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

Hanna, Kerry ORCID: 0000-0001-7357-7749, Cannon, Jacqueline, Gabbay, Mark ORCID: 0000-0002-0126-8485, Marlow, Paul, Mason, Stephen ORCID: 0000-0002-4020-6869, Rajagopal, Manoj, Shenton, Justine, Tetlow, Hilary and Giebel, Clarissa ORCID: 0000-0002-0746-0566 (2022) End of life care in UK care homes during the COVID-19 pandemic: a qualitative study. BMC PALLIATIVE CARE, 21 (1). 91-.

Text End of Life care in care homes during the COVID v14 resubmission.docx - Author Accepted Manuscript Download (80kB)

Abstract

<h4>Purpose</h4>To report the experiences of End of Life (EoL) care in UK care homes during the COVID-19 pandemic.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.

Item Type:	Article
Uncontrolled Keywords:	Care sector, COVID-19 pandemic, Dementia, Older adults
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health
Depositing User:	Symplectic Admin
Date Deposited:	17 May 2022 08:42
Last Modified:	18 Jan 2023 21:02
DOI:	10.1186/s12904-022-00979-4
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3154927