Psychosocial Aspects of COVID-19 in the Context of Palliative Care - A Quick Review.
Identifieur interne : 000097 ( Main/Exploration ); précédent : 000096; suivant : 000098Psychosocial Aspects of COVID-19 in the Context of Palliative Care - A Quick Review.
Auteurs : Seema Rajesh Rao [Inde, Royaume-Uni] ; Odette Spruijt [Australie] ; Poornima Sunder [Inde] ; Sunitha Daniel [Inde, Royaume-Uni] ; Rajashree K. Chittazhathu [Inde] ; Shoba Nair [Inde, Royaume-Uni] ; Mhoira Leng [Ouganda, Royaume-Uni] ; M M Sunil Kumar [Inde] ; Biju Raghavan [Inde] ; Athul Joseph Manuel [Inde] ; Vineetha Rijju [Inde] ; Geetha Vijay [Inde] ; Anupama V. Prabhu [Inde] ; Uma Parameswaran [Inde] ; Chitra Venkateswaran [Inde]Source :
- Indian journal of palliative care [ 0973-1075 ] ; 2020.
Abstract
In a resource-poor country like India, where the health-care systems are difficult to access, overburdened, and unaffordable to many, the impact of the coronavirus disease 2019 (COVID-19) pandemic can be devastating. The increased burden of serious health-related suffering can impact the well-being of health-care workers, patients, and their families alike. The elderly, the frail, the vulnerable, and those with multiple comorbidities are disproportionately affected. Palliative care, with its comprehensive and inclusive approach, has much to offer in terms of alleviating the suffering, particularly those caused by the distressing physical and psycho-socio-spiritual symptoms, the complex medical decision-making, end-of-life care issues, and grief and bereavement, and needs to be integrated into the pathway of care provision in COVID-19. Psychosocial issues contribute to and amplify suffering and are often underestimated and undertreated and not accessible to many. Empowering frontline professionals in the core concepts of psychosocial support and palliative care thus becomes an absolute necessity. This quick review was done by a group of palliative care physicians and mental health experts from India to develop recommendations for physical and psychosocial care in the context of COVID-19. This review was done as part of that process and highlights the role and challenges of the psychosocial domain of palliative care in the context of COVID-19 situation in India.
DOI: 10.4103/IJPC.IJPC_183_20
PubMed: 33088100
PubMed Central: PMC7535017
Affiliations:
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wicri:level="1"><nlm:affiliation>Makerere University and Palliative Care Education and Research Consortium, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Makerere University and Palliative Care Education and Research Consortium</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Cairdeas International Palliative Care Trust, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cairdeas International Palliative Care Trust</wicri:regionArea></affiliation></author><author><name sortKey="Sunil Kumar, M M" sort="Sunil Kumar, M M" uniqKey="Sunil Kumar M" first="M M" last="Sunil Kumar">M M Sunil Kumar</name><affiliation wicri:level="1"><nlm:affiliation>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Raghavan, Biju" sort="Raghavan, Biju" uniqKey="Raghavan B" first="Biju" last="Raghavan">Biju Raghavan</name><affiliation wicri:level="1"><nlm:affiliation>Pain and Palliative Medicine, Rajagiri Hospital, Aluva, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Pain and Palliative Medicine, Rajagiri Hospital, Aluva, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Manuel, Athul Joseph" sort="Manuel, Athul Joseph" uniqKey="Manuel A" first="Athul Joseph" last="Manuel">Athul Joseph Manuel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Covid19 Tele Health Center, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Covid19 Tele Health Center, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Rijju, Vineetha" sort="Rijju, Vineetha" uniqKey="Rijju V" first="Vineetha" last="Rijju">Vineetha Rijju</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Oncology, Aster Medcity, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Medical Oncology, Aster Medcity, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Vijay, Geetha" sort="Vijay, Geetha" uniqKey="Vijay G" first="Geetha" last="Vijay">Geetha Vijay</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Prabhu, Anupama V" sort="Prabhu, Anupama V" uniqKey="Prabhu A" first="Anupama V" last="Prabhu">Anupama V. Prabhu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Parameswaran, Uma" sort="Parameswaran, Uma" uniqKey="Parameswaran U" first="Uma" last="Parameswaran">Uma Parameswaran</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Venkateswaran, Chitra" sort="Venkateswaran, Chitra" uniqKey="Venkateswaran C" first="Chitra" last="Venkateswaran">Chitra Venkateswaran</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33088100</idno><idno type="pmid">33088100</idno><idno type="doi">10.4103/IJPC.IJPC_183_20</idno><idno type="pmc">PMC7535017</idno><idno type="wicri:Area/Main/Corpus">000062</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000062</idno><idno type="wicri:Area/Main/Curation">000062</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000062</idno><idno type="wicri:Area/Main/Exploration">000062</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Psychosocial Aspects of COVID-19 in the Context of Palliative Care - A Quick Review.