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Published on: May 29, 2020
Dying Alone during a Pandemic
Sujin Ann-Yi1, Ahsan Azhar1, Eduardo Bruera1
1Department of Palliative Care, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Insights
The COVID-19 pandemic necessitated hospital visitation changes, negatively impacting patients, families, and staff well-being. Balancing safety with patient-family support is crucial for healthcare institutions.
Area of Science:
- Healthcare Management
- Public Health Policy
- Patient Experience
Background:
- The COVID-19 pandemic imposed significant challenges on healthcare systems globally.
- Hospitals implemented stringent visitation policies to curb virus transmission.
- These policies adversely affected patient well-being, family connections, and staff morale.
Purpose of the Study:
- To illustrate the impact of pandemic-related visitation restrictions in a healthcare setting.
- To identify challenges in uniformly implementing these policy changes.
- To propose strategies for supporting patients and families during such crises.
Main Methods:
- A case illustration approach was used to describe institutional experiences.
- Analysis focused on the practical implementation of visitation policy changes.
- Qualitative insights were gathered regarding patient, family, and staff experiences.
Main Results:
- Visitation restrictions led to negative consequences for patient and family well-being.
- Staff experienced moral distress due to the inability to facilitate family presence.
- Uniform implementation of policy changes presented significant institutional challenges.
Conclusions:
- Healthcare facilities must balance infection control with the essential need for patient-family support.
- Innovative communication strategies are vital to mitigate the negative impacts of restricted visitation.
- Proactive measures are needed to support patients, families, and healthcare staff during public health emergencies.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented experience that has had profound impact and consequences for health care providers, visitation policies, and procedures. Hospitals and health care facilities were forced to implement changes to visitation policies, in an effort, to minimize transmission of the virus, which unfortunately had negative impact on patients' and family members' well-being as well as moral distress for the staff. We present here a case illustration of the impacts of such a response to the pandemic situation at our institution, including challenges for uniformly implementing such a change along with suggestions to support patients during these difficult times. Health care facilities should make efforts to maintain balance between safety precautions and minimizing potential negative impacts on patients, families, and staff by implementing innovative measures to support ongoing communication and access to family support.
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