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The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit-evaluation of attitude and competence in palliative care and hospice.

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Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
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[General palliative care during the pandemic].

J Schwartz1, M C Reuters1, M Schallenburger1

  • 1Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität, Moorenstraße 5, 40225 Düsseldorf, Deutschland.

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The COVID-19 pandemic severely impacted palliative care in Germany. Innovative communication and flexible visitor policies are crucial to ensure quality end-of-life care for patients and families.

Keywords:
COVID-19CommunicationPatient careSeriously ill patientsVisiting regulations

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Area of Science:

  • Healthcare system challenges
  • Palliative care research
  • Pandemic response

Context:

  • German healthcare system facing unprecedented challenges during the SARS-CoV-2 pandemic.
  • Palliative care for critically ill patients and families severely compromised during the pandemic's first wave.
  • Impact on both inpatient and outpatient palliative care settings.

Purpose:

  • Describe best-practice examples for improving or maintaining palliative care during the pandemic.
  • Based on routine inpatient palliative care experience and the PallPan study.
  • Address challenges in routine inpatient palliative care.

Summary:

  • Restrictive visitor regulations, communication barriers, and limited family presence pose significant challenges in inpatient palliative care.
  • Need for structures enabling therapy discussions and end-of-life care with relatives present.
  • Innovative communication methods like video calls and individualized exceptions to visitor restrictions are necessary.

Impact:

  • Ensuring adequate care for seriously ill and dying patients and their relatives during the pandemic is essential.
  • Individualized arrangements and earlier involvement of specialized palliative care teams can be beneficial.
  • Maintaining high-quality palliative care requires structural adaptations and innovative communication strategies.