End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in Colombia
Introduction: The COVID-19 pandemic has had a significant social and health impact. Given the high risk of contagion and the potential collapse of the healthcare system, strategies such as social isolation, the use of personal protective equipment, and an increased reliance on telemedicine were adop...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2024-04-01
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| Series: | Iatreia |
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| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/351040 |
| _version_ | 1797224824160911360 |
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| author | León Delgado, Marta Ximena Acero, Angela Buitrago Reyes, Lina Angélica Rodríguez Campos, Luisa Fernanda Pino Pinzón, Carmen Juliana Consuegra Pareja, César Cuenca Anacona, Linda Lorena González Salazar, Laura Vanessa Michelsen Andrade, Mariana |
| author_facet | León Delgado, Marta Ximena Acero, Angela Buitrago Reyes, Lina Angélica Rodríguez Campos, Luisa Fernanda Pino Pinzón, Carmen Juliana Consuegra Pareja, César Cuenca Anacona, Linda Lorena González Salazar, Laura Vanessa Michelsen Andrade, Mariana |
| author_sort | León Delgado, Marta Ximena |
| collection | DOAJ |
| description | Introduction: The COVID-19 pandemic has had a significant social and health impact. Given the high risk of contagion and the potential collapse of the healthcare system, strategies such as social isolation, the use of personal protective equipment, and an increased reliance on telemedicine were adopted. These measures altered the dynamics of end-of-life patient care.
Methodology: This observational cross-sectional study explored the experiences of home care staff providing end-of-life care and the impact of the pandemic on the care process, as well as on their quality of life and emotional well-being. A survey incorporating the adapted Care Of the Dying Evaluation (iCODE) questionnaire was conducted, alongside an assessment of quality of life using question 30 of the EORTC QLQ, and emotional wellbeing using the PANAS scale.
Results: The experiences of 131 deceased patients were characterized. Professionals reported adequate therapeutic efforts in managing pain, dyspnea, and delirium. Additionally, they noted that the pandemic impeded treatment in 24% of the patients. The average quality of life score for professionals was 6 points, with a predominantly positive affect reported.
Conclusions: Healthcare professionals in home-based care programs observed that the pandemic affected the treatment of nearly a quarter of end-of-life patients. Nonetheless, they highlighted that satisfactory symptomatic care and control were maintained. Additionally, they reported an adequate quality of life. |
| first_indexed | 2024-04-24T13:59:15Z |
| format | Article |
| id | doaj.art-a3c742497a9f426f95f5b7475cf10a1d |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-04-24T13:59:15Z |
| publishDate | 2024-04-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-a3c742497a9f426f95f5b7475cf10a1d2024-04-03T13:27:15ZspaUniversidad de AntioquiaIatreia0121-07932011-79652024-04-0137216317410.17533/udea.iatreia.228End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in ColombiaLeón Delgado, Marta Ximena0https://orcid.org/0000-0003-4345-745XAcero, Angela1https://orcid.org/0000-0002-2307-8033Buitrago Reyes, Lina Angélica2https://orcid.org/0000-0002-6129-4095Rodríguez Campos, Luisa Fernanda3https://orcid.org/0000-0002-0649-9119Pino Pinzón, Carmen Juliana4https://orcid.org/0000-0002-5308-7141Consuegra Pareja, César 5https://orcid.org/0000-0002-2262-7280Cuenca Anacona, Linda Lorena 6https://orcid.org/0000-0001-7420-6771González Salazar, Laura Vanessa 7https://orcid.org/0000-0003-2879-0756Michelsen Andrade, Mariana8https://orcid.org/0000-0002-1388-8614Universidad de La Sabana, Chía, ColombiaUniversidad de La Sabana, Chía, ColombiaUniversidad Nacional de Colombia, Bogotá, ColombiaUniversidad de La Sabana, Chía, ColombiaForja Empresas, Bogotá, ColombiaCuidarte Tu Salud, Bogotá, ColombiaUniversidad de La Sabana, Chía, ColombiaUniversidad de La Sabana, Chía, ColombiaUniversidad de La Sabana, Chía, ColombiaIntroduction: The COVID-19 pandemic has had a significant social and health impact. Given the high risk of contagion and the potential collapse of the healthcare system, strategies such as social isolation, the use of personal protective equipment, and an increased reliance on telemedicine were adopted. These measures altered the dynamics of end-of-life patient care. Methodology: This observational cross-sectional study explored the experiences of home care staff providing end-of-life care and the impact of the pandemic on the care process, as well as on their quality of life and emotional well-being. A survey incorporating the adapted Care Of the Dying Evaluation (iCODE) questionnaire was conducted, alongside an assessment of quality of life using question 30 of the EORTC QLQ, and emotional wellbeing using the PANAS scale. Results: The experiences of 131 deceased patients were characterized. Professionals reported adequate therapeutic efforts in managing pain, dyspnea, and delirium. Additionally, they noted that the pandemic impeded treatment in 24% of the patients. The average quality of life score for professionals was 6 points, with a predominantly positive affect reported. Conclusions: Healthcare professionals in home-based care programs observed that the pandemic affected the treatment of nearly a quarter of end-of-life patients. Nonetheless, they highlighted that satisfactory symptomatic care and control were maintained. Additionally, they reported an adequate quality of life.https://revistas.udea.edu.co/index.php/iatreia/article/view/351040terminal carepalliative carecovid 19health personnelpandemics |
| spellingShingle | León Delgado, Marta Ximena Acero, Angela Buitrago Reyes, Lina Angélica Rodríguez Campos, Luisa Fernanda Pino Pinzón, Carmen Juliana Consuegra Pareja, César Cuenca Anacona, Linda Lorena González Salazar, Laura Vanessa Michelsen Andrade, Mariana End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in Colombia Iatreia terminal care palliative care covid 19 health personnel pandemics |
| title | End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in Colombia |
| title_full | End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in Colombia |
| title_fullStr | End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in Colombia |
| title_full_unstemmed | End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in Colombia |
| title_short | End-of-Life Care During the Pandemic. Perspectives from Healthcare Professionals in Home-based Palliative Care in Colombia |
| title_sort | end of life care during the pandemic perspectives from healthcare professionals in home based palliative care in colombia |
| topic | terminal care palliative care covid 19 health personnel pandemics |
| url | https://revistas.udea.edu.co/index.php/iatreia/article/view/351040 |
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