Unintended consequences of rapid changes in community palliative care practice
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Peer-reviewed
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Abstract
Community palliative care delivery is changing dramatically in response to the Covid-19 pandemic, especially in several of the worst affected countries. (1, 2) In the UK, phone and video end-of-life consultations have been widely adopted by GPs and palliative care teams (2, 3) alongside ‘virtual’ care home ward rounds, nurse verification of death and remote death verification and after-death care. Prescribing of end-of-life-care drugs is changing: family caregivers are being encouraged to assume greater involvement in administering medicines, including giving injections. This is a big ask, even when they are well supported and feel able to do so. (2) Care has been radically overhauled in anticipation of a rapid rise in demand for community end of life care (4) that may materialise during the coming months.