medigraphic.com
ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)

2020, Number 4

<< Back Next >>

Rev Mex Anest 2020; 43 (4)

Palliative care in the tsunami of suffering from SARS-CoV-2

Guevara-López U

Language: Spanish
References: 20
Page: 296-304
PDF size: 302.37 Kb.


ABSTRACT

Health teams, intensivists and internists have worked side by side in the current pandemic, in this environment the palliative care providers can contribute substantially to this crisis, treating with their transdisciplinary and comprehensive approach the burden of symptoms of the patients with COVID-19, establishing clear and open communication with patients, families, including spiritual support. Although the care of these patients focused on mechanical ventilation, an increasing number of people will not receive this support due to the underlying health conditions and will require conservative management. On the other hand, with all the attention and resources occupying the emergency, the care of vulnerable, marginalized groups, and numerous patients with chronic, progressive, complex, oncological, or multimorbid diseases that warrant palliative care, came to the background. During the care of COVID-19 patients, health personnel may experience complex ethical dilemmas due to the scarcity of resources, the rapid deterioration of the patients, urgent decision-making and the lack of effective treatments. Palliative patients can adapt to this possibility, put yourself at the forefront and contribute to better decision-making, to provide multidimensional care (biological, psychoactive, socioeconomic, spiritual) to patients, families and to temper this tsunami of suffering.


REFERENCES

  1. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA. 2020;323:1239-1242.

  2. Aragón-Nogales R, Vargas-Almanza I, Miranda-Novales MG. COVID-19 por SARS-CoV-2: la nueva emergencia de salud. Rev Mex Pediatr. 2019;86:213-218. doi: 10.35366/91871.

  3. OMS. Preguntas y respuestas sobre la enfermedad por coronavirus (COVID-19). Disponible en: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019

  4. Guías rápidas de apoyo y control sintomático en pacientes avanzados con COVID-19. Versión 2.0. Servicio de Medicina Paliativa. España: Clínica, Universidad de Navarra; 22 marzo 2020.

  5. Guevara-López U. Lineamiento general para la atención paliativa de pacientes COVID-19 y no COVID durante la pandemia 2020. México: Instituto Medicina del Dolor y Cuidados Paliativos A.C. (IMEDOCP); 2020. pp. 4-32.

  6. Radbruch L, Knaul FM, de Lima L, de Joncheere C, Bhadelia A. The key role of palliative care in response to the COVID-19 tsunami of suffering. Lancet. 2020;395:1467-1469. doi: 10.1016/S0140-6736(20)30964-8.

  7. Koh MYH. Palliative care in the time of COVID-19: reflections from the frontline. J Pain Symptom Manage. 2020;60:e3-e4. doi: 10.1016/j.jpainsymman.2020.03.023.

  8. Ferguson L, Barham D. Palliative care pandemic pack: a specialist palliative care service response to planning the COVID-19 pandemic. J Pain Symptom Manage. 2020;60:e18-e20. doi: 10.1016/j.jpainsymman.2020.03.026.

  9. Fusi-Schmidhauser T, Preston NJ, Keller N, Gamondi C. Conservative management of COVID-19 patients-emergency palliative care in action. J Pain Symptom Manage. 2020;60:e27-e30. doi: 10.1016/j.jpainsymman.2020.03.030.

  10. Fausto J, Hirano L, Lam D, et al. Creating a palliative care inpatient response plan for COVID-19-the UW medicine experience. J Pain Symptom Manage. 2020;60:e21-e26. doi: 10.1016/j.jpainsymman.2020.03.025.

  11. Consejo de Salubridad General. Documento de Trabajo. Proyecto de Guía para Asignación de Recursos Médicos en Situación de Contingencia. México: Consejo de Salubridad General; 2020. Disponible en: https://www.dof.gob.mx/nota_detalle.php?codigo=5590745&fecha=30/03/2020

  12. Burgart AM, Gentry K, Deutch Z, Lozada MJ. Ethics at the head of the bed: anesthesiologists confront COVID-19. ASA Monitor. 2020;84:10-13.

  13. Guevara-López U, Altamirano-Bustamante MM, Viesca-Treviño C. New frontiers in the future of palliative care: real-world bioethical dilemmas and axiology of clinical practice. BMC Medical Ethics. 2015;16:1472-6939. doi: 10.1186/s12910-015-0003-2.

  14. Bioethics Toolkit Resources for COVID-19; American Journal of Bioethics. TOOLKIT: Bioethics Resources for COVID-19. Disponible en: http://www.bioethics.net/2020/03/bioethics-toolkit-resources-for-covid-19/

  15. Barreto P, Fombuena M, Diego R, Galiana L, Oliver A, Benito E. Bienestar emocional y espiritualidad al final de la vida. Med Paliat. 2015;22:25-32.

  16. Nouvellet P, Bhatia S, Cori A, et al. Reduction in mobility and COVID-19 transmission. Imperial College London. 2020. doi: https://doi.org/10.25561/79643.

  17. Flaxman S, Mishra S, Gandy A, et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in. Nature. 2020. doi: 10.1038/s41586-020-2405-7 [published online ahead of print, 2020 Jun 8].

  18. Hsiang S, Allen D, Annan-Phan S, et al. The effect of large-scale anti-contagion policies on the COVID-19 pandemic. Nature. 2020. doi: 10.1038/s41586-020-2404-8.

  19. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3:e203976.

  20. Berwick DM. Choices for the “New Normal”. JAMA. 2020. doi: 10.1001/jama.2020.6949.




2020     |     www.medigraphic.com