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  1. Article ; Online: Palliative Care in Toronto During the COVID-19 Pandemic.

    Wentlandt, Kirsten / Cook, Rose / Morgan, Matt / Nowell, Allyson / Kaya, Ebru / Zimmermann, Camilla

    Journal of pain and symptom management

    2021  Volume 62, Issue 3, Page(s) 615–618

    Abstract: ... the palliative care needs of patients with COVID-19 were not realized in Toronto. This article explores the effects ... into how COVID-19 could affect the Canadian palliative care system, it remained unclear what to expect ... the international need for strategies to ensure the integration of palliative care into COVID-19 management, and ...

    Abstract Coronavirus disease 2019 (COVID-19) first emerged in China in December 2019 and was declared a pandemic by the World Health Organization on March 11, 2020. Clinicians around the world looked to cities that first experienced major surges to inform their preparations to prevent and manage the impact the pandemic would bring to their patients and health care systems. Although this information provided insight into how COVID-19 could affect the Canadian palliative care system, it remained unclear what to expect. Toronto, the largest city in Canada, experienced its first known case of COVID-19 in January 2020, with the first peak in cases occurring in April and its second wave beginning this September. Despite warnings of increased clinical loads, as well as widespread shortages of staff, personal protection equipment, medications, and inpatient beds, the calls to action by international colleagues to support the palliative care needs of patients with COVID-19 were not realized in Toronto. This article explores the effects of the pandemic on Toronto's palliative care planning and reports of clinical load and capacity, beds, staffing and redeployment, and medication and PPE shortages. The Toronto palliative care experience illustrates the international need for strategies to ensure the integration of palliative care into COVID-19 management, and to optimize the use of palliative care systems during the pandemic.
    MeSH term(s) COVID-19 ; Canada ; Humans ; Palliative Care ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2021-02-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639142-4
    ISSN 1873-6513 ; 0885-3924
    ISSN (online) 1873-6513
    ISSN 0885-3924
    DOI 10.1016/j.jpainsymman.2021.01.137
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2252: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Protocol for an integrative review: patient and families' perspectives on telehealth in palliative care.

    Bauer, Eithne Hayes / Schultz, Anders Nikolai Ørsted / Brandt, Frans / Smith, Anthony C / Bollig, Georg / Dieperink, Karin Brochstedt

    BMJ open

    2022  Volume 12, Issue 9, Page(s) e062723

    Abstract: ... to, and during, the COVID-19 pandemic have resulted in a proliferation of studies on the topic ... Introduction: Increases in the use of telehealth in palliative care (telepalliative care) prior ... While knowledge is building on how providers and recipients adapt to telepalliative care, no reviews have ...

    Abstract Introduction: Increases in the use of telehealth in palliative care (telepalliative care) prior to, and during, the COVID-19 pandemic have resulted in a proliferation of studies on the topic. While knowledge is building on how providers and recipients adapt to telepalliative care, no reviews have, as of yet, examined telepalliative care from a patient and family perspective. Therefore, the aim of this integrative review is to explore patients and families' perspectives on telepalliative.
    Methods and analysis: An integrative review will be performed inspired by the methodology of Remmington and Toronto from March 2022 to December 2022. Medline, Embase, PsycINFO and CINAHL will be searched for primary peer-reviewed studies that describe telepalliative care from patient and families' perspectives. Limiters will be used for age; 18 years+, time; 10 years, and language; English and Danish. Hand searches of authors of included articles and reference lists of included articles will be performed. Two reviewers will independently screen and appraise selected articles using the Mixed Method Appraisal Tool. Conflicts will be resolved through discussions with a third reviewer. Data will be extracted independently by two reviewers into a data matrix with predefined headings and analysed using thematic analysis. Findings will be reported thematically, summarised into a thematic synthesis and discussed in relation to relevant literature.
    Ethics and dissemination: Ethical approval is not required for this review. Results will be published in an international peer-reviewed journal and presented at a relevant international conference. Reporting of this protocol was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses Protocol checklist and prospectively reported to PROSPERO (CRD42022301206).
    MeSH term(s) Humans ; Palliative Care/methods ; Pandemics ; COVID-19 ; Hospice and Palliative Care Nursing ; Research Design ; Telemedicine ; Review Literature as Topic
    Language English
    Publishing date 2022-09-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-062723
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Palliative care provision at a tertiary cancer center during a global pandemic.

