PropertyValue
?:abstract
  • Telemedicine technology has become essential to healthcare delivery in the COVID-19 era, but concerns remain regarding whether the intimacy and communication that is central to high-quality palliative care will be compromised by the use of this technology. We employed a business model approach to identify the need for system innovation in palliative care, and a quality improvement approach to structure the project. Products from this project included a standard operating procedure for safe use of tablet computers for inpatient palliative care consultations and family visitations; tablet procurement with installation of video telehealth software; and training and education for clinical staff and other stakeholders. We describe a case illustrating the successful use of palliative care telehealth in the care of a COVID-19-positive patient at the end of life. Successful use of video telehealth for palliative care involved overcoming inertia to the development of telehealth infrastructure and learning clinical video telehealth skills; and engaging front-line care staff and family members who were open to a trial of telehealth for communication. Information gleaned from family about the patient as a person helped bedside staff to tailor care toward aspects meaningful to the patient and family and informed best practices to incorporate intimacy into future palliative video consultations and family visit.
?:creator
?:doi
  • 10.1177/1049909120948235
?:doi
?:journal
  • Am_J_Hosp_Palliat_Care
?:license
  • cc-by
?:pdf_json_files
  • document_parses/pdf_json/70a981b6ad6ce8cd6e398f92ee7002642a43c657.json
?:pmc_json_files
  • document_parses/pmc_json/PMC7488822.xml.json
?:pmcid
?:pmid
?:pmid
  • 32762477.0
?:publication_isRelatedTo_Disease
?:sha_id
?:source
  • Medline; PMC
?:title
  • Reinventing Palliative Care Delivery in the Era of COVID-19: How Telemedicine Can Support End of Life Care
?:type
?:year
  • 2020-08-07

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