Prolonged Critical Illness and Demoralization: Curative Factors in Hospice Care in the Age of COVID-19.
Identifieur interne : 000099 ( Main/Exploration ); précédent : 000098; suivant : 000100Prolonged Critical Illness and Demoralization: Curative Factors in Hospice Care in the Age of COVID-19.
Auteurs : Susan Delisle [États-Unis] ; Frances Eichholz Heller ; Craig D. BlindermanSource :
- Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association [ 1539-0705 ] ; 2020.
Descripteurs français
- KwdFr :
- Accompagnement de la fin de la vie (MeSH), Betacoronavirus (MeSH), Humains (MeSH), Infections à coronavirus (épidémiologie), Maladie grave (psychologie), Maladie grave (soins infirmiers), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Soins terminaux (MeSH), Sujet âgé (MeSH), Ventilation artificielle (MeSH).
- MESH :
- psychologie : Maladie grave.
- soins infirmiers : Maladie grave.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Accompagnement de la fin de la vie, Betacoronavirus, Humains, Mâle, Pandémies, Soins terminaux, Sujet âgé, Ventilation artificielle.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus Infections (epidemiology), Critical Illness (nursing), Critical Illness (psychology), Demoralization (MeSH), Hospice Care (MeSH), Humans (MeSH), Male (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Respiration, Artificial (MeSH), SARS-CoV-2 (MeSH), Terminal Care (MeSH).
- MESH :
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- nursing : Critical Illness.
- psychology : Critical Illness.
- Aged, Betacoronavirus, COVID-19, Demoralization, Hospice Care, Humans, Male, Pandemics, Respiration, Artificial, SARS-CoV-2, Terminal Care.
Abstract
In this case report, an elderly patient with COVID-19 pneumonia and a protracted intensive care course, who was unable to wean from mechanical ventilation, was transferred to the hospice unit for ventilator withdrawal and end of life care. Although symptom management was anticipated to focus on treating acute dyspnea, conditions mandated a shift to addressing the psychological challenges associated with prolonged critical illness. The interventions typical to hospice care-patient centered, family focused, and culturally sensitive-served to alleviate psychological symptoms of demoralization and despair, contributing to an outcome that pointed beyond pulmonary pathophysiology. Thought to be facing imminent death once the ventilator was removed, this patient defied the science behind weaning protocols, which can only be explained by a "will to live," through loving engagement with his family, his favorite music, and a dedicated multidisciplinary hospice team.
DOI: 10.1097/NJH.0000000000000689
PubMed: 32925491
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Frances Eichholz Heller, LMSW, ACHP-SW, is senior social worker, Adult Palliative Care Consult Service, NY Presbyterian, Columbia University Medical Center. Craig D. Blinderman, MD, MA, FAAHPM, is director, Adult Palliative Care Service, and associate professor, Department of Medicine, Columbia University Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Susan Delisle, DNP, ANP-BC, PMHNP-BC, ACHPN, is nurse practitioner, Adult Palliative Care Service, Department of Medicine, Columbia University Medical Center, New York, New York. Frances Eichholz Heller, LMSW, ACHP-SW, is senior social worker, Adult Palliative Care Consult Service, NY Presbyterian, Columbia University Medical Center. Craig D. 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Although symptom management was anticipated to focus on treating acute dyspnea, conditions mandated a shift to addressing the psychological challenges associated with prolonged critical illness. The interventions typical to hospice care-patient centered, family focused, and culturally sensitive-served to alleviate psychological symptoms of demoralization and despair, contributing to an outcome that pointed beyond pulmonary pathophysiology. Thought to be facing imminent death once the ventilator was removed, this patient defied the science behind weaning protocols, which can only be explained by a "will to live," through loving engagement with his family, his favorite music, and a dedicated multidisciplinary hospice team.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32925491</PMID><DateCompleted><Year>2020</Year><Month>11</Month><Day>05</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1539-0705</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>6</Issue><PubDate><Year>2020</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association</Title><ISOAbbreviation>J Hosp Palliat Nurs</ISOAbbreviation></Journal><ArticleTitle>Prolonged Critical Illness and Demoralization: Curative Factors in Hospice Care in the Age of COVID-19.</ArticleTitle><Pagination><MedlinePgn>428-431</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/NJH.0000000000000689</ELocationID><Abstract><AbstractText>In this case report, an elderly patient with COVID-19 pneumonia and a protracted intensive care course, who was unable to wean from mechanical ventilation, was transferred to the hospice unit for ventilator withdrawal and end of life care. Although symptom management was anticipated to focus on treating acute dyspnea, conditions mandated a shift to addressing the psychological challenges associated with prolonged critical illness. The interventions typical to hospice care-patient centered, family focused, and culturally sensitive-served to alleviate psychological symptoms of demoralization and despair, contributing to an outcome that pointed beyond pulmonary pathophysiology. Thought to be facing imminent death once the ventilator was removed, this patient defied the science behind weaning protocols, which can only be explained by a "will to live," through loving engagement with his family, his favorite music, and a dedicated multidisciplinary hospice team.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Delisle</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Susan Delisle, DNP, ANP-BC, PMHNP-BC, ACHPN, is nurse practitioner, Adult Palliative Care Service, Department of Medicine, Columbia University Medical Center, New York, New York. Frances Eichholz Heller, LMSW, ACHP-SW, is senior social worker, Adult Palliative Care Consult Service, NY Presbyterian, Columbia University Medical Center. Craig D. 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Blinderman</name><name sortKey="Heller, Frances Eichholz" sort="Heller, Frances Eichholz" uniqKey="Heller F" first="Frances Eichholz" last="Heller">Frances Eichholz Heller</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Delisle, Susan" sort="Delisle, Susan" uniqKey="Delisle S" first="Susan" last="Delisle">Susan Delisle</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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