Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU
In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral...
Gespeichert in:
| Veröffentlicht in: | Journal of pain and symptom management 2020-09, Vol.60 (3), p.e17-e21 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e21 |
|---|---|
| container_issue | 3 |
| container_start_page | e17 |
| container_title | Journal of pain and symptom management |
| container_volume | 60 |
| creator | Schoenherr, Laura A. Cook, Allyson Peck, Sarah Humphreys, Jessica Goto, Yuika Saks, Naomi T. Huddleston, Lindsey Elia, Giovanni Pantilat, Steven Z. |
| description | In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral-based consultation methods that can result in needs going unidentified and/or unmet. Here, we describe a novel system to proactively identify and meet the PC needs of all patients with COVID-19 being cared for in our hospital's intensive care units. Patients were screened through a combination of chart review and brief provider interview, and PC consultations were provided via telemedicine for those with unmet needs identified. In the first six weeks of operation, our pilot program of proactive screening and outreach resulted in PC consultation for 12 of the 29 (41%) adult patients admitted to the intensive care unit with COVID-19 at our institution. Consultations were most commonly for patient and family support as well as for goals of care and advance care planning, consistent with identified PC needs within this unique patient population. |
| doi_str_mv | 10.1016/j.jpainsymman.2020.06.008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7293759</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0885392420304401</els_id><sourcerecordid>2414408604</sourcerecordid><originalsourceid>FETCH-LOGICAL-c483t-256e381b197c21ad31dcd163ee4594d86260f22763a3ada4a3066c322a8d26793</originalsourceid><addsrcrecordid>eNqNkU9v1DAQxS1ERbeFr4DMjUuC_8VxLkhVoGWlqu2BgjhZU9vpepXEi-1dqd--XrZU5cZpDu83b0bvIfSBkpoSKj-t6_UG_JwepgnmmhFGaiJrQtQrtKCq5ZVsKH-NFkSppuIdE8foJKU1IaThkr9Bx5w1QkjRLtCvmxjAZL9zeGndnP3gDWQfZhwGfAPj6OGP2EN0-Mo5m_DZFOb7omVf-IR_-rzC_fWP5ZeKdtjPOK-KV3_7Fh0NMCb37mmeotvzr9_7b9Xl9cWyP7usjFA8V6yRjit6R7vWMAqWU2ssldw50XTCKskkGRhrJQcOFgRwIqXhjIGyTLYdP0WfD76b7d3krClPRRj1JvoJ4oMO4PW_yuxX-j7sdMs63jZ7g49PBjH83rqU9eSTceMIswvbpJmgQhAliShod0BNDClFNzyfoUTvq9Fr_aIava9GE6lLNWX3_cs_nzf_dlGA_gC4ktbOu6iTKREbZ310Jmsb_H-ceQQWYKVQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2414408604</pqid></control><display><type>article</type><title>Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Schoenherr, Laura A. ; Cook, Allyson ; Peck, Sarah ; Humphreys, Jessica ; Goto, Yuika ; Saks, Naomi T. ; Huddleston, Lindsey ; Elia, Giovanni ; Pantilat, Steven Z.</creator><creatorcontrib>Schoenherr, Laura A. ; Cook, Allyson ; Peck, Sarah ; Humphreys, Jessica ; Goto, Yuika ; Saks, Naomi T. ; Huddleston, Lindsey ; Elia, Giovanni ; Pantilat, Steven Z.</creatorcontrib><description>In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral-based consultation methods that can result in needs going unidentified and/or unmet. Here, we describe a novel system to proactively identify and meet the PC needs of all patients with COVID-19 being cared for in our hospital's intensive care units. Patients were screened through a combination of chart review and brief provider interview, and PC consultations were provided via telemedicine for those with unmet needs identified. In the first six weeks of operation, our pilot program of proactive screening and outreach resulted in PC consultation for 12 of the 29 (41%) adult patients admitted to the intensive care unit with COVID-19 at our institution. Consultations were most commonly for patient and family support as well as for goals of care and advance care planning, consistent with identified PC needs within this unique patient population.