Atreya Shrikant, Kumar Raman, Salins Naveen
Department of Palliative Care and Psycho-Oncology, Tata Medical Center, Kolkata, West Bengal, India.
Academy of Family Physicians of India, New Delhi, India.
J Family Med Prim Care. 2020 Jul 30;9(7):3169-3175. doi: 10.4103/jfmpc.jfmpc_1144_20. eCollection 2020 Jul.
Novel Coronavirus (COVID 19) has usurped human peace and mobility. Since December 2019, the virus has claimed the lives of 87,816 people across the globe as of April 9, 2020 with India reporting a high case fatality of 3.4%. Among the vulnerable population, elderly people, and patients with comorbidities such as diabetes, chronic life-threatening illnesses, such as COPD and advanced malignancies are susceptible to COVID-19 infection and may have poor clinical outcomes. Considering the imbalance in demand and supply of healthcare resources, initiating palliative care will be essential to alleviate the suffering of such patients. The current paper deliberates on the following aspects of palliative care delivery in the community; the need for palliative care in a pandemic crisis, the role of telemedicine in palliative care delivery in the community, the vital role of a family physician in providing primary palliative care in the community and a "wholistic" community palliative care package to serve the needy in the community.
新型冠状病毒(COVID - 19)扰乱了人类的安宁与出行。自2019年12月以来,截至2020年4月9日,该病毒已在全球夺走87816人的生命,印度报告的病死率高达3.4%。在弱势群体中,老年人以及患有合并症(如糖尿病)、慢性危及生命疾病(如慢性阻塞性肺疾病和晚期恶性肿瘤)的患者易感染COVID - 19,且临床结局可能较差。鉴于医疗资源供需失衡,启动姑息治疗对于减轻此类患者的痛苦至关重要。本文探讨了社区姑息治疗的以下几个方面:大流行危机中姑息治疗的必要性、远程医疗在社区姑息治疗中的作用、家庭医生在社区提供初级姑息治疗中的重要作用以及为社区贫困人口提供服务的“全面”社区姑息治疗方案。