUniversity of SydneySydneyNew South WalesAustralia
| | - Paula Lister
- Paediatric Critical CareSunshine Coast Hospital and Health ServiceSunshine CoastQueenslandAustralia,School of MedicineGriffith UniversityBrisbaneQueenslandAustralia
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106
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Mishra S, Biswas S, Bhatnagar S. Palliative Care Delivery in Cancer Patients in the Era of Covid-19 Outbreak: Unique Needs, Barriers, and Tools for Solutions. Indian J Palliat Care 2020; 26:S130-S141. [PMID: 33088103 PMCID: PMC7535008 DOI: 10.4103/ijpc.ijpc_194_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 06/01/2020] [Indexed: 12/19/2022] Open
Abstract
World is facing a pandemic recently due to the outbreak of COVID-19 infection. Cancer has been identified as one of the major comorbidities which cause more severe disease due to COVID-19 infection. Moreover, there are several resource limitations and restrictions to avail the standard oncological health facilities due to robust measures taken for infection control. In this situation, palliative care in cancer patients deserves special attention. Their symptom management, psychological, social, cultural needs tremendously increase during the epidemic. Thus, we need to recognize the unique palliative care needs of cancer patients during pandemic and formulate the plan to maintain continuity of services. Triaging systems are essential tools for proper resource allocation during a pandemic. Therefore, we suggest triaging tools for emergency in hospital palliative care services: community-based palliative care and end of life care for cancer patients. Incorporation of newer technologies and identifying the potential resources are the other key components of the preparedness strategy.
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Affiliation(s)
- Seema Mishra
- Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India
| | - Swagata Biswas
- Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India
| | - Sushma Bhatnagar
- Department of Onco-Anaesthesia and Palliative Medicine, Dr. Bhimrao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India
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107
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Radbruch L, Knaul FM, de Lima L, de Joncheere C, Bhadelia A. The key role of palliative care in response to the COVID-19 tsunami of suffering. Lancet 2020; 395:1467-1469. [PMID: 32333842 PMCID: PMC7176394 DOI: 10.1016/s0140-6736(20)30964-8] [Citation(s) in RCA: 145] [Impact Index Per Article: 36.3] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 04/15/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Lukas Radbruch
- Department of Palliative Medicine, University Hospital Bonn, Germany
| | - Felicia Marie Knaul
- Institute for Advanced Study of the Americas, University of Miami, Miami, FL 33146, USA; Leonard M Miller School of Medicine, University of Miami, Coral Gables, FL, USA; Fundación Mexicana para la Salud, AC, Mexico City, Mexico; Tómatelo a Pecho, AC, Mexico City, Mexico.
| | - Liliana de Lima
- International Association for Hospice and Palliative Care, Houston, TX, USA
| | | | - Afsan Bhadelia
- Institute for Advanced Study of the Americas, University of Miami, Miami, FL 33146, USA; Harvard T H Chan School of Public Health, Boston, MA, USA
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108
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Wang SSY, Teo WZW, Teo WZY, Chai YW. Virtual Reality as a Bridge in Palliative Care during COVID-19. J Palliat Med 2020; 23:756. [PMID: 32324080 DOI: 10.1089/jpm.2020.0212] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Samuel S Y Wang
- Fast Program, Alexandra Hospital, National University Hospital System, Singapore, Singapore
| | - Wendy Z W Teo
- Department of Hand and Reconstructive Microsurgery, National University Health System, Singapore, Singapore
| | - Winnie Z Y Teo
- Fast Program, Alexandra Hospital, National University Hospital System, Singapore, Singapore.,Department of Haematology-Oncology, National Cancer Institute Singapore (NCIS), National University Health System, Singapore, Singapore
| | - Yong Woon Chai
- Palliative Program, Alexandra Hospital, National University Hospital System, Singapore, Singapore.,Department of Palliative Medicine, National Cancer Institute Singapore (NCIS), National University Health System, Singapore, Singapore
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