Colorado Palliative Care and Hospice Crisis Standards: Moving Beyond Critical Care Planning
| Autor: | Carol Fowler, Daniel Johnson, Kelly Ferraro, Stephen V. Cantrill, Peggy Budai, John Massone, Jean Abbott, Barbara Statland |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Colorado Palliative care Critical Care media_common.quotation_subject Clinical Neurology Psychological intervention Economic shortage law.invention Scarcity Social group 03 medical and health sciences 0302 clinical medicine Nursing law Pandemic Humans Medicine 030212 general & internal medicine Pandemics General Nursing media_common SARS-CoV-2 business.industry Public health Palliative Care Hospices COVID-19 Intensive care unit Hospice Care Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Neurology (clinical) business |
| Zdroj: | Journal of Pain and Symptom Management |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2020.12.009 |
| Popis: | Palliative care (PC) and hospice services have experienced shortages before 2020, and during the initial phases of the current pandemic, more critical gaps are expected with future surges, much as scarcity in intensive care unit services may recur during the COVID-19 pandemic. Although ethical allocation of ventilators and intensive care unit care is the subject of important discussions during this pandemic, caring for those at the end of life and those not desiring or qualifying for critical interventions must not be neglected, as critical care and comfort-focused care are intertwined. We review state and regional gaps already recognized in planning for scarcity in PC and hospice services during this pandemic and describe the planning initiatives Colorado has developed to address potential scarcities for this vulnerable and diverse group of people. We hope to encourage other state and regional groups to anticipate needs in the coming surges of this pandemic or in public health crises to come. Such planning is key to avoid the degradation of care that may result if it is necessary to invoke crisis standards of care and ration these essential services to our communities. |
| Databáze: | OpenAIRE |
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