<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1132-1296</journal-id>
<journal-title><![CDATA[Index de Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Index Enferm]]></abbrev-journal-title>
<issn>1132-1296</issn>
<publisher>
<publisher-name><![CDATA[Fundación Index]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1132-12962020000300011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrategias de apoyo a pacientes con necesidad de cuidados paliativos durante la pandemia de Covid-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Support strategies for patients in need of palliative care during the Covid-19 pandemic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Cruz]]></surname>
<given-names><![CDATA[María Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Aznar]]></surname>
<given-names><![CDATA[Coro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo Turpín]]></surname>
<given-names><![CDATA[Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Romero]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Gregorio Marañón Unidad de Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>29</volume>
<numero>4</numero>
<fpage>240</fpage>
<lpage>243</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1132-12962020000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1132-12962020000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1132-12962020000300011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Este artículo expone la experiencia obtenida de la realización de rondas formativas-informativas sobre un protocolo para soporte y mejora de la atención a pacientes Covid-19 al final de la vida, realizado por la Unidad de Cuidados Paliativos en coordinación con el Servicio de Psiquiatría del Hospital Gregorio Marañón. En la pandemia por Covid-19 cuando los pacientes cursan con una mala evolución, generalmente presentan entre otros síntomas, distrés respiratorio o agitación. Si el deterioro evoluciona hacia el final de vida, es necesaria la intervención experta y flexible de la atención paliativa apoyando a los profesionales de primera línea. El objetivo marcado fue reforzar en el personal de enfermería las áreas relacionadas con &#8220;cómo hacer&#8221; y &#8220;cómo afrontar&#8221; las situaciones de final de vida durante la pandemia de la Covid-19. Para conseguirlo, los profesionales de la unidad llevaron a cabo una estrategia de información/formación a través de reuniones breves donde se detectaron necesidades y posibles mejoras. En los diferentes contactos con los profesionales se abordaron los ámbitos del cuidado y manejo de la vía subcutánea, el acompañamiento y vigilancia en el caso de pacientes en las últimas horas-días, y la necesidad de despedida. Se concluye que en momentos tan críticos como es el abordaje del final de la vida en una pandemia la voz de expertos puede ayudar a la consecución de una atención de calidad al final de la vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This article aims to present the experience gained from carrying out training and information rounds on a protocol to support and improve the care of Covid-19 patients at the end of their lives, carried out by the Palliative Care Unit in coordination with the Psychiatric Service of the Gregorio Marañón Hospital. In the Covid-19 pandemic, when patients have a bad evolution, they generally present, among other symptoms, respiratory distress and/or agitation. If the deterioration evolves towards the end of life, expert and flexible palliative care intervention is needed to support the frontline professionals. The objective was to strengthen the areas of &#8220;how to do&#8221; and &#8220;how to cope&#8221; with end-of-life situations in nurses during the Covid-19 pandemic. To achieve this objective, the Unit&#8217;s professionals carried out an information/training strategy through short meetings where needs and possible improvements were detected. In the different contacts with the professionals, the areas of care and management of the subcutaneous route, accompaniment and surveillance in the case of patients in the last few hours, and the need to say goodbye were addressed. Main conclusion: In such critical moments as the approach to the end of life in a pandemic, the voice of experts can help to achieve quality care at the end of life.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="es"><![CDATA[Pandemia]]></kwd>
<kwd lng="es"><![CDATA[Estrategia]]></kwd>
<kwd lng="en"><![CDATA[Palliative Care]]></kwd>
<kwd lng="en"><![CDATA[Pandemic]]></kwd>
<kwd lng="en"><![CDATA[Strategy]]></kwd>
<kwd lng="en"><![CDATA[Training]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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