End of Life Intervention Program During COVID-19 in Vall d'Hebron University Hospital
Introduction: The coronavirus disease 19 (COVID-19) and its consequences have placed our societies and healthcare systems under pressure. Also, a major impact on the individual and societal experience of death, dying, and bereavement has been observed. Factors such as social distancing, unexpected d...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-05-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.608973/full |
| _version_ | 1819047671059447808 |
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| author | Anna Beneria Anna Beneria Eudald Castell-Panisello Marta Sorribes-Puertas Mireia Forner-Puntonet Mireia Forner-Puntonet Mireia Forner-Puntonet Laia Serrat Sara García-González Maria Garriga Carmen Simon Consuelo Raya Maria José Montes Giuliana Rios Rosa Bosch Rosa Bosch Rosa Bosch Bárbara Citoler Helena Closa Montserrat Corrales Montserrat Corrales Montserrat Corrales Constanza Daigre Constanza Daigre Constanza Daigre Mercedes Delgado Maria Emilia Dip Neus Estelrich Carlos Jacas Benjamin Lara Jorge Lugo-Marin Zaira Nieto-Fernández Christina Regales Pol Ibáñez Eunice Blanco Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga |
| author_facet | Anna Beneria Anna Beneria Eudald Castell-Panisello Marta Sorribes-Puertas Mireia Forner-Puntonet Mireia Forner-Puntonet Mireia Forner-Puntonet Laia Serrat Sara García-González Maria Garriga Carmen Simon Consuelo Raya Maria José Montes Giuliana Rios Rosa Bosch Rosa Bosch Rosa Bosch Bárbara Citoler Helena Closa Montserrat Corrales Montserrat Corrales Montserrat Corrales Constanza Daigre Constanza Daigre Constanza Daigre Mercedes Delgado Maria Emilia Dip Neus Estelrich Carlos Jacas Benjamin Lara Jorge Lugo-Marin Zaira Nieto-Fernández Christina Regales Pol Ibáñez Eunice Blanco Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga |
| author_sort | Anna Beneria |
| collection | DOAJ |
| description | Introduction: The coronavirus disease 19 (COVID-19) and its consequences have placed our societies and healthcare systems under pressure. Also, a major impact on the individual and societal experience of death, dying, and bereavement has been observed. Factors such as social distancing, unexpected death or not being able to say goodbye, which might predict Prolonged Grief Disorder (PGD), are taking place. Moreover, hospitals have become a habitual place for End of Life (EOL) situations but not in the usual conditions because, for example, mitigation measures prevent families from being together with hospitalized relatives. Therefore, we implemented an EOL program with a multidisciplinary team involving health social workers (HSW) and clinical psychologists (CP) in coordination with the medical teams and nursing staff.Objectives: We aim to describe an EOL intervention program implemented during COVID-19 in the Vall d'Hebron University Hospital (HUVH). We present its structure, circuit, and functions. Descriptive analyses of the sample and the interventions that required psychological and social attention are reported.Material and methods: The total sample consists of 359 relatives of 219 EOL patients. Inclusion criteria were families cared for during the COVID-19 pandemic with family patients admitted to the HUVH in an EOL situation regardless of whether or not the patient was diagnosed with COVID-19.Results: Our program is based on family EOL care perceptions and the COVID-19 context features that hinder EOL situations. The program attended 219 families, of which 55.3% were COVID-19 patients and 44.7% had other pathologies. The EOL intervention program was activated in most of the EOL situations, specifically, in 85% of cases, and 78% of relatives were able to come and say goodbye to their loved ones. An emotional impact on the EOL team was reported. It is necessary to dignify the EOL situation in the COVID-19 pandemic, and appropriate psychosocial attention is needed to try to minimize future complications in grief processes and mitigate PGD. |
| first_indexed | 2024-12-21T11:04:04Z |
| format | Article |
| id | doaj.art-52bca4e14682429cac9e2370f988fc57 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-21T11:04:04Z |
| publishDate | 2021-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-52bca4e14682429cac9e2370f988fc572022-12-21T19:06:16ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-05-011210.3389/fpsyt.2021.608973608973End of Life Intervention Program During COVID-19 in Vall d'Hebron University HospitalAnna Beneria0Anna Beneria1Eudald Castell-Panisello2Marta Sorribes-Puertas3Mireia Forner-Puntonet4Mireia Forner-Puntonet5Mireia Forner-Puntonet6Laia Serrat7Sara García-González8Maria Garriga9Carmen Simon10Consuelo Raya11Maria José Montes12Giuliana Rios13Rosa Bosch14Rosa Bosch15Rosa Bosch16Bárbara Citoler17Helena Closa18Montserrat Corrales19Montserrat Corrales20Montserrat Corrales21Constanza Daigre22Constanza Daigre23Constanza Daigre24Mercedes Delgado25Maria Emilia Dip26Neus Estelrich27Carlos Jacas28Benjamin Lara29Jorge Lugo-Marin30Zaira Nieto-Fernández31Christina Regales32Pol Ibáñez33Eunice Blanco34Josep