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2020.06.008</identifier><identifier>PMID: 32544647</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Betacoronavirus ; Coronavirus Infections - therapy ; COVID-19 ; Critical Care ; critical care (ICU) ; Health Services Needs and Demand ; Humans ; Palliative Care ; Pandemics ; Pneumonia, Viral - therapy ; SARS-CoV-2 ; screening criteria ; triggers</subject><ispartof>Journal of pain and symptom management, 2020-09, Vol.60 (3), p.e17-e21</ispartof><rights>2020 American Academy of Hospice and Palliative Medicine</rights><rights>Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved. 2020 American Academy of Hospice and Palliative Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-256e381b197c21ad31dcd163ee4594d86260f22763a3ada4a3066c322a8d26793</citedby><cites>FETCH-LOGICAL-c483t-256e381b197c21ad31dcd163ee4594d86260f22763a3ada4a3066c322a8d26793</cites><orcidid>0000-0002-5067-5212 ; 0000-0001-9711-5514</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpainsymman.2020.06.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32544647$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schoenherr, Laura A.</creatorcontrib><creatorcontrib>Cook, Allyson</creatorcontrib><creatorcontrib>Peck, Sarah</creatorcontrib><creatorcontrib>Humphreys, Jessica</creatorcontrib><creatorcontrib>Goto, Yuika</creatorcontrib><creatorcontrib>Saks, Naomi T.</creatorcontrib><creatorcontrib>Huddleston, Lindsey</creatorcontrib><creatorcontrib>Elia, Giovanni</creatorcontrib><creatorcontrib>Pantilat, Steven Z.</creatorcontrib><title>Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral-based consultation methods that can result in needs going unidentified and/or unmet. Here, we describe a novel system to proactively identify and meet the PC needs of all patients with COVID-19 being cared for in our hospital's intensive care units. Patients were screened through a combination of chart review and brief provider interview, and PC consultations were provided via telemedicine for those with unmet needs identified. In the first six weeks of operation, our pilot program of proactive screening and outreach resulted in PC consultation for 12 of the 29 (41%) adult patients admitted to the intensive care unit with COVID-19 at our institution. Consultations were most commonly for patient and family support as well as for goals of care and advance care planning, consistent with identified PC needs within this unique patient population.</description><subject>Betacoronavirus</subject><subject>Coronavirus Infections - therapy</subject><subject>COVID-19</subject><subject>Critical Care</subject><subject>critical care (ICU)</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Palliative Care</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - therapy</subject><subject>SARS-CoV-2</subject><subject>screening criteria</subject><subject>triggers</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9v1DAQxS1ERbeFr4DMjUuC_8VxLkhVoGWlqu2BgjhZU9vpepXEi-1dqd--XrZU5cZpDu83b0bvIfSBkpoSKj-t6_UG_JwepgnmmhFGaiJrQtQrtKCq5ZVsKH-NFkSppuIdE8foJKU1IaThkr9Bx5w1QkjRLtCvmxjAZL9zeGndnP3gDWQfZhwGfAPj6OGP2EN0-Mo5m_DZFOb7omVf-IR_-rzC_fWP5ZeKdtjPOK-KV3_7Fh0NMCb37mmeotvzr9_7b9Xl9cWyP7usjFA8V6yRjit6R7vWMAqWU2ssldw50XTCKskkGRhrJQcOFgRwIqXhjIGyTLYdP0WfD76b7d3krClPRRj1JvoJ4oMO4PW_yuxX-j7sdMs63jZ7g49PBjH83rqU9eSTceMIswvbpJmgQhAliShod0BNDClFNzyfoUTvq9Fr_aIava9GE6lLNWX3_cs_nzf_dlGA_gC4ktbOu6iTKREbZ310Jmsb_H-ceQQWYKVQ</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Schoenherr, Laura A.</creator><creator>Cook, Allyson</creator><creator>Peck, Sarah</creator><creator>Humphreys, Jessica</creator><creator>Goto, Yuika</creator><creator>Saks, Naomi T.</creator><creator>Huddleston, Lindsey</creator><creator>Elia, Giovanni</creator><creator>Pantilat, Steven Z.</creator><general>Elsevier Inc</general><general>American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5067-5212</orcidid><orcidid>https://orcid.org/0000-0001-9711-5514</orcidid></search><sort><creationdate>20200901</creationdate><title>Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU</title><author>Schoenherr, Laura A. ; Cook, Allyson ; Peck, Sarah ; Humphreys, Jessica ; Goto, Yuika ; Saks, Naomi T. ; Huddleston, Lindsey ; Elia, Giovanni ; Pantilat, Steven Z.