</title><author><name sortKey="Rao, Seema Rajesh" sort="Rao, Seema Rajesh" uniqKey="Rao S" first="Seema Rajesh" last="Rao">Seema Rajesh Rao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Palliative Medicine and Supportive Care, Kasturba Medical College and Hospital, Manipal, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine and Supportive Care, Kasturba Medical College and Hospital, Manipal, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Cardiff, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Medicine, Cardiff</wicri:regionArea><wicri:noRegion>Cardiff</wicri:noRegion></affiliation></author><author><name sortKey="Spruijt, Odette" sort="Spruijt, Odette" uniqKey="Spruijt O" first="Odette" last="Spruijt">Odette Spruijt</name><affiliation wicri:level="1"><nlm:affiliation>Palliative Medicine Western Health Network Melbourne, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Palliative Medicine Western Health Network Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Sunder, Poornima" sort="Sunder, Poornima" uniqKey="Sunder P" first="Poornima" last="Sunder">Poornima Sunder</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Daniel, Sunitha" sort="Daniel, Sunitha" uniqKey="Daniel S" first="Sunitha" last="Daniel">Sunitha Daniel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Wolfson Palliative Care Research Centre, University of Hull, Hull, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Wolfson Palliative Care Research Centre, University of Hull, Hull</wicri:regionArea><wicri:noRegion>Hull</wicri:noRegion></affiliation></author><author><name sortKey="Chittazhathu, Rajashree K" sort="Chittazhathu, Rajashree K" uniqKey="Chittazhathu R" first="Rajashree K" last="Chittazhathu">Rajashree K. Chittazhathu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Institute of Palliative Care, Thrissur, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Institute of Palliative Care, Thrissur, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Nair, Shoba" sort="Nair, Shoba" uniqKey="Nair S" first="Shoba" last="Nair">Shoba Nair</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Lancaster University, Lancashire, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Lancaster University, Lancashire</wicri:regionArea><wicri:noRegion>Lancashire</wicri:noRegion></affiliation></author><author><name sortKey="Leng, Mhoira" sort="Leng, Mhoira" uniqKey="Leng M" first="Mhoira" last="Leng">Mhoira Leng</name><affiliation wicri:level="1"><nlm:affiliation>Makerere University and Palliative Care Education and Research Consortium, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Makerere University and Palliative Care Education and Research Consortium</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Cairdeas International Palliative Care Trust, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cairdeas International Palliative Care Trust</wicri:regionArea></affiliation></author><author><name sortKey="Sunil Kumar, M M" sort="Sunil Kumar, M M" uniqKey="Sunil Kumar M" first="M M" last="Sunil Kumar">M M Sunil Kumar</name><affiliation wicri:level="1"><nlm:affiliation>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Raghavan, Biju" sort="Raghavan, Biju" uniqKey="Raghavan B" first="Biju" last="Raghavan">Biju Raghavan</name><affiliation wicri:level="1"><nlm:affiliation>Pain and Palliative Medicine, Rajagiri Hospital, Aluva, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Pain and Palliative Medicine, Rajagiri Hospital, Aluva, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Manuel, Athul Joseph" sort="Manuel, Athul Joseph" uniqKey="Manuel A" first="Athul Joseph" last="Manuel">Athul Joseph Manuel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Covid19 Tele Health Center, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Covid19 Tele Health Center, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Rijju, Vineetha" sort="Rijju, Vineetha" uniqKey="Rijju V" first="Vineetha" last="Rijju">Vineetha Rijju</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Oncology, Aster Medcity, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Medical Oncology, Aster Medcity, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Vijay, Geetha" sort="Vijay, Geetha" uniqKey="Vijay G" first="Geetha" last="Vijay">Geetha Vijay</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Prabhu, Anupama V" sort="Prabhu, Anupama V" uniqKey="Prabhu A" first="Anupama