Hearts above water: Palliative care during a pandemic

Soc Work Health Care. 2021;60(1):93-105. doi: 10.1080/00981389.2021.1885562. Epub 2021 Feb 7.

Abstract

Social workers and nurses, as members of interprofessional palliative medicine teams, faced unfamiliar challenges and opportunities as they endeavored to provide humanistic care to patients and families during the coronavirus (COVID-19) pandemic. Typical methods for engaging patients and families in medical decision-making became thwarted by visitation restrictions and patients' dramatic health declines. This paper presents an innovative social work and nursing intervention aimed at enhancing humanistic patient/family care and advanced directive dialogs. Through incorporating a narrative synthesis of the teams' reflective journals from COVID-19, the paper chronicles the intervention implementation, patient/family responses, and team members' personal and professional meaning-making processes.

Keywords: COVID-19; Humanistic care; advance directive; palliative care; patient and family communication.

MeSH terms

  • COVID-19 / epidemiology*
  • Humans
  • Nursing Staff, Hospital / organization & administration*
  • Palliative Care / organization & administration*
  • Pandemics
  • SARS-CoV-2
  • Social Work / organization & administration*
  • Trauma Centers / organization & administration*