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"Palliative Pandemic Plan," Triage and Symptoms Algorithm as a Strategy to Decrease Providers' Exposure, While Trying
Santiago Lopez1, Gene Decastro, Katlynn M Van Ogtrop1
1North Shore University Hospital, Northwell Health, Manhasset, New York, NY, USA.
The American Journal of Hospice & Palliative Care
|July 22, 2020
Summary
The Geriatrics and Palliative (GAP) Medicine team developed a two-team approach with triage algorithms to manage palliative care needs for patients with or under investigation for COVID-19, optimizing care during the pandemic.
Area of Science:
- Geriatrics
- Palliative Medicine
- Infectious Diseases
Background:
- Global surge in COVID-19 cases strained healthcare systems.
- Existing shortages in palliative care were exacerbated by the pandemic.
- Increased demand for palliative services for COVID-19 patients and those under investigation.
Purpose of the Study:
- To outline a structured approach for palliative care delivery during the COVID-19 pandemic.
- To implement triage algorithms for palliative consults and acute symptom management.
- To protect healthcare providers and families while ensuring patient care.
Main Methods:
- Formation of a two-team approach by the Geriatrics and Palliative (GAP) Medicine team.
- Development of triage algorithms for palliative care consults.
- Establishment of guidelines for acute symptom management in COVID-19 patients.
Main Results:
- Streamlined palliative care services during a healthcare crisis.
- Provided essential palliative care to patients with COVID-19.
- Supported frontline staff with primary palliative care interventions.
- Minimized infection risk and burnout for the GAP team.
Conclusions:
- The two-team approach and triage algorithms effectively managed palliative care needs during the COVID-19 pandemic.
- This model enhanced care delivery, supported staff, and protected healthcare providers.
- The strategy proved vital for maintaining palliative medicine services under duress.
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