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HOSPICE & PALLIATIVE CARE IN SOUTH FLORIDA




            Long-Term Effects of COVID-19 Underscore the Need for Palliative Care



          As I write this in mid-                       Alzheimer’s and Parkin -  2019 report that a system of care reim-  with chronic kidney disease and a
        October, the Florida Depart -                   son’s, among other illnesses.   bursement for public and private payors   September paper in the Journal of
        ment of Health has recorded                     Studies suggest that by allo-  must be developed for palliative care.   Parkinson's Disease called the projected
        306,665 cases of COVID-19                       cating resources to specific   That same report, published one year   increase in long-term neurological con-
        in South Florida. With no                       patient and family needs,   before the pandemic began, predicted   sequences the “silent wave” of COVID-
        idea when the pandemic                          palliative care reduces the   that home-based palliative care could   19.
        will end, whether it will                       total cost of home-based   reduce the nation’s overall health care   The call to action of this growing body
        return and what the long-                       care by 36%, cuts hospital   costs by $103 billion during the next two   of research is clear. Community-based
        term effects on some                            admissions in half and low-  decades. Those savings will increase in   palliative care should be elevated in
        patients will be, health care                   ers emergency room visits   the wake of COVID-19.             importance to a primary method of treat-
        providers continue to fortify                   by more than one-third.    Consensus   among    health  care  ing symptoms, improving outcomes and
        their facilities from the                        Providing community-    researchers indicates that ignoring the   quality of life, and reducing utilization of
        virus, deliver patient care   BY KEITH A. MYERS  based palliative care has   possible long-term effects of COVID-19   health care services.
        and prepare for a possible                     taken on new urgency dur-  poses significant risk to our nation’s   As we anxiously await a vaccine and
        next phase.                                    ing the pandemic, as home-  health and our health care system. The   new therapeutics to treat COVID-19,
          Among the most promising strategies   based care can help prevent transmis-  Kaiser Family Foundation estimates 41%   community-based palliative care can play
        to reduce utilization of health care   sion. Citing this, more than 60 groups   of adults ages 18 and older have a higher   an important role. Designated by the
        resources is community-based palliative   including the National Hospice &   risk of developing more serious illness   Florida Legislature as the only Teaching
        care, provided in hospital as well as at   Palliative Care Organization, National   after having COVID-19 due to age,   Hospice in the state, MorseLife Hospice
        home, to treat advanced illness for longer   Coalition for Hospice & Palliative Care,   underlying health conditions or both.   and Palliative Care is on the leading-edge
        than the period just before death.    National Association of Home Care &   The Mayo Clinic sites imaging tests   of sustainable best practices for dealing
          Beyond improving outcomes for      Hospice and the Center for the      taken months after recovery showing   with the long-term effects of the pan-
        patients in hospital battling COVID-19,   Advancement of Palliative Care have sent   lasting damage to heart muscle, even in   demic for years to come.
        community-based palliative care can be   letters to the U.S. Department of Health   people who experienced only mild
        the most effective solution for those fac-  and Human Services requesting a   COVID-19 symptoms. The type of pneu-    Keith Myers is president and CEO
        ing long-term effects of the virus and   demonstration to test community-based   monia often associated with COVID-19   MorseLife Health System and Palm Beach
        other diseases. At MorseLife Hospice and   palliative care benefit programs within   can cause long-term lung damage.      Hospice and Palliative Care.
        Palliative Care in West Palm Beach, we   Medicare.                       Researchers at the Icahn School of     He is the Not-For-Profit Vice President on
        see patients living with cancer, conges-  On the state level, the non-partisan   Medicine at Mount Sinai suggest there   the Board of Directors of the Florida
        tive heart failure, COPD, kidney failure,   Florida Tax Watch stated in a March   will be a significant increase in patients   Health Care Association.




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         20                       November 2020                                                        southfloridahospitalnews.com                                                                       South Florida Hospital News
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