TREND PERAWATAN PALIATIF PADA LANSIA DI MASA PANDEMI COVID-19
Abstract
Masa pandemic Covid-19 tidak menjadi suatu hambatan dalam melakukan pelayanan kesehatan, termasuk pada perawatan di komunitas khususnya perawatan palliative pada lansia. .Layanan perawatan paliatif memerlukan kesiapsiagaan dan kapasitas pelayanan perawatan paliatif untuk menanggapi COVID-19. Pendekatan sistematis dalam review menggunakan model PRISMA dan sumber jurnal dari beberapa database seperti Scopus, Spinger Link, Pubmed, Proquest, SAGE, dalam 5 tahun terakhir dari tahun 2016 hingga 2020. Operator Boolean dalam proses pencarian menggunakan AND dan OR. Kriteria inklusi untuk artikel ini adalah inovasi, intervensi, kebijakan, trend isu perawatan paliatif terhadap lansia pada masa pandemic covid-19. Kriteria ekslusi jika artikel dalam bentuk konferensi paper, tinjauan sistematis dan tinjauan pustaka. Secara keseluruhan, review berdasarkan kriteria tersebut diperoleh 12 artikel terpilih dari 298 artikel yang ditemukan. Dalam review kali ini, beberapa arikel menyebutkan bahwa Pandemi COVID-19 telah memperburuk tantangan yang dihadapi banyak pasien lansia dengan penyakit kronis untuk mengakses perawatan kesehatan yang tepat. Kelompok lansia merupakan populasi rentan terhadap infeksi COVID-19. Ada dua jenis layanan telehealth yang dapat memberikan pelayanan perawatan paliatif secara efektif selama masa pandemic COVID-19. Pertama, video telemedicine, Kedua, layanan kesehatan berbasis telepon. Video telemedicine meningkatkan 90% kepuasan pasien lansia dengan diagnosis kanker karena kemudahan akses dalam menerima perawatan kesehatan selama masa pandemi COVID-19. Dari beberapa penelitian yang telah dilakukan dapat dianalisa bahwa perlu dibuat pedoman untuk menciptakan kerangka kerja praktis untuk triase, pengendalian infeksi dan keamanan sehingga perawatan paliatif berbasis komunitas bisa terus dilakukan selama pandemic covid-19.
References
Apoeso, O., Kuwata, C., Goldhirsch, S. L., Piracha, N., Reyes-Arnaldy, A., De Leon, J., & Chai, E. (2020). Creating a Colocation Unit for End-of-Life Care during a Pandemic. Journal of Palliative Medicine, XX(Xx), 1–6. https://doi.org/10.1089/jpm.2020.0502
Bağcı, H., & Çınar Yücel, Ş. (2020). Effect of Therapeutic Touch on Sleep Quality in Elders Living at Nursing Homes. Journal of Religion and Health, 59(3), 1304–1318. https://doi.org/10.1007/s10943-019-00831-9
Bernabeu-Wittel, M., Ternero-Vega, J. E., Diaz-Jimenez, P., Conde-Guzman, C., Nieto-Martin, M. D., Moreno-Gavino, L., Delgano-Cuesta, J., Rincon-Gomez, M., Gimenez-Miranda, L., Navarro-Amuedo, M. D., Munoz-Garcia, M. M., & Calzon-Fernandez, S. (2020). Death risk stratification in elderly patients with covid-19, A comparative cohort study in nursing homes outbreaks. Archives of Gerontology and Geriatrics, 91(January).
