219819Cleveland Clinic Florida, Weston, FL, USA.
Am J Hosp Palliat Care. 2021 Mar;38(3):300-304. doi: 10.1177/1049909120975191. Epub 2020 Nov 19.
The COVID-19 pandemic created a global health emergency that has changed the practice of medicine and has shown the need for palliative care as an essential element of hospital care. In our small South Florida hospital, a palliative care service was created to support the frontline caregivers. Thanks to the hospital support, our team was formed rapidly. It consisted of 3 advanced care practitioners, a pulmonary physician with palliative care experience and the cooperation of community resources such as hospice and religious support. We were able to support patients and their families facilitating communication as visitation was not allowed. We also addressed goals of care, providing comfort care transition when appropriate, and facilitating allocation of scarce resources to patients who were most likely to benefit from them. With this article we describe a simplified framework to replicate the creation of a Palliative Care Team for other hospitals that are experiencing this need.
新冠疫情大流行引发了全球卫生紧急状况,改变了医学实践模式,并凸显了姑息治疗作为医院治疗基本要素的重要性。在我们南佛罗里达的小医院里,创建了姑息治疗服务,以支持一线医护人员。得益于医院的支持,我们的团队迅速组建。团队由 3 名高级护理从业者、1 名有姑息治疗经验的肺病专家以及社区资源(如临终关怀和宗教支持)合作组成。我们能够支持患者及其家属,在不允许探访的情况下促进医患之间的沟通。我们还确定了治疗目标,在适当的时候提供舒适护理过渡,并为最有可能从中受益的患者分配稀缺资源。本文介绍了一个简化框架,可帮助其他有此需求的医院复制姑息治疗团队的创建。