Care of Older People and People Requiring Palliative Care with COVID‐19: Guidance from the Australian National COVID‐19 Clinical Evidence Taskforce

Saskia Cheyne,Richard Lindley，Julian Elliott,Meera R. Agar

Medical Journal Of Australia（2021）SCI 2区

Cited 9|Views27

Abstract

INTRODUCTION:Older people living with frailty and/or cognitive impairment who have coronavirus disease 2019 (COVID-19) experience higher rates of critical illness. There are also people who become critically ill with COVID-19 for whom a decision is made to take a palliative approach to their care. The need for clinical guidance in these two populations resulted in the formation of the Care of Older People and Palliative Care Panel of the National COVID-19 Clinical Evidence Taskforce in June 2020. This specialist panel consists of nursing, medical, pharmacy and allied health experts in geriatrics and palliative care from across Australia.MAIN RECOMMENDATIONS:The panel was tasked with developing two clinical flow charts for the management of people with COVID-19 who are i) older and living with frailty and/or cognitive impairment, and ii) receiving palliative care for COVID-19 or other underlying illnesses. The flow charts focus on goals of care, communication, medication management, escalation of care, active disease-directed care, and managing symptoms such as delirium, anxiety, agitation, breathlessness or cough. The Taskforce also developed living guideline recommendations for the care of adults with COVID-19, including a commentary to discuss special considerations when caring for older people and those requiring palliative care.CHANGES IN MANAGEMENT AS RESULT OF THE GUIDELINE:The practice points in the flow charts emphasise quality clinical care, with a focus on addressing the most important challenges when caring for older individuals and people with COVID-19 requiring palliative care. The adult recommendations contain additional considerations for the care of older people and those requiring palliative care.

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【要点】：本文介绍了澳大利亚国家COVID-19临床证据任务组针对老年人和需要缓和医疗的COVID-19患者制定的护理指南，包括两个临床流程图，旨在优化这些特殊人群的护理管理。

【方法】：作者通过组建一个包含老年病学和缓和医疗专家的专科小组，开发了两份针对不同人群的临床流程图，并提供了相关护理建议。

【实验】：无具体实验描述，但文中提及了指南的制定过程和结果，未提及使用的数据集名称。