    Hannon, Breffni / Mak, Ernie / Al Awamer, Ahmed / Banerjee, Subrata / Blake, Christopher / Kaya, Ebru / Lau, Jenny / Lewin, Warren / O'Connor, Brenda / Saltman, Alexandra / Zimmermann, Camilla

    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

    2020  Volume 29, Issue 5, Page(s) 2501–2507

    Abstract: ... palliative care teams are uniquely placed to support patients with cancer who also have COVID-19. This may include ... outcomes related to COVID-19. This paper highlights the unique challenges faced by a palliative care team ... and was declared a global pandemic by the World Health Organization in March 2020. The palliative care ...

    Abstract COVID-19 was first reported in Wuhan, China, in December 2019; it rapidly spread around the world and was declared a global pandemic by the World Health Organization in March 2020. The palliative care program at the Princess Margaret Cancer Centre, Toronto, Canada, provides comprehensive care to patients with advanced cancer and their families, through services including an acute palliative care unit, an inpatient consultation service, and an ambulatory palliative care clinic. In the face of a global pandemic, palliative care teams are uniquely placed to support patients with cancer who also have COVID-19. This may include managing severe symptoms such as dyspnea and agitation, as well as guiding advance care planning and goals of care conversations. In tandem, there is a need for palliative care teams to continue to provide care to patients with advanced cancer who are COVID-negative but who are at higher risk of infection and adverse outcomes related to COVID-19. This paper highlights the unique challenges faced by a palliative care team in terms of scaling up services in response to a global pandemic while simultaneously providing ongoing support to their patients with advanced cancer at a tertiary cancer center.
    MeSH term(s) COVID-19/epidemiology ; Canada/epidemiology ; Humans ; Neoplasms/therapy ; Palliative Care/methods ; Pandemics ; SARS-CoV-2/isolation & purification ; Tertiary Care Centers
    Keywords covid19
    Language English
    Publishing date 2020-09-15
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1134446-5
    ISSN 1433-7339 ; 0941-4355
    ISSN (online) 1433-7339
    ISSN 0941-4355
    DOI 10.1007/s00520-020-05767-5
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3697: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article: Shortages of Palliative Care Medications in Canada during the COVID-19 Pandemic: Gambling with Suffering.

    Pereira, Jose / Arya, Amit / Downar, James / Rice, Patty / MacDonald, Susan / Osborne, Ed / Kanji, Salmaan / Sauls, Robert

    Healthcare quarterly (Toronto, Ont.)

    2021  Volume 23, Issue 4, Page(s) 17–22

    Abstract: ... medications used to provide palliation have been reported during the COVID-19 pandemic. This article explores ... Patients with serious illnesses such as cancer, advanced organ failure, dementia and COVID-19 rely ... them. It calls on all levels of the healthcare system and the government to address this problem. Shortages ...

    Abstract Patients with serious illnesses such as cancer, advanced organ failure, dementia and COVID-19 rely on medications to alleviate suffering from uncontrolled symptoms. Numerous actual or threatened shortages of key medications used to provide palliation have been reported during the COVID-19 pandemic. This article explores the nature of these shortages, factors that have contributed to them and strategies to mitigate them. It calls on all levels of the healthcare system and the government to address this problem. Shortages in these medications are as serious as shortages in medications used to cure or control diseases.
    MeSH term(s) COVID-19/drug therapy ; Canada ; Humans ; Palliative Care ; Pharmaceutical Preparations/supply & distribution
    Chemical Substances Pharmaceutical Preparations
    Language English
    Publishing date 2021-01-21
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2020.26398
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Patient and families' perspectives on telepalliative care: A systematic integrative review.

    Hayes Bauer, Eithne / Schultz, Anders Nikolai Ørsted / Brandt, Frans / Smith, Anthony C / Bollig, Georg / Dieperink, Karin Brochstedt

    Palliative medicine

    2023  Volume 38, Issue 1, Page(s) 42–56

    Abstract: ... Results: Forty-four studies were included. Analysis revealed five themes; the effect of the Covid-19 ... pandemic on telepalliative care, adding value for patients and families, synchronous and asynchronous ... synchronous and asynchronous solutions. Further research should examine telepalliative care in a post-pandemic ...

