Afficher la couverture 'Covid-19 : guidance on palliative care from a European Respiratory Society International Task Force | JANSSEN, Daisy J. A.' en grand format
/5

0 avis

Covid-19 : guidance on palliative care from a European Respiratory Society International Task Force

Article indépendant

JANSSEN, Daisy J. A. | EKSTROM, Magnus | CURROW, David | JOHNSON, Miriam J. | MADDOCKS, Mathew | SIMONDS, Anita K. | TONIA, Thomy | MARSAA, Kristoffer

BACKGROUND: Many people are dying from COVID-19, but consensus guidance on palliative care in COVID-19 is lacking. This new life-threatening disease has put healthcare systems under pressure, with increased need of palliative care provided to many patients by clinicians with limited prior experience in this field. Therefore, we aimed to make consensus recommendations for palliative care for patients with COVID-19 using the Convergence of Opinion on Recommendations and Evidence (CORE) process. METHODS: We invited 90 international experts to complete an online survey including stating their agreement, or not, with 14 potential recommendations. At least 70% agreement on directionality was needed to provide consensus recommendations. If consensus was not achieved on the first round, a second round was conducted. RESULTS: 68 experts (75.6%) responded in the first round. Most participants were experts in palliative care, respiratory medicine or critical care medicine. In the first round, consensus was achieved on 13 recommendations based upon indirect evidence and clinical experience. In the second round, 58/68 (85.3%) of the first round experts responded, resulting in consensus also for the 14th recommendation. CONCLUSIONS: This multi-national task force provides consensus recommendations for palliative care for patients with COVID-19 concerning: advance care planning; (pharmacological) palliative treatment of breathlessness; clinician-patient communication; remote clinician-family communication; palliative care involvement in patients with serious COVID-19; spiritual care; psychosocial care; and bereavement care. Future studies are needed to generate empirical evidence for these recommendations.

http://dx.doi.org/10.1183/13993003.02583-2020

Voir la revue «The European respiratory journal»

Autres numéros de la revue «The European respiratory journal»

Consulter en ligne

Suggestions

Du même auteur

Palliative care in covid-19

Article | JANSSEN, Daisy J. A. | Current opinion in supportive and palliative care | n°4 | vol.15

PURPOSE OF REVIEW: The purpose of this paper is (1) to provide insight in the palliative care needs of patients with COVID-19; (2) to highlight the challenges of COVID-19 for palliative care; and (3) to highlight developments in C...

Palliative care in covid-19

Article indépendant | JANSSEN, Daisy J. A. | Current opinion in supportive and palliative care | n°4 | vol.15

PURPOSE OF REVIEW: The purpose of this paper is (1) to provide insight in the palliative care needs of patients with COVID-19; (2) to highlight the challenges of COVID-19 for palliative care; and (3) to highlight developments in C...

Palliative care in covid-19

Article indépendant | JANSSEN, Daisy J. A. | Current opinion in supportive and palliative care | n°4 | vol.15

PURPOSE OF REVIEW: The purpose of this paper is (1) to provide insight in the palliative care needs of patients with COVID-19; (2) to highlight the challenges of COVID-19 for palliative care; and (3) to highlight developments in C...

De la même série

Missed opportunity? : worsening breathlessnes...

Article indépendant | CURROW, David | The European respiratory journal | n°3 | vol.52

The aim of the study was to explore trajectories of breathlessness intensity by function and life-limiting illness diagnosis in the last 3 weeks of life in palliative care patients. A prospective, consecutive cohort study obtained...

Earlier palliative home care is associated wi...

Article indépendant | SCHEERENS, Charlotte | The European respiratory journal

BACKGROUND: COPD patients often use many medical resources, such as hospital admissions and medical imaging, inappropriately close to death. Palliative home care (PHC) could beneficially affect his. AIM: To study the effect of use...

Covid-19 : guidance on palliative care from a...

Article indépendant | JANSSEN, Daisy J. A. | The European respiratory journal

BACKGROUND: Many people are dying from COVID-19, but consensus guidance on palliative care in COVID-19 is lacking. This new life-threatening disease has put healthcare systems under pressure, with increased need of palliative care...

Referral criteria to palliative care for pati...

Article indépendant | PHILIP, Jennifer | The European respiratory journal

BACKGROUND: Advanced non-malignant respiratory diseases are associated with significant patient morbidity, yet access to palliative care occurs late, if at all. AIM: To examine referral criteria for palliative care among patients ...

European Respiratory Society Clinical Practic...

Article indépendant | JANSSEN, Daisy J. A. | The European respiratory journal

There is increased awareness of palliative care needs in people with chronic obstructive pulmonary disease (COPD) or interstitial lung disease (ILD). This European Respiratory Society (ERS) task force aimed to provide recommendati...

Chargement des enrichissements...