School of Social Work, Saint Louis University, St. Louis, Missouri, USA.
School of Social Work, Eastern Michigan University, Ypsilanti, Michigan, USA.
J Pain Symptom Manage. 2020 Jul;60(1):e70-e76. doi: 10.1016/j.jpainsymman.2020.04.012. Epub 2020 Apr 13.
The COVID-19 pandemic is anticipated to continue spreading widely across the globe throughout 2020. To mitigate the devastating impact of COVID-19, social distancing and visitor restrictions in health care facilities have been widely implemented. Such policies and practices, along with the direct impact of the spread of COVID-19, complicate issues of grief that are relevant to medical providers. We describe the relationship of the COVID-19 pandemic to anticipatory grief, disenfranchised grief, and complicated grief for individuals, families, and their providers. Furthermore, we provide discussion regarding countering this grief through communication, advance care planning, and self-care practices. We provide resources for health care providers, in addition to calling on palliative care providers to consider their own role as a resource to other specialties during this public health emergency.
预计 2020 年，COVID-19 大流行将继续在全球范围内广泛传播。为了减轻 COVID-19 的破坏性影响，医疗保健机构已广泛实施了社交距离和访客限制。这些政策和做法，以及 COVID-19 传播的直接影响，使与医疗服务提供者相关的悲伤问题变得复杂。我们描述了 COVID-19 大流行与预期性悲伤、被剥夺的悲伤和复杂悲伤之间的关系，这些悲伤涉及个人、家庭及其提供者。此外，我们还通过沟通、预先护理计划和自我保健实践来讨论如何应对这种悲伤。我们为医疗保健提供者提供资源，同时呼吁姑息治疗提供者考虑在这场公共卫生紧急情况下，将自己作为其他专业的资源。
