Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Purpose of review Supportive and palliative care services have been an important component of the overall COVID-19 pandemic response. However, significant changes in the provision and models of care were needed in order to optimize the care delivered to vulnerable cancer patients. This review discusses the evolution of palliative and supportive care service in response to the pandemic, and highlights remaining challenges. Recent findings Direct competition for resources, as well as widespread implementation of safety measures resulted in major shifts in the mode of assessment and communication with cancer patients by supportive care teams. Telemedicine/virtual consultation and follow-up visits became an integral strategy, with high uptake and satisfaction amongst patients, families and providers. However, inequities in access to the required technologies were sometimes exposed. Hospice/palliative care unit (PCU) bed occupancy declined markedly because of restrictive visitation policies. Collection of patient-reported outcome (PRO) data was suspended in many cancer centers, with resulting under-recognition of anxiety and depression in ambulatory patients. As in many other areas, disparities in delivery of supportive and palliative care were magnified by the pandemic. Summary Virtual care platforms have been widely adopted and will continue to be used to include a wider circle of family/friends and care providers in the provision of palliative and supportive c...
Source: Current Opinion in Supportive and Palliative Care - Category: Palliative Care Tags: IMPACT OF THE COVID-19 PANDEMIC ON THE PROVISION AND MODELS OF DELIVERING SUPPORTIVE AND PALLIATIVE CARE: Edited by Janet Ellis, Sarah Hales and Madeline Li Source Type: research