V" last="Prabhu">Anupama V. Prabhu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Parameswaran, Uma" sort="Parameswaran, Uma" uniqKey="Parameswaran U" first="Uma" last="Parameswaran">Uma Parameswaran</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Venkateswaran, Chitra" sort="Venkateswaran, Chitra" uniqKey="Venkateswaran C" first="Chitra" last="Venkateswaran">Chitra Venkateswaran</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian journal of palliative care</title><idno type="ISSN">0973-1075</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In a resource-poor country like India, where the health-care systems are difficult to access, overburdened, and unaffordable to many, the impact of the coronavirus disease 2019 (COVID-19) pandemic can be devastating. The increased burden of serious health-related suffering can impact the well-being of health-care workers, patients, and their families alike. The elderly, the frail, the vulnerable, and those with multiple comorbidities are disproportionately affected. Palliative care, with its comprehensive and inclusive approach, has much to offer in terms of alleviating the suffering, particularly those caused by the distressing physical and psycho-socio-spiritual symptoms, the complex medical decision-making, end-of-life care issues, and grief and bereavement, and needs to be integrated into the pathway of care provision in COVID-19. Psychosocial issues contribute to and amplify suffering and are often underestimated and undertreated and not accessible to many. Empowering frontline professionals in the core concepts of psychosocial support and palliative care thus becomes an absolute necessity. This quick review was done by a group of palliative care physicians and mental health experts from India to develop recommendations for physical and psychosocial care in the context of COVID-19. This review was done as part of that process and highlights the role and challenges of the psychosocial domain of palliative care in the context of COVID-19 situation in India.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33088100</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0973-1075</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><Issue>Suppl 1</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Indian journal of palliative care</Title><ISOAbbreviation>Indian J Palliat Care</ISOAbbreviation></Journal><ArticleTitle>Psychosocial Aspects of COVID-19 in the Context of Palliative Care - A Quick Review.</ArticleTitle><Pagination><MedlinePgn>S116-S120</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/IJPC.IJPC_183_20</ELocationID><Abstract><AbstractText>In a resource-poor country like India, where the health-care systems are difficult to access, overburdened, and unaffordable to many, the impact of the coronavirus disease 2019 (COVID-19) pandemic can be devastating. The increased burden of serious health-related suffering can impact the well-being of health-care workers, patients, and their families alike. The elderly, the frail, the vulnerable, and those with multiple comorbidities are disproportionately affected. Palliative care, with its comprehensive and inclusive approach, has much to offer in terms of alleviating the suffering, particularly those caused by the distressing physical and psycho-socio-spiritual symptoms, the complex medical decision-making, end-of-life care issues, and grief and bereavement, and needs to be integrated into the pathway of care provision in COVID-19. Psychosocial issues contribute to and amplify suffering and are often underestimated and undertreated and not accessible to many. Empowering frontline professionals in the core concepts of psychosocial support and palliative care thus becomes an absolute necessity. This quick review was done by a group of palliative care physicians and mental health experts from India to develop recommendations for physical and psychosocial care in the context of COVID-19. This review was done as part of that process and highlights the role and challenges of the psychosocial domain of palliative care in the context of COVID-19 situation in India.</AbstractText><CopyrightInformation>Copyright: © 2020 Indian Journal of Palliative Care.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rao</LastName><ForeName>Seema Rajesh</ForeName><Initials>SR</Initials><AffiliationInfo><Affiliation>Department of Palliative Medicine and Supportive Care, Kasturba Medical College and Hospital, Manipal, Karnataka, India.