    Abstract Background: Telepalliative care is increasingly used in palliative care, but has yet to be examined from a patient and family perspective. A synthesis of evidence may provide knowledge on how to plan and provide telepalliative care that caters specifically to patients and families' needs.
    Objective: To synthesise evidence on patients and families' perspectives on telepalliative care.
    Design: A systematic integrative review (PROSPERO #CRD42022301206) reported in accordance with PRISMA 2020 guidelines. Inclusion criteria; primary peer-reviewed studies published 2011-2022, patient and family perspective, >18 years, telepalliative care and English/Danish language. Quality was appraised using the mixed-methods appraisal tool, version 2020. Guided by Toronto and Remington, data were extracted, thematically analysed and synthesised.
    Data sources: MEDLINE, EMBASE, PsycINFO and CINAHL were searched in March 2022 and updated in February 2023.
    Results: Forty-four studies were included. Analysis revealed five themes; the effect of the Covid-19 pandemic on telepalliative care, adding value for patients and families, synchronous and asynchronous telepalliative care, the integration of telepalliative care with other services and the tailoring and timing of telepalliative care.
    Conclusion: Enhanced access to care and convenience, as attributes of telepalliative care, are highly valued. Patients and families have varying needs during the illness trajectory that may be addressed by early integration of telepalliative care based on models of care that are flexible and combine synchronous and asynchronous solutions. Further research should examine telepalliative care in a post-pandemic context, use of models of care and identify meaningful outcome measures from patient and family perspectives for evaluation of telepalliative care.
    MeSH term(s) Humans ; Pandemics ; Palliative Care/methods ; Hospice and Palliative Care Nursing
    Language English
    Publishing date 2023-12-19
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 639247-7
    ISSN 1477-030X ; 0269-2163
    ISSN (online) 1477-030X
    ISSN 0269-2163
    DOI 10.1177/02692163231217146
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2285: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Protocol for an integrative review

    Georg Bollig / Karin Brochstedt Dieperink / Anthony C Smith / Anders Nikolai Ørsted Schultz / Eithne Hayes Bauer / Frans Brandt

    BMJ Open, Vol 12, Iss

    patient and families’ perspectives on telehealth in palliative care

    2022  Volume 9

    Abstract: ... to, and during, the COVID-19 pandemic have resulted in a proliferation of studies on the topic ... Introduction Increases in the use of telehealth in palliative care (telepalliative care) prior ... While knowledge is building on how providers and recipients adapt to telepalliative care, no reviews have ...

    Abstract Introduction Increases in the use of telehealth in palliative care (telepalliative care) prior to, and during, the COVID-19 pandemic have resulted in a proliferation of studies on the topic. While knowledge is building on how providers and recipients adapt to telepalliative care, no reviews have, as of yet, examined telepalliative care from a patient and family perspective. Therefore, the aim of this integrative review is to explore patients and families’ perspectives on telepalliative.Methods and analysis An integrative review will be performed inspired by the methodology of Remmington and Toronto from March 2022 to December 2022. Medline, Embase, PsycINFO and CINAHL will be searched for primary peer-reviewed studies that describe telepalliative care from patient and families’ perspectives. Limiters will be used for age; 18 years+, time; 10 years, and language; English and Danish. Hand searches of authors of included articles and reference lists of included articles will be performed. Two reviewers will independently screen and appraise selected articles using the Mixed Method Appraisal Tool. Conflicts will be resolved through discussions with a third reviewer. Data will be extracted independently by two reviewers into a data matrix with predefined headings and analysed using thematic analysis. Findings will be reported thematically, summarised into a thematic synthesis and discussed in relation to relevant literature.Ethics and dissemination Ethical approval is not required for this review. Results will be published in an international peer-reviewed journal and presented at a relevant international conference. Reporting of this protocol was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses Protocol checklist and prospectively reported to PROSPERO (CRD42022301206).
    Keywords Medicine ; R
    Subject code 420
    Language English
    Publishing date 2022-09-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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