Boufkhed, S., Namisango, E., Luyirika, E., Sleeman, K. E., Costantini, M., Peruselli, C., Normand, C., Higginson, I. J., & Harding, R. (2020). Preparedness of African Palliative Care Services to Respond to the COVID-19 Pandemic: A Rapid Assessment. Journal of Pain and Symptom Management, 60(6), e10–e26. https://doi.org/10.1016/j.jpainsymman.2020.09.018
Chau, H. S. (2019). Producing (Im)mobilities in home care for the elderly: The role of home care agencies in switzerland. International Journal of Ageing and Later Life, 13(2), 23–50. https://doi.org/10.3384/ijal.1652-8670.18396
Darcourt, J. G., Aparicio, K., Dorsey, P. M., Ensor, J. E., Zsigmond, E. M., Wong, S. T., Ezeana, C. F., Puppala, M., Heyne, K. E., Geyer, C. E., Phillips, R. A., Schwartz, R. L., & Chang, J. C. (2020). Analysis of the Implementation of Telehealth Visits for Care of Patients With Cancer in Houston During the COVID-19 Pandemic. JCO Oncology Practice, OP.20.00572. https://doi.org/10.1200/op.20.00572
Fatyga, E., Dziegielewska-Gesiak, S., Wierzgon, A., Stoltny, D., & Muc-Wierzgon, M. (2020). The COVID-19 pandemic: the use of telemedicine in elderly patients with type 2 diabetes. Pol. Arch. Med. Wew. (Online).
Graham-Wisener, L., Watts, G., Kirkwood, J., Harrison, C., McEwan, J., Porter, S., Reid, J., & McConnell, T. H. (2018). Music therapy in UK palliative and end-of-life care: A service evaluation. BMJ Supportive and Palliative Care, 8(3), 282–284. https://doi.org/10.1136/bmjspcare-2018-001510
Husebo, B. S., Allore, H., Achterberg, W., Angeles, R. C., Ballard, C., Bruvik, F. K., Fæø, S. E., Gedde, M. H., Hillestad, E., Jacobsen, F. F., Kirkevold, Ø., Kjerstad, E., Skeide Kjome, R. L., Mannseth, J., Naik, M., Nouchi, R., Puaschitz, N., Samdal, R., Tranvåg, O., … Berge, L. I. (2020). LIVE@Home.Path-innovating the clinical pathway for home-dwelling people with dementia and their caregivers: Study protocol for a mixed-method, stepped-wedge, randomized controlled trial. Trials, 21(1), 1–16. https://doi.org/10.1186/s13063-020-04414-y
Karlsson, S., Ridbäck, A., Brobeck, E., & Norell Pejner, M. (2020). Health Promotion Practices in Nursing for Elderly Persons in Municipal Home Care: An Integrative Literature Review. Home Health Care Management and Practice, 32(1), 53–61. https://doi.org/10.1177/1084822319863308
Nearing, K. A., Lum, H. D., Dang, S., Powers, B., McLaren, J., Gately, M., Hung, W., & Moo, L. (2020). National Geriatric Network Rapidly Addresses Trainee Telehealth Needs in Response to COVID-19. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.16704
Poloni, T. E., Carlos, A. F., Cairati, M., Cutaia, C., Medici, V., Marelli, E., Ferrari, D., Galli, A., Bognetti, P., Davin, A., Cirrincione, A., Ceretti, A., Cereda, C., Ceroni, M., Tronconi, L., Vitali, S., & Guaita, A. (2020). Prevalence and prognostic value of Delirium as the initial presentation of COVID-19 in the elderly with dementia: An Italian retrospective study. EClinicalMedicine, 26, 100490. https://doi.org/10.1016/j.eclinm.2020.100490
Tran, D. L., Lai, S. R., Salah, R. Y., Wong, A. Y., & Bryon, J. N. (2020). Rapid de-escalation and triaging patients in community based palliative care. Journal of Pain and Symptom Management, 60(1).
Wagner, A., Schaffert, R., Möckli, N., Zúñiga, F., & Dratva, J. (2020). Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC): A systematic review. BMC Health Services Research, 20(1), 1–12. https://doi.org/10.1186/s12913-020-05238-x
Downloads
Published
How to Cite
Issue
Section
Citation Check
License
Journal of Health Care is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. © All rights reserved 2020. Journal of Health Care
