Cambia Palliative Care Center of Excellence, University of Washington, Seattle, Washington, USA; Department of Family Medicine, University of Washington, Seattle, Washington, USA.
Cambia Palliative Care Center of Excellence, University of Washington, Seattle, Washington, USA; Division of Geriatrics and Gerontology, Department of Medicine, University of Washington, Seattle, Washington, USA.
J Pain Symptom Manage. 2020 Jul;60(1):e21-e26. doi: 10.1016/j.jpainsymman.2020.03.025. Epub 2020 Mar 31.
The coronavirus disease 2019 (COVID-19) pandemic is stressing health care 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 comorbidities. 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 U.S.
UW Medicine developed a strategy to implement a palliative care response for a multihospital health care system that incorporates conventional capacity, contingency capacity, and crisis capacity. The strategy was developed by our palliative care programs with input from the health care system leadership.
In this publication, we share our multifaceted 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, intensive care units, and 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.
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 health care systems. We share our experiences of developing such a strategy to help other institutions conduct and adapt such strategies more quickly.
2019 年冠状病毒病（COVID-19）大流行正在给全世界的医疗系统带来压力。大量患者因重病住院，通常伴有高龄和潜在的合并症。因此，姑息治疗是应对这一大流行病的重要组成部分。西雅图地区和 UW 医学部一直处于美国大流行的前沿。
UW 医学部制定了一项策略，为多医院医疗保健系统实施姑息治疗响应，该策略结合了常规能力、应急能力和危机能力。该策略由我们的姑息治疗项目制定，并得到了医疗保健系统领导层的投入。
在本出版物中，我们分享了我们在 COVID-19 大流行背景下实施高质量姑息治疗的多方面策略，该策略结合了常规、应急和危机能力，并侧重于照顾最多患者的医院区域：急诊部、重症监护病房和急性护理服务。该策略侧重于关键内容领域，包括确定和解决护理目标、解决中度和重度症状以及支持家庭成员。
在 COVID-19 大流行背景下提供高质量姑息治疗的策略规划是我们医疗系统的一个重要需求领域。我们分享制定此类策略的经验，以帮助其他机构更快地开展和调整此类策略。
