Biopsychosocial and Spiritual Implications of Patients With COVID-19 Dying in Isolation
| Autor: | David C. Wang, Brent M. Peterson, Thushara Galbadage, Richard S. Gunasekera, Jeffrey S. Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Biopsychosocial model
Palliative care family Coronavirus disease 2019 (COVID-19) Isolation (health care) lcsh:BF1-990 end-of-life 050105 experimental psychology spiritual 03 medical and health sciences Social support 0302 clinical medicine Nursing death Pandemic Health care Psychology 0501 psychology and cognitive sciences Closure (psychology) General Psychology biopsychosocial-spiritual palliative care business.industry 05 social sciences Coronavirus lcsh:Psychology Perspective business isolation 030217 neurology & neurosurgery |
| Zdroj: | Frontiers in Psychology Frontiers in Psychology, Vol 11 (2020) |
| ISSN: | 1664-1078 |
| DOI: | 10.3389/fpsyg.2020.588623 |
| Popis: | Critically ill patients with the Coronavirus disease 2019 (COVID-19) are dying in isolation without the comfort of their family or other social support in unprecedented numbers. Recently, healthcare teams at COVID-19 epicenters have been inundated with critically ill patients. Patients isolated for COVID-19 have had no contact with their family or loved ones and may have likely experienced death without closure. This situation highlights concerns about the psychological and spiritual well-being of patients with COVID-19 and their families, as they permanently part ways. While palliative care has advanced to address these patients' needs adequately, the COVID-19 pandemic presents several barriers that force healthcare teams to deprioritize these essential aspects of patient care. The severe acute respiratory syndrome (SARS) outbreak in 2003 gave us a glimpse of these challenges as these patients were also isolated in hospitals. Here, we discuss the importance of the biopsychosocial spiritual model in end-of-life care and its implications on patients dying with COVID-19. Furthermore, we outline an integrative approach to address the unique and holistic needs of critically ill patients dying with COVID-19. These include intentional and increased coordination with trained palliative care staff, early and frequent goals of care including discussion of end-of-life plans, broader use of technology to improve connectedness and shared decision making with patients’ families. |
| Databáze: | OpenAIRE |
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