Antoni Ramos-Quiroga35Josep Antoni Ramos-Quiroga36Josep Antoni Ramos-Quiroga37Josep Antoni Ramos-Quiroga38Department of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute, Barcelona, SpainDepartment of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Social Work, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Social Work, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Social Work, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Social Work, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Social Work, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, SpainBiomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, SpainBiomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute, Barcelona, SpainBiomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute, Barcelona, SpainDepartment of Social Work, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainDepartment of Psychiatry, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, SpainGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute, Barcelona, SpainDepartment of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, SpainBiomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, SpainIntroduction: The coronavirus disease 19 (COVID-19) and its consequences have placed our societies and healthcare systems under pressure. Also, a major impact on the individual and societal experience of death, dying, and bereavement has been observed. Factors such as social distancing, unexpected death or not being able to say goodbye, which might predict Prolonged Grief Disorder (PGD), are taking place. Moreover, hospitals have become a habitual place for End of Life (EOL) situations but not in the usual conditions because, for example, mitigation measures prevent families from being together with hospitalized relatives. Therefore, we implemented an EOL program with a multidisciplinary team involving health social workers (HSW) and clinical psychologists (CP) in coordination with the medical teams and nursing staff.Objectives: We aim to describe an EOL intervention program implemented during COVID-19 in the Vall d'Hebron University Hospital (HUVH). We present its structure, circuit, and functions. Descriptive analyses of the sample and the interventions that required psychological and social attention are reported.Material and methods: The total sample consists of 359 relatives of 219 EOL patients. Inclusion criteria were families cared for during the COVID-19 pandemic with family patients admitted to the HUVH in an EOL situation regardless of whether or not the patient was diagnosed with COVID-19.Results: Our program is based on family EOL care perceptions and the COVID-19 context features that hinder EOL situations. The program attended 219 families, of which 55.3% were COVID-19 patients and 44.7% had other pathologies. The EOL intervention program was activated in most of the EOL situations, specifically, in 85% of cases, and 78% of relatives were able to come and say goodbye to their loved ones. An emotional impact on the EOL team was reported. It is necessary to dignify the EOL situation in the COVID-19 pandemic, and appropriate psychosocial attention is needed to try to minimize future complications in grief processes and mitigate PGD.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.608973/fullend of lifeintervention programCOVID-19mental healthgriefprolonged grief disorder |
| spellingShingle | Anna Beneria Anna Beneria Eudald Castell-Panisello Marta Sorribes-Puertas Mireia Forner-Puntonet Mireia Forner-Puntonet Mireia Forner-Puntonet Laia Serrat Sara García-González Maria Garriga Carmen Simon Consuelo Raya Maria José Montes Giuliana Rios Rosa Bosch Rosa Bosch Rosa Bosch Bárbara Citoler Helena Closa Montserrat Corrales Montserrat Corrales Montserrat Corrales Constanza Daigre Constanza Daigre Constanza Daigre Mercedes Delgado Maria Emilia Dip Neus Estelrich Carlos Jacas Benjamin Lara Jorge Lugo-Marin Zaira Nieto-Fernández Christina Regales Pol Ibáñez Eunice Blanco Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga Josep Antoni Ramos-Quiroga End of Life Intervention Program During COVID-19 in Vall d'Hebron University Hospital Frontiers in Psychiatry end of life intervention program COVID-19 mental health grief prolonged grief disorder |
| title | End of Life Intervention Program During COVID-19 in Vall d'Hebron University Hospital |
| title_full | End of Life Intervention Program During COVID-19 in Vall d'Hebron University Hospital |
| title_fullStr | End of Life Intervention Program During COVID-19 in Vall d'Hebron University Hospital |
| title_full_unstemmed | End of Life Intervention Program During COVID-19 in Vall d'Hebron University Hospital |
| title_short | End of Life Intervention Program During COVID-19 in Vall d'Hebron University Hospital |
| title_sort | end of life intervention program during covid 19 in vall d hebron university hospital |
| topic | end of life intervention program COVID-19 mental health grief prolonged grief disorder |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.608973/full |
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