Working upstream in advance care planning in pandemic palliative care

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ZAUROVA, Milana | KROUSS, Mona | ISRAILOV, Sigal | HART, Louis | JALON, Hillary | CONLEY, Georgia | LUONG, Khoi | WEI, Eric K. | SMELTZ, Robert | FRANKENTHALER, Michael | NICHOLS, Jeffrey | COHEN, Susan | SULEMAN, Natasha | IVANYUK, Marina | SHULMAN, Pavel | TALA, Osbely | PARKER, Lauren | CASTOR, Tita | PEARLSTEIN, Nicole | KAVANAGH, Elizabeth | CHO, Hyung J.

The coronavirus disease 2019 (COVID-19) pandemic has highlighted the central importance of palliative care to our increasingly strained healthcare system. Palliative care is specialized care for people struggling with serious illnesses. Its aim is to improve the patient's quality of life by providing expert-level symptom management and skilled communication and by supporting caregivers to ensure patients and their families receive goal-concordant care. Faced with a reality that patients with frailty and serious illness are the most vulnerable to critical illness and death, early inquiries into patient and family wishes were essential to avoid preventable suffering. To prevent spread of the virus, patients' loved ones were not allowed inside of hospitals across New York, further emphasizing the importance of proficient communication between patients, their families, and the healthcare teams. [1er paragraphe]

http://dx.doi.org/10.1089/hs.2020.0096

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