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10.1097/NJH.0000000000000728

http://scihub22266oqcxt.onion/10.1097/NJH.0000000000000728
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33633092!ä!33633092

suck abstract from ncbi


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pmid33633092      J+Hosp+Palliat+Nurs 2021 ; 23 (2): 128-134
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  • Field Notes From the Frontline of a COVID-19 Outbreak: Dyspnea Management for Hospitalized Patients at End-of-Life #MMPMID33633092
  • Pavlu D; DeMarco K; Sobrino-Bonilla Y
  • J Hosp Palliat Nurs 2021[Apr]; 23 (2): 128-134 PMID33633092show ga
  • Northern New Jersey was inside one of the worst initial coronavirus disease 2019 pandemic epicenters in the United States. At the peak of the pandemic surge in mid-April 2020, New Jersey saw 8045 hospitalized patients with severe coronavirus disease 2019 symptoms, of which 2002 were in intensive care unit beds (86.3% of statewide capacity), including 1705 requiring mechanical ventilation. Because of the severity of pulmonary dysfunction/hypoxia, the unprecedented numbers of critically ill patients, the national opioid shortage, and transmission prevention measures for standard palliative care treatment protocols in place for refractory and/or end-of-life dyspnea were found to be ineffective in providing adequate symptom relief. The aim of the following Notes From the Field is to provide concise, pragmatic, and experiential reflection by 3 palliative care advanced practice nurses from 3 different hospital systems within the pandemic epicenter. The novel methods and opioid strategies implemented by their respective palliative care teams to ensure continued effective and appropriate treatment for end-of-life dyspnea are described. These accounts include Lessons Learned in order to assist others who may need to quickly implement changes in the future due to pandemic resurgence or second-wave events.
  • |*Disease Outbreaks[MESH]
  • |*Hospice and Palliative Care Nursing[MESH]
  • |COVID-19/epidemiology/*nursing[MESH]
  • |Dyspnea/*nursing[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]


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