Impact of the COVID-19 pandemic on palliative care in intensive therapy
Abstract
The 2019 coronavirus infection reached worldwide proportions, causing hundreds of millions of confirmed cases and millions of deaths, it is estimated that up to 2% of the cases need ICU admission and ventilatory support, especially elderly and those with comorbidities. The peak of severe cases placed the health profissionais in difficult ethical decision-making situations regarding prioritize intensive care in the context of pandemia, especially considering the strict measures of infection control, limited human and material resources. This article aims to analyze the main changes and adaptations of Palliative Care in the ICU considering the lack of resources. The methodology used is qualitative bibliographical through studies published in databases such as Scielo and Lilacs for free, over the last 5 years. The difficulties imposed by the scarcity of resources, in this pandemic time proved to be a real villain in some situations, where patients quickly suffered a deterioration in their health condition, care professionals found themselves overloaded and, added to this, mandatory isolation and guidance to family members not to touch or even be close to their loved ones. It was concluded that the integration of palliative care into pandemic planning is crucial to equip health professionals with the necessary resources to be prepared for these unforeseen circumstances.
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ANNESER, J. Dying patients with COVID-19: What should Hospital Palliative Care Teams (HPCTs) be prepared for? Palliative and Supportive Care, v. 18, n. 4, p. 382–384, 2020. doi: 10.1017/S1478951520000450. PMID: 32631469; PMCID: PMC7324302.
Associação Brasileira de Medicina Intensiva. Recomendações para os Cuidados Paliativos em UTI nas Situações de Catástrofes. Particularidades do COVID-19. AMIB. https:// www.amib.org.br/fileadmin/user_upload/amib/2021/marco/23/ Recomendacao_Comite_de_Cuidados_Paliativos_COVID_19_AMIB_2021.pdf.
ALHALASEH, Y. N.; ELSHABRAWY, H. A.; ERASHDI, M.; SHAHAIT, M.; ABU-HUMDAN, A. M.; AL-HUSSAINI, M. Allocation of the "Already" Limited Medical Resources Amid the COVID-19 Pandemic, an Iterative Ethical Encounter Including Suggested Solutions From a Real Life Encounter. Front Med (Lausanne). v. 14, n. 7, 2021. doi: 10.3389/fmed.2020.616277. PMID: 33521023; PMCID: PMC7840687.
BEZERRA, M. R.; MELLO, M. J. G. de; LIMA, J. T. O.; CAVALCANTI et al. Priorização para garantir cuidado na pandemia COVID-19. Rev. Bras. Saúde Matern. Infant., v. 21, n. 2, p. 529-S537, 2021. https://doi.org/10.1590/1806-9304202100S200011.
CREPALDI, M. A.; SCHMIDT, B.; NOAL, D. S.; BOLZE, S. D. A.; GABARRA, L. M. Terminalidade, morte e luto na pandemia de COVID-19: demandas psicológicas emergentes e implicações práticas. Estud. psicol. 2020. https://doi.org/10.1590/1982-0275202037e200090.
CUI, J.; LI, F.; SHI, Z, L. Origin and evolution of pathogenic coronaviruses. Nat Rev Microbiol. v.17, n. 3, p.181-192, 2019.
DAVIES, A.; HAYES, J. Palliative care in the context of a pandemic: similar but different. Clinical Medicine, v. 20, n. 3, p. 274–277. DOI: 10.7861/clinmed.2020-0157.
FAUSTO, J.; HIRANO, L.; LAM, D.; MEHTA, A.; MILLS, B.; OWENS, D.; PERRY, E.; CURTIS, J. R. Creating a Palliative Care Inpatient Response Plan for COVID-19-The UW Medicine Experience. J Pain Symptom Manage. v. 60, n. 1, p. 21-26. Doi: 10.1016/j.jpainsymman.2020.03.025.
GIL, A. C. Como elaborar projetos de pesquisa. 6. ed. São Paulo: Atlas, 2019.
GUIMARÃES, H. P.; LOBO, S. M. A.; SHUBERT, D. U. C.; DAL-PIZZOL, F. Recomendações em Medicina de Emergência e Medicina Intensiva para o Atendimento à COVID-19. ABRAMEDE - AMIB. 1ª Edição. Editora dos Editores, São Paulo, 2021.
HEATH, L; YATES, S; CAREY, M; MILLER, M. Palliative Care During COVID-19: Data and Visits From Loved Ones. American Journal of Hospice & Palliative Medicine®, v.37, n. 11, p. 988-991. DOI: 10.1177/1049909120943577
HOSSEINI, E. S.; KASHANI, N. R.; NIKZAD, H.; AZADBAKHT, J.; BAFRANI, H. H.; KASHANI, H. H. The novel coronavirus disease-2019 (COVID-19): Mechanism of action, detection and recent therapeutic strategies. Virology, v. 55, n. 1. p. 1-9. DOI: 10.1016/j.virol.2020.08.011, https:// pubmed.ncbi.nlm.nih.gov/33010669/
KOWALCZYK, A,; PRZYCHODNA, M.; SOPATA, S.; BODALSKA, A.; FECKA, I. Thymol and Thyme Essential Oil-New Insights into Selected Therapeutic Applications. Molecules, v. 25, n. 18, 2020 doi: 10.3390/molecules25184125.
