Grief During the COVID-19 Pandemic: Considerations for Palliative Care Providers

J Pain Symptom Manage. 2020 Jul;60(1):e70-e76. doi: 10.1016/j.jpainsymman.2020.04.012. Epub 2020 Apr 13.

Abstract

The COVID-19 pandemic is anticipated to continue spreading widely across the globe throughout 2020. To mitigate the devastating impact of COVID-19, social distancing and visitor restrictions in health care facilities have been widely implemented. Such policies and practices, along with the direct impact of the spread of COVID-19, complicate issues of grief that are relevant to medical providers. We describe the relationship of the COVID-19 pandemic to anticipatory grief, disenfranchised grief, and complicated grief for individuals, families, and their providers. Furthermore, we provide discussion regarding countering this grief through communication, advance care planning, and self-care practices. We provide resources for health care providers, in addition to calling on palliative care providers to consider their own role as a resource to other specialties during this public health emergency.

Keywords: COVID-19; Grief; advance care planning; communication; end of life; loss; self-care.

MeSH terms

  • Advance Care Planning
  • COVID-19
  • Communication
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Grief*
  • Humans
  • Palliative Care / methods
  • Pandemics* / prevention & control
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Self Care