Palliative Care in COVID-19 – ICST

Palliative Care in COVID-19

Patients with COVID-19 can deteriorate very rapidly to end of life, and therefore the aim of this programme is to outline a strategy for managing these patients to avoid distress when dying. All Wales COVID-19 Palliative Care Guidance (linked below) has been generated to support frontline teams in this distressing end of life context.

Check out the guidelines and tutorials on the ward management of patients with COVID-19, and some useful resources.

Sub-tutorials

Principles of Palliative Care on Intensive Care

Principles of Palliative Care on a COVID-19 Ward

Managing patients with COVID-19 rapidly deteriorating to end of life when CPAP/NIV is their ceiling of care

Managing patients with COVID-19 rapidly deteriorating to end of life when oxygen therapy is their ceiling of care

Managing Cough in end-of-life care

Managing Delirium in end-of-life care

Managing Breathlessness in end-of-life care

Breaking bad news over the phone

Chaplaincy and spiritual care during COVID-19

Completing a death certificate and registering a death in COVID-19

Guidelines

Managing patients with COVID-19 rapidly deteriorating to end of life when oxygen therapy is their ceiling of care

Managing patients with COVID-19 rapidly deteriorating to end of life when CPAP/NIV is their ceiling of care

Resources

COVID-19 and Palliative, End of Life and Bereavement Care in Secondary Care

Association of Palliative Care Medicine guidelines on the role of the specialty and guidance to aid care

Talk CPR – Discuss DNACPR

Talk CPR’s goal is to encourage conversation about CardioPulmonary Resuscitation (CPR) for people affected by life-limiting and palliative illnesses. Talking about Do Not Attempt CardioPulmonary Resuscitation (DNACPR) is an important part of advance care planning and can help minimise distress at a later stage.

ICNARC report on COVID-19 in critical care

This report presents analyses of data on patients critically ill with confirmed COVID-19 reported to ICNARC up to 4pm on 16 April 2020 from critical care units in England, Wales and Northern Ireland.

APM guidance on managing cough in end-of-life care

The UK Association for Palliative Medicine (APM) have provided some strategies for managing cough in End-of-Life care in Covid-19 situations.

APM guidance on managing delirium in end-of-life care

The UK Association for Palliative Medicine (APM) have provided some strategies for managing delirium in End-of-Life care in Covid-19 situations.

APM guidance on managing breathlessness in end-of-life care

The UK Association for Palliative Medicine (APM) have provided some strategies for managing breathlessness in End-of-Life care in Covid-19 situations

Decision Support Aid

The Wales Critical Care and Trauma Network in collaboration with the Welsh Intensive Care Society, alongside senior intensivists across Wales, offer a process for assisting with the assessment of risks and benefits to patients of critical care treatment which, used judiciously, is of benefit to referring clinicians to better understand the rationale behind the decision making of the Intensivist on whether escalation of treatment will likely benefit an individual.

Chaplaincy links and contact details during COVID-19

Helpful prayers and resources, live streamed services and prayers, recorded services by denomination, and contact details for the relevant Lead Chaplain for different areas in Wales.

© Institute of Clinical Science and Technology (ICST) 2020

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