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김예진 ( Kim Ye-Jin ) - Seoul National University Hospital Center for Palliative Care and Clinical Ethics
유신혜 ( Yoo Shin-Hye ) - Seoul National University Hospital Center for Palliative Care and Clinical Ethics
신정미 ( Shin Jeong-Mi ) - Seoul National University Hospital Center for Palliative Care and Clinical Ethics
한형숙 ( Han Hyoung-Suk ) - Seoul National University Hospital Center for Palliative Care and Clinical Ethics
홍진의 ( Hong Jin-Ui ) - Seoul National University Hospital Center for Palliative Care and Clinical Ethics
김현지 ( Kim Hyun-Jee ) - Seoul National University Hospital Department of Social Work
최원호 ( Choi Won-Ho ) - Seoul National University Hospital Center for Palliative Care and Clinical Ethics
김민선 ( Kim Min-Sun ) - Seoul National University Hospital Department of Pediatrics
박혜윤 ( Park Hye-Yoon ) - Seoul National University Hospital Department of Psychiatry
김범석 ( Keam Bhum-Suk ) - Seoul National University Hospital Department of Internal Medicine
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Abstract
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In the era of coronavirus disease 2019 (COVID-19), social distancing and strict visitation policies at hospitals have made it difficult for medical staff to provide high-quality end-of-life (EOL) care to dying patients and their families. There are various issues related to EOL care, including psychological problems of patients and their families, difficulties in EOL decision-making, the complicated grief of the bereaved family, moral distress, and exhaustion of medical staff. In relation to these issues, we aimed to discuss practical considerations in providing high-quality EOL care in the COVID-19 pandemic. First, medical staff should discuss advance care planning as early as possible and use the parallel planning strategy. Second, medical staff should play a role in facilitating patient-family communication. Third, medical staff should actively and proactively evaluate and alleviate dying patients’ symptoms using non-verbal communication. Lastly, medical staff should provide care for family members of the dying patient, who may be particularly vulnerable to post-bereavement problems in the COVID-19 era. Establishing a system of screening high-risk individuals for complicated grief and connecting them to bereavement support services might be considered. Despite the challenging and limited environment, providing EOL care is essential for patients to die with dignity in peace and for the remaining family to return to life after the loved one’s death. Efforts considering the practical issues faced by all medical staff and healthcare institutions caring for dying patients should be made.
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KeyWords
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COVID-19, Terminal care, Death, Palliative care, Advance care planning, Bereavement
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원문 및 링크아웃 정보
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등재저널 정보
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