Open AccessAdaptations to palliative home care in India in a COVID pandemic: An experiential narrative
Author(s) -
Sunil Dhiliwal,
Ashish Gulia,
Naveen Salins
Publication year - 2021
Publication title -
indian journal of medical sciences/indian journal of medical sciences (print)
Language(s) - English
Resource type - Journals
eISSN - 1998-3654
pISSN - 0019-5359
DOI - 10.25259/ijms_13_2021
Subject(s) - palliative care , medicine , pandemic , nursing , service (business) , health care , service delivery framework , experiential learning , covid-19 , medical emergency , business , psychology , economic growth , marketing , mathematics education , disease , pathology , economics , infectious disease (medical specialty)
India is in the midst of a fierce pandemic with a rapid surge of cases and the health-care system in a quandary. Care of patients with life-limiting illness needing palliative care has been compromised due to limitations in palliative care access and a paradigm shift in the hospital toward care of COVID. Therefore, it is imperative to augment the home-based services so that patients continue to remain at home with their care needs met so that their access to hospitals is restricted for acute and complex needs. To overcome practical aspects of home-based care service delivery, several adaptations were needed. An urban standalone home-based palliative care service provider made adaptations to personal protection, personal protection equipment, and team self-care that facilitated an effective service delivery and satisfaction.