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-256e381b197c21ad31dcd163ee4594d86260f22763a3ada4a3066c322a8d26793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Betacoronavirus</topic><topic>Coronavirus Infections - therapy</topic><topic>COVID-19</topic><topic>Critical Care</topic><topic>critical care (ICU)</topic><topic>Health Services Needs and Demand</topic><topic>Humans</topic><topic>Palliative Care</topic><topic>Pandemics</topic><topic>Pneumonia, Viral - therapy</topic><topic>SARS-CoV-2</topic><topic>screening criteria</topic><topic>triggers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schoenherr, Laura A.</creatorcontrib><creatorcontrib>Cook, Allyson</creatorcontrib><creatorcontrib>Peck, Sarah</creatorcontrib><creatorcontrib>Humphreys, Jessica</creatorcontrib><creatorcontrib>Goto, Yuika</creatorcontrib><creatorcontrib>Saks, Naomi T.</creatorcontrib><creatorcontrib>Huddleston, Lindsey</creatorcontrib><creatorcontrib>Elia, Giovanni</creatorcontrib><creatorcontrib>Pantilat, Steven Z.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schoenherr, Laura A.</au><au>Cook, Allyson</au><au>Peck, Sarah</au><au>Humphreys, Jessica</au><au>Goto, Yuika</au><au>Saks, Naomi T.</au><au>Huddleston, Lindsey</au><au>Elia, Giovanni</au><au>Pantilat, Steven Z.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>60</volume><issue>3</issue><spage>e17</spage><epage>e21</epage><pages>e17-e21</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>In the setting of the coronavirus disease 2019 (COVID-19) pandemic, new strategies are needed to address the unique and significant palliative care (PC) needs of patients with COVID-19 and their families, particularly when health systems are stressed by patient surges. Many PC teams rely on referral-based consultation methods that can result in needs going unidentified and/or unmet. Here, we describe a novel system to proactively identify and meet the PC needs of all patients with COVID-19 being cared for in our hospital's intensive care units. Patients were screened through a combination of chart review and brief provider interview, and PC consultations were provided via telemedicine for those with unmet needs identified. In the first six weeks of operation, our pilot program of proactive screening and outreach resulted in PC consultation for 12 of the 29 (41%) adult patients admitted to the intensive care unit with COVID-19 at our institution. Consultations were most commonly for patient and family support as well as for goals of care and advance care planning, consistent with identified PC needs within this unique patient population.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32544647</pmid><doi>10.1016/j.jpainsymman.2020.06.008</doi><orcidid>https://orcid.org/0000-0002-5067-5212</orcidid><orcidid>https://orcid.org/0000-0001-9711-5514</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0885-3924 |
| ispartof | Journal of pain and symptom management, 2020-09, Vol.60 (3), p.e17-e21 |
| issn | 0885-3924 1873-6513 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7293759 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Betacoronavirus Coronavirus Infections - therapy COVID-19 Critical Care critical care (ICU) Health Services Needs and Demand Humans Palliative Care Pandemics Pneumonia, Viral - therapy SARS-CoV-2 screening criteria triggers |
| title | Proactive Identification of Palliative Care Needs Among Patients With COVID-19 in the ICU |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T05%3A21%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Proactive%20Identification%20of%20Palliative%20Care%20Needs%20Among%20Patients%20With%20COVID-19%20in%20the%20ICU&rft.jtitle=Journal%20of%20pain%20and%20symptom%20management&rft.au=Schoenherr,%20Laura%20A.&rft.date=2020-09-01&rft.volume=60&rft.issue=3&rft.spage=e17&rft.epage=e21&rft.pages=e17-e21&rft.issn=0885-3924&rft.eissn=1873-6513&rft_id=info:doi/10.1016/j.jpainsymman.2020.06.008&rft_dat=%3Cproquest_pubme%3E2414408604%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2414408604&rft_id=info:pmid/32544647&rft_els_id=S0885392420304401&rfr_iscdi=true |