Feasibility and Acceptability of Inpatient Palliative Care E-Family Meetings During COVID-19 Pandemic

• Type of Material: Article
• Authors: Joanne Kuntz, Emory University; Dio Kavalieratos, Emory University; Gregory Esper, Emory University; Noble Ogbu, Emory University; Julie Mitchell, Emory University; Cameron Ellis, Emory University; Tammie Quest, Emory University
• Language: English
• Date: 2020-09-01
• Publisher: Elsevier Science Inc.
• Publication Version: Final Published Version
• Copyright Statement: © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jpainsymman.2020.06.001
• Title of Journal or Parent Work: Journal of Pain and Symptom Management
• Volume: 60
• Issue: 3
• Start Page: E28
• End Page: E32
• Grant/Funding Information: Dr Kavalieratos receives research support from the National Heart, Lung and Blood Institute (K01HL133466).
• Keywords: Science & Technology; Medicine, General & Internal; Life Sciences & Biomedicine; Clinical Neurology; Health Care Sciences & Services; General & Internal Medicine; Neurosciences & Neurology
• Research Categories: Health Sciences, Health Care Management; Health Sciences, Medicine and Surgery; Health Sciences, Public Health; Biology, Neuroscience

Abstract

Family meetings are fundamental to the practice of palliative medicine and serve as a cornerstone of intervention on the inpatient palliative care consultation service. The COVID-19 pandemic disrupted the structure and process of in-patient family meetings, owing to necessary but restrictive visitor policies that did not allow families to be present in the hospital. We describe implementation of telemedicine to facilitate electronic family (e-family) meetings to facilitate in-patient palliative care. Of 67 scheduled meetings performed by the palliative care service, only two meetings were aborted for a 97% success rate of scheduled meetings occurring. On a five-point Likert-type scale, the average clinician rating of the e-family meeting overall quality was 3.18 (SD, .96). Of the 10 unique family participants who agreed to be interviewed, their overall ratings of the e-family meetings were high. Over 80% of respondent families participants reported that they agreed or strongly agreed that they were able to ask all of their questions, felt comfortable expressing their thoughts and feelings with the clinical team, felt like they understood the care their loved one received, and that the virtual family meeting helped them trust the clinical team. Of patients who were able to communicate, 50% of family respondents reported that the e-family meeting helped them understand their loved one's thoughts and wishes.