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suck abstract from ncbi


10.1016/j.jpainsymman.2020.10.025

http://scihub22266oqcxt.onion/10.1016/j.jpainsymman.2020.10.025
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33227380!7679234!33227380
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suck abstract from ncbi


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pmid33227380      J+Pain+Symptom+Manage 2021 ; 61 (2): e13-e50
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  • What Is the Preparedness and Capacity of Palliative Care Services in Middle-Eastern and North African Countries to Respond to COVID-19? A Rapid Survey #MMPMID33227380
  • Boufkhed S; Harding R; Kutluk T; Husseini A; Pourghazian N; Shamieh O
  • J Pain Symptom Manage 2021[Feb]; 61 (2): e13-e50 PMID33227380show ga
  • CONTEXT: Evidence from prior public health emergencies demonstrates palliative care's importance to manage symptoms, make advance care plans, and improve end-of-life outcomes. OBJECTIVE: To evaluate the preparedness and capacity of palliative care services in the Middle-East and North Africa region to respond to the COVID-19 pandemic. METHODS: A cross-sectional online survey was undertaken, with items addressing the WHO International Health Regulations. Nonprobabilistic sampling was used, and descriptive analyses were conducted. RESULTS: Responses from 43 services in 12 countries were analyzed. Half of respondents were doctors (53%), and services were predominantly hospital based (84%). All but one services had modified at least one procedure to respond to COVID-19. Do Not Resuscitate policies were modified by a third (30%) and unavailable for a fifth (23%). While handwashing facilities at points of entry were available (98%), a third had concerns over accessing disinfectant products (37%), soap (35%), or running water (33%). The majority had capacity to use technology to provide remote care (86%) and contact lists of patients and staff (93%), though only two-fifths had relatives' details (37%). Respondents reported high staff anxiety about becoming infected themselves (median score 8 on 1-10 scale), but only half of services had a stress management procedure (53%). Three-fifths had plans to support triaging COVID-19 patients (60%) and protocols to share (58%). CONCLUSION: Participating services have prepared to respond to COVID-19, but their capacity to respond may be limited by lack of staff support and resources. We propose recommendations to improve service preparedness and relieve unnecessary suffering.
  • |*Attitude of Health Personnel[MESH]
  • |*Clinical Competence[MESH]
  • |Africa[MESH]
  • |COVID-19/complications/epidemiology/*therapy[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Infection Control/*organization & administration[MESH]
  • |Palliative Care/*organization & administration[MESH]
  • |Surge Capacity/*organization & administration[MESH]


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