Perspectives across Canada about implementing a palliative approach in long-term care during COVID-19

被引：0

作者：

Kruizinga, Julia ^{[1
]}

Lucchese, Stephanie ^{[1
]}

Vellani, Shirin ^{[1
]}

Rivas, Vanessa Maradiaga ^{[1
]}

Shamon, Sandy ^{[2
]}

Diedrich, Karine ^{[3
]}

Gillespie, Laurel ^{[3
]}

Kaasalainen, Sharon ^{[1
]}

机构：

[1] McMaster Univ, Sch Nursing, Hamilton, ON, Canada

[2] McMaster Univ, Dept Family Med, Div Palliat Care, Hamilton, ON, Canada

[3] Canadian Hosp Palliat Care Assoc, Ottawa, ON, Canada

来源：

BMC PALLIATIVE CARE | 2023年 / 22卷 / 01期

关键词：

Long term care; Palliative approach to care; COVID-19;

D O I：

10.1186/s12904-023-01142-3

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundLong-term care (LTC) homes have been disproportionately impacted during COVID-19.PurposeTo explore the perspectives of stakeholders across Canada around implementing a palliative approach in LTC home during COVID-19.MethodsQualitative, descriptive design using one-to-one or paired semi-structured interviews.ResultsFour themes were identified: (1) the influence of the pandemic on implementing a palliative approach, (2) families are an essential part of implementing a palliative approach, (3) prioritizing advance care planning (ACP) and goals of care (GoC) discussions in anticipation of the overload of deaths and (4) COVID-19 highlighting the need for a palliative approach as well as several subthemes.ConclusionThe COVID-19 pandemic influenced the implementation of a palliative approach to care, where many LTC homes faced an overwhelming number of deaths and restricted the presence of family members. A more concentrated focus on home-wide ACP and GoC conversations and the need for a palliative approach to care in LTC were identified.

引用

页数：9

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