Innovation in a Crisis: Lessons Learned from the Rapid Development of an End-of-Life Palliative Care Unit during the COVID-19 Pandemic

J Palliat Med. 2021 Sep;24(9):1280-1283. doi: 10.1089/jpm.2021.0035. Epub 2021 Jun 4.

Abstract

COVID-19 strained our nation's hospitals and exposed gaps in care. As COVID-19 surged in Boston in March 2020, we worked to rapidly create a Palliative Care Compassion Unit (PCCU) to care for those dying of COVID-19 or non-COVID-19-related illnesses. The PCCU provided interdisciplinary end-of-life care, supported families, and enabled surge teams to focus on patients needing life-sustaining treatments. In this study, we describe the creation of the PCCU, including opportunities and challenges, in hopes of lending insight to other palliative care teams who may need to rapidly craft new care models during a crisis.

Keywords: COVID-19; end-of-life care; innovation; models of palliative care delivery; pain and symptom management.

MeSH terms

  • COVID-19*
  • Death
  • Humans
  • Palliative Care
  • Pandemics
  • SARS-CoV-2
  • Terminal Care*