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HOSPICE & PALLIATIVE CARE IN SOUTH FLORIDA




                Taking a Breath and Exhaling . . . Palliative Reflections on COVID-19

          We recognize how impor-                       Romanello challenged her   Today, taking a moment to think back;   nections between patients and families. He
        tant it is as palliative care                   team to reflect on their well-  stressful, painful and sad moments come   shares, “With COVID-19 and the ever-
        providers to treat the “Whole                   ness, and how COVID has   to mind. Practicing palliative care for the   evolving response to treating and safe-
        Person”. Attending to the                       changed thinking and prac-  last five to six months has not been easy   guarding our patients, families, and staff,
        physical and mental health                      tices. What were some of   for me. However, in the midst of so much   the approach to serving others has also
        of our patients while                           the challenges that our pro-  suffering, uncertainty and even despair at   evolved. My role has ranged from stepping
        addressing social well-being                    fessionals faced in deliver-  times; practicing palliative medicine has   in to get a patient a blanket or an extra cup
        and environmental factors                       ing high quality service,   been both rewarding and surprising.   of ice to facilitating video calls or being a
        requires the expertise of an                    while likewise juggling pro-  Through my role, I‘ve had the incredible   courier of supplies from family to patient.
        interdisciplinary team, like                    fessional  and  personal  opportunity to serve, help, counsel, and   COVID-19 has been a great reminder that
        ours at Catholic Palliative                     change? This reflective   support patients and families, while with-  serving others and providing them peace
        Care Services (CPCS). While                     activity  allowed   our   out knowing it, they were also doing the   and comfort in this traumatic situation
        our palliative lens encour-  BY ROCHELLE S.     employees to share insight-  same for me.”                    requires stopping to hear what the patient
        ages us to “see” the intersec-  CLARKE, PHD,    ful views … Let us look.   Our palliative care Social Workers,   and family are expressing that they need,
        tion of these elements and    LMFT, MSHR          One of our ARNPs,       Diane Garland and Marcia Socorro, and   and then stepping in to serve them.”
        how they do impact quality                      Meryhelen Viloria, affirms   Chaplain Christopher Curtis all reflected   Dr. Romanello affirmed that teamwork
        of life, medical decision-making, and even   that the work and value of palliative care   that their service to their patients and fam-  drives us to be resilient and to excel. She
        treatment, the COVID pandemic triggered   providers continues in the midst of   ilies provided a humbling experience.   imparts, “To say these are unprecedented
        heightened needs and new challenges for   COVID-19. Meryhelen says, “Palliative   Marcia articulates, “For many patients,   and unusual times is an understatement!
        patients, families, colleagues, and natural-  medicine is integrating all of my knowl-  this time has meant social isolation from   This pandemic has changed me, but also
        ly for our staff as well. We developed an   edge and acquired skills and combining   not seeing their loved ones causing emo-  occurring simultaneously so has the social
        adaptable, innovative strategy to address   them with compassion and empathy to   tional pain. Becoming a conduit for com-  awareness and reckoning for racial injus-
        these demands and to maintain a high per-  prioritize the patient's wishes. I see this   munication between the patient and their   tices and healthcare inequities brought to a
        forming team, while keeping safety and   discipline treating the patient as a whole,   family has been very rewarding. The   national platform. Amid stress, anxiety,
        well-being a top priority.           taking into consideration all aspects of   action of easing the pain of isolation   despair, and for some even hopelessness,
          CPCS serves the community and vari-  their physical, social, spiritual and emo-  brought both the patient and their loved   palliative services have represented a bea-
        ous hospitals throughout Miami-Dade and   tional needs. This requires me to step into   one comfort.”         con of light. The team of colleagues I work
        Broward County. Led by Dr. Tracy     a territory that allows me to get to know   Diane highlights, “My work as a   alongside inspires me through their sincer-
        Romanello, Medical Director for Catholic   patients and families in a more personal   Licensed Clinical Social Worker counsel-  ity, self-sacrifice, and ‘never-give-up’
        Hospice and Catholic Palliative Care   manner and to help patients become more   ing people with serious illness and their   assertiveness. We’ll continue to pour our-
        Services, our team comprises of highly tal-  aware of what quality of life means to   families for many years has long given me   selves wholeheartedly into the work and
        ented professionals. Dr. Romanello is not   them.”                        feelings of purpose and gratitude.   the care we provide, and we will get
        only mindfully attentive to those we serve,   Yusneisy Caraballoso, ARNP, also   Especially during this pandemic as well as   through these difficult times together.”
        but also to our dedicated staff of individu-  expresses her views, “Being a palliative   racial and cultural crises, my work with
        als providing care - TEAM US!        care provider has always been one of the   people from many walks of life has height-  Rochelle S. Clarke is Director,
          Having had a few months to embrace   most fulfilling experiences that I’ve had in   ened my humility.”          Quality and Organizational Development
        the drastic effects of the pandemic, Dr.   my years of professional experience.   Christopher recounts meaningful con-           for Catholic Hospice.





























































        South Florida Hospital News                                                              southfloridahospitalnews.com                                                      November 2020                          21
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