COVID-19 Curbside Consults

The role of palliative care in COVID-19

Denise Sese, MD, Ahed Makhoul, MD, Laura Hoeksema, MD and Laura Shoemaker, DO, MS, FAAHPM
Cleveland Clinic Journal of Medicine May 2020, DOI: https://doi.org/10.3949/ccjm.87a.ccc036

ABSTRACT

In light of the COVID-19 pandemic, many healthcare systems are experiencing an increased demand for palliative care (PC). To meet this challenge, the PC team at Cleveland Clinic designed an enterprise-wide response plan organized around 4 domains: staff (educational resources and tools), stuff (medications and supplies), space (recommendations for optimizing physical space and facilities), and systems to facilitate high-quality PC delivery to patients. To mitigate isolation during end-of-life care, the Clinic offers “compassionate exceptions” to strict visitation policies, provides personal protective equipment to visitors of these patients, and facilitates virtual visitation via electronic devices.

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  1. Denise Sese, MD
  1. Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic
  1. Ahed Makhoul, MD
  1. Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic
  1. Laura Hoeksema, MD
  1. Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic
  1. Laura Shoemaker, DO, MS, FAAHPM
  1. Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic

ABSTRACT

In light of the COVID-19 pandemic, many healthcare systems are experiencing an increased demand for palliative care (PC). To meet this challenge, the PC team at Cleveland Clinic designed an enterprise-wide response plan organized around 4 domains: staff (educational resources and tools), stuff (medications and supplies), space (recommendations for optimizing physical space and facilities), and systems to facilitate high-quality PC delivery to patients. To mitigate isolation during end-of-life care, the Clinic offers “compassionate exceptions” to strict visitation policies, provides personal protective equipment to visitors of these patients, and facilitates virtual visitation via electronic devices.

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