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Unintended consequences of rapid changes in community palliative care practice

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Peer-reviewed

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Pollock, Kristian 
Lovick, Roberta 
Antunes, Bárbara 
Higginson, Irene J 

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.

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BJGP Life

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Sponsorship
National Institute for Health Research (NIHR) (via University of Oxford) (Capacity Building Award 9)
BB is funded by the National Institute for Health Research (NIHR) School for Primary Care Research. BA and SB are supported by the NIHR Applied Research Collaboration East of England (ARC EoE) programme. IJH is an NIHR Senior Investigator (Emeritus) and is supported by the NIHR Applied Research Collaboration South London (ARC SL) programme