J Hosp Palliat Nurs. 2021 Oct 1;23(5):455-461. doi: 10.1097/NJH.0000000000000779.
This discussion article highlights the challenges of providing hospice care in nursing homes since the start of the COVID-19 (coronavirus disease 2019) pandemic and illuminates practice changes needed in nursing homes. The article provides an overview of the expectations of hospice care, explains the differences in delivering hospice care during the COVID-19 pandemic, examines social isolation and emotional loneliness and the role of familial caregivers, and describes policy changes related to the COVID-19 affecting hospice care delivery in nursing homes. This article answers the following questions: (1) How did residents receiving hospice care have their needs met during the COVID-19 pandemic? (2) What areas of nursing home care need to be improved through governmental policy and restructuring? This article also summarized the lessons learned as a result of the COVID-19 pandemic and provided practical implications for nursing, specific to changes in hospice care deliveries for nursing home residents.
这篇讨论文章强调了 COVID-19（冠状病毒病 2019）大流行开始以来在养老院提供临终关怀服务所面临的挑战，并阐明了养老院所需的实践改变。文章概述了临终关怀的期望，解释了在 COVID-19 大流行期间提供临终关怀的差异，考察了社会隔离和情感孤独以及家庭照顾者的作用，并描述了与 COVID-19 相关的影响养老院临终关怀服务提供的政策变化。本文回答了以下问题：（1）在 COVID-19 大流行期间，接受临终关怀的居民的需求是如何得到满足的？（2）通过政府政策和结构调整，哪些养老院护理领域需要改进？本文还总结了 COVID-19 大流行带来的经验教训，并为护理提供了实际影响，具体涉及养老院居民临终关怀服务的变化。