KRETZER, L. E.; BERBIGIER, E.; LISBOA, R.; GRUMANN, A. C.; ANDRADE, J. Protocolo AMIB de alocação de recursos em esgotamento durante a pandemia por COVID-19. Disponível em: https://crmsc.org.br/wp-content/uploads/2020/08/ Versa%CC%83o-2-0106-Protocolo-AMIB-de-alocac%CC%A7a%CC%83o-de-recursos-emesgotamento-durante-a-pandemia-por-COVID.pdf
MERCADANTE, S.; GREGORETTI C, C. A. Palliative care in intensive care units: why, where, what, who, when, how. BMC Anesthesiol. v. 18, n. 1, doi: 10.1186/ s12871-018-0574-9. PMID: 30111299; PMCID: PMC6094470.
MINAYO, M. C. Pesquisa Social. Teoria, método e criatividade. 18 ed. Petrópolis: Vozes, 2001.
OLIVEIRA, O. V. S.; FROSSARD, A. G. S.; SILVA, A. V.; NASCIMENTO, J. B. L. MACIEL, M.V. Dilemas bioéticos da espiritualidade/religiosidade como cuidado em saúde no contexto dos cuidados paliativos: reflexões em tempo de Pandemia do SARS-CoV-2. Online em: https:// enfoncologica2021.sld.cu/index.php/enfoncologica/2021/paper/view/58/3
PERLMAN, S. Another Decade, Another Coronavirus. N Engl J Med. v. 382, n. 8, p. 760-762. doi: 10.1056/NEJMe2001126.
RITCHEY, K. C.; FOY, A.; MCARDEL, E. Reinventing Palliative Care Delivery in the Era of COVID-19: How Telemedicine Can Support End of Life Care. Am J Hosp Palliat Care. v. 37, n. 11, p. 992-997, 2020. Doi: 10.1177/1049909120948235.
SAPORETTI, L. A. Espiritualidade nos Cuidados Paliativos. In: CASTILHO, R. K.; SILVA, V. C. S; PINTO, C. S. (Org.). Manual de Cuidados Paliativos da Academia Nacional de Cuidados Paliativos. Rio de Janeiro: Atheneu, 2021. In: Manual de Cuidados Paliativos. 3ª ed. 2021.
SANTI, W. S. Educação de jovens e adultos: reflexões teóricas sobre os seus sujeitos. XIX Encontro de História da Anpuh- Rio. 2020. Disponível em: https://www.encontro2020.rj.anpuh.org/resources/anais/18/anpuh-rjerh2020/1600619977_ARQUIVO_682c3a0d3beed91a08b04c5edc64f9ce.pdf. Acesso em: 20 out 2021.
Sociedade Brasileira de Pediatria. Novo Coronavírus (COVID-19) Documento Científico. Rio de Janeiro. Departamento Científico de Infectologia (2019-2021), Nº 14, Fevereiro de 2020.. https://www.sbp.com.br/fileadmin/user_upload/22340d-DocCientifico_-_Novo_coronavirus.pdf
SESE, D.; MAKHOUL, A.; HOEKSEMA, L.; SHOEMAKER, L. The role of palliative care in Covid-19. Cleve Clin J Med 2020 May 29. doi: 10.3949/ccjm.87a.ccc036.
SILVA, C. C.; SAVIAN, C. M.; PREVEDELLO, B. P.; ZAMBERLAN, C.; DALPIAN, D. M.; SANTOS, B. Z. Access and use of dental services by pregnant women: An integrative literature review. Ciencia e Saude Coletiva, v. 25, n. 3, p. 827–835. doi: https://doi.org/10.1590/1413-81232020253.01192018.
TRITANY, E. F.; FILHO, B. A. B. S.; MENDONÇA, P. E. X. Fortalecer os cuidados paliativos durante a pandemia de Covid-19. Interface (Botucatu). v. 25 n. 1, 2021. https://doi.org/10.1590/ Interface.200397
WANG, C.; PAN, R.; WAN, X.; TAN, Y.; XU, L.; HO, C. S.; HO, R. C. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in china. International Journal of Environmental Research and Public Health, v. 17, n. 5, p. 17-29. http://dx.doi.org/10.3390/ijerph17051729.
WIT, E.; VAN DOREMALEN, N.; FALZARANO, D.; MUSNTER, V. J. SARS and MERS: recent insights into emerging coronaviruses. Nat Rev Microbiol v. 14, p. 523–534, 2016. https://doi.org/10.1038/nrmicro.2016.81
World Health Organization (WHO). Weekly epidemiological update on COVID-19. Disponível em: https://www.who.int/publications/m/item/weekly-epidemiological-update-oncovid-19---8-february-2022.
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