Palliative Care Institutional Program, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico.
Gac Med Mex. 2021;157(4):436-442. doi: 10.24875/GMM.M21000587.
The pandemic of SARS-CoV-2 infection, which causes COVID-19, has deeply affected health systems and has had a significant impact on families, communities and nations. A comprehensive response strategy requires, in addition to epidemiological, scientific and technical considerations, for human suffering associated with disease, vulnerability and death not to be forgotten. Palliative care for people with suspicion or diagnosis of COVID-19 with serious evolution, and their families should also be a key part of organized actions that help alleviate suffering and improve quality of life by controlling symptoms, addressing psychological, emotional, social and spiritual needs, support for advanced care planning and its goals, end-of-life care, as well as support in complex decision-making and ethical problems, among others. Recommendations are provided for offering palliative care in COVID-19 pandemic context.
新型冠状病毒病(COVID-19)大流行是由严重急性呼吸系统综合征冠状病毒 2 型(SARS-CoV-2)引起的传染病,对卫生系统产生了深远影响,对家庭、社区和国家都产生了重大影响。全面应对战略除了需要考虑流行病学、科学和技术因素外,还必须关注与疾病、脆弱性和死亡相关的人类痛苦,不能遗忘这些问题。对疑似或诊断为 COVID-19 且病情严重的患者及其家属提供姑息治疗也应成为有组织行动的重要组成部分,这些行动有助于通过控制症状、满足心理、情感、社会和精神需求、支持高级护理计划及其目标、临终关怀,以及在复杂决策和伦理问题等方面,减轻痛苦并提高生活质量。本文提供了在 COVID-19 大流行背景下提供姑息治疗的建议。