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Dear Editor, On 2 January 2020, Singapore implemented preventive measures to minimise importation of COVID-19 cases after China reported its first case to the World Health Organisation on 31 December 2019, in what was to become a global pandemic. After confirming its first local case of COVID-19 on 23 January 2020, Singapore has adopted increasingly stringent containment measures, moving into mitigation mode when the number of cases escalated.1, 2 Local hospitals have also instituted progressively stricter restrictions on visitation hours and the number of visitors. As of 28 May 2020, there were 33,249 confirmed cases of COVID-19, with 14,925 cases under observation, 18,294 cases discharged, 7 patients in critical condition and 23 deaths attributed to COVID-19.3 To date, there have been no studies on the needs of families of palliative care patients who do not have COVID-19 but are dying in the hospital during this pandemic. One local study done years before this pandemic had found that the families of dying patients wished to be present for the final moments to bid a last farewell.4 Palliative Care is an approach that improves the quality of life of patients and their families facing problems associated with life-threatening illnesses, by treating symptoms such as pain, and addressing other physical, psychosocial and spiritual issues.5 As a palliative care consult team in a 1,000-bed general hospital, we seek to highlight our experience and recommendations.

annals, academy of medicine, singapore/annals of the academy of medicine, singapore

Collateral Damage: How the COVID-19 Pandemic Has Affected the Dying Process of Palliative Care Patients in Hospitals—Our Experience and Recommendations