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BMC Palliative Care
Published in: BMC Palliative Care 1/2022

01-12-2022 | Care | Research

End of life care in UK care homes during the COVID-19 pandemic: a qualitative study

Authors: Kerry Hanna, Jacqueline Cannon, Mark Gabbay, Paul Marlow, Stephen Mason, Manoj Rajagopal, Justine Shenton, Hilary Tetlow, Clarissa Giebel

Published in: BMC Palliative Care | Issue 1/2022

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Abstract

Purpose

To report the experiences of End of Life (EoL) care in UK care homes during the COVID-19 pandemic.

Methods

UK care home staff and family carers of residents in care home took part in remote, semi-structured interviews from October to November 2020, with 20 participants followed-up in March 2021. Interviews were conducted via telephone or online platforms and qualitatively analysed using inductive thematic analysis.

Results

Forty-two participants (26 family carers and 16 care home staff) were included in a wider qualitative study exploring the impact on dementia care homes during the pandemic. Of these, 11 family carers and 9 care home staff participated in a follow-up interview. Following descriptive thematic analysis, three central themes concerning EoL care during the pandemic specifically, were conceptualised and redefined through research team discussions: 1) Wasting or losing time; 2) Maintaining control, plans and routine; and 3) Coping with loss and lack of support. Lack of suitable, meaningful visits with people with dementia in care homes resulted in negative feelings of guilt and abandonment with both family carers and care home staff. Where families experienced positive EoL visits, these appeared to breach public health restrictions at that time.

Conclusion

It is recommended that care homes receive clear guidance from the government offering equitable contact with relatives at EoL to all family members, to support their grieving and avoid subsequent negative impacts to emotional wellbeing.
Appendix
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Metadata
Title
End of life care in UK care homes during the COVID-19 pandemic: a qualitative study
Authors
Kerry Hanna
Jacqueline Cannon
Mark Gabbay
Paul Marlow
Stephen Mason
Manoj Rajagopal
Justine Shenton
Hilary Tetlow
Clarissa Giebel
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Palliative Care / Issue 1/2022
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-022-00979-4

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