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Medicine, Cardiff, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spruijt</LastName><ForeName>Odette</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Palliative Medicine Western Health Network Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sunder</LastName><ForeName>Poornima</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Daniel</LastName><ForeName>Sunitha</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Wolfson Palliative Care Research Centre, University of Hull, Hull, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chittazhathu</LastName><ForeName>Rajashree K</ForeName><Initials>RK</Initials><AffiliationInfo><Affiliation>Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kerala, India.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Palliative Care, Thrissur, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nair</LastName><ForeName>Shoba</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kerala, India.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Lancaster University, Lancashire, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leng</LastName><ForeName>Mhoira</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Makerere University and Palliative Care Education and Research Consortium, Uganda.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Cairdeas International Palliative Care Trust, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sunil Kumar</LastName><ForeName>M M</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raghavan</LastName><ForeName>Biju</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Pain and Palliative Medicine, Rajagiri Hospital, Aluva, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Manuel</LastName><ForeName>Athul Joseph</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Covid19 Tele Health Center, Ernakulam, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rijju</LastName><ForeName>Vineetha</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Medical Oncology, Aster Medcity, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vijay</LastName><ForeName>Geetha</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Pain and Palliative care, General Hospital, Ernakulam, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prabhu</LastName><ForeName>Anupama V</ForeName><Initials>AV</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parameswaran</LastName><ForeName>Uma</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Venkateswaran</LastName><ForeName>Chitra</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla, Kerala, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Indian J Palliat Care</MedlineTA><NlmUniqueID>101261221</NlmUniqueID><ISSNLinking>0973-1075</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Communication skills</Keyword><Keyword MajorTopicYN="N">coronavirus disease 2019</Keyword><Keyword MajorTopicYN="N">end-of-life care</Keyword><Keyword MajorTopicYN="N">palliative care</Keyword><Keyword MajorTopicYN="N">psychosocial care</Keyword><Keyword MajorTopicYN="N">spiritual care</Keyword></KeywordList><CoiStatement>There are no conflicts of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>10</Month><Day>22</Day><Hour>5</Hour><Minute>36</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>10</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>23</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33088100</ArticleId><ArticleId IdType="doi">10.4103/IJPC.IJPC_183_20</ArticleId><ArticleId 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26;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32249102</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Inde</li><li>Ouganda</li><li>Royaume-Uni</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Rao, Seema Rajesh" sort="Rao, Seema Rajesh" uniqKey="Rao S" first="Seema Rajesh" last="Rao">Seema Rajesh Rao</name></noRegion><name sortKey="Chittazhathu, Rajashree K" sort="Chittazhathu, Rajashree K" uniqKey="Chittazhathu R" first="Rajashree K" last="Chittazhathu">Rajashree K. Chittazhathu</name><name sortKey="Chittazhathu, Rajashree K" sort="Chittazhathu, Rajashree K" uniqKey="Chittazhathu R" first="Rajashree K" last="Chittazhathu">Rajashree K. Chittazhathu</name><name sortKey="Chittazhathu, Rajashree K" sort="Chittazhathu, Rajashree K" uniqKey="Chittazhathu R" first="Rajashree K" last="Chittazhathu">Rajashree K. Chittazhathu</name><name sortKey="Daniel, Sunitha" sort="Daniel, Sunitha" uniqKey="Daniel S" first="Sunitha" last="Daniel">Sunitha Daniel</name><name sortKey="Manuel, Athul Joseph" sort="Manuel, Athul Joseph" uniqKey="Manuel A" first="Athul Joseph" last="Manuel">Athul Joseph Manuel</name><name sortKey="Manuel, Athul Joseph" sort="Manuel, Athul Joseph" uniqKey="Manuel A" first="Athul Joseph" last="Manuel">Athul Joseph Manuel</name><name sortKey="Nair, Shoba" sort="Nair, Shoba" uniqKey="Nair S" first="Shoba" last="Nair">Shoba Nair</name><name sortKey="Parameswaran, Uma" sort="Parameswaran, Uma" uniqKey="Parameswaran U" first="Uma" last="Parameswaran">Uma Parameswaran</name><name sortKey="Prabhu, Anupama V" sort="Prabhu, Anupama V" uniqKey="Prabhu A" first="Anupama V" last="Prabhu">Anupama V. 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