J Pain Symptom Manage LGBTQ+ Inclusive Palliative Care in the Context of COVID-19:Pragmatic Recommendations for Clinicians

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J Pain Symptom Manage


. 2020 May 10;S0885-3924(20)30373-0.
doi: 10.1016/j.jpainsymman.2020.04.155. Online ahead of print.
LGBTQ+ Inclusive Palliative Care in the Context of COVID-19:Pragmatic Recommendations for Clinicians


William E Rosa ¹ , Alic Shook ² , Kimberly D Acquaviva ³



Affiliations

• PMID: 32437946
• DOI: 10.1016/j.jpainsymman.2020.04.155

Abstract

As Coronavirus Disease 2019 (COVID-19) continues to impact the seriously ill and their families on a global scale, considerations given to marginalized groups amid the pandemic is essential to ensure the provision of high-quality, dignified care. Lesbian, gay, bisexual, transgender, gender-nonconforming, queer and/or questioning (LGBTQ+) identified persons are particularly vulnerable to health inequities across settings, including palliative care and at end-of-life. There is a crucial gap in the literature pertaining to palliative care during COVID-19. We aim to fill this gap by providing essential health inequity and social support background pertaining to LGBTQ+ persons and practical recommendations for immediate implementation that support inclusive and respectful care for these populations. Employing these recommendations is a pragmatic pathway to promote trust, transparency, patient and family engagement, and value concordant care amid the health system strain caused by COVID-19.




Copyright ? 2020. Published by Elsevier Inc.