Journal of Japanese Society for Emergency Medicine
Online ISSN : 2187-9001
Print ISSN : 1345-0581
ISSN-L : 1345-0581
RESEARCHES
Implementation of online end-of-life care system with COVID-19 patients: Experience in OSAKA COVID-19 Critical Care Center
Miki MURAKAMITakeyuki KIGUCHIHatsue MIYAZAKIAyako KONEGAWASatoshi FUJIMI
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JOURNAL FREE ACCESS

2025 Volume 28 Issue 5 Pages 791-798

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Abstract

Background: We developed a system to provide online end-of-life care for patients and their families who were unable to visit in person due to COVID-19-related visiting restrictions, even during the final stages of life. We analyzed implementation process, the reactions from families and medical professionals, and report on the challenges ahead.

Method: Online end-of-life care was provided to patients assessed to be in the terminal stage. Information on the procedures, family reactions, and responses from attending nurses was extracted from nursing records and analyzed.

Results: The implementation rate of online end-of-life care was 73%. Participating family members commented that they were able to see the patient’s peaceful expression. Up to 130 nurses were involved per day. While many reported that they felt able to support the families, some noted difficulties in communication via the device.

Conclusion: It was suggested that the implementation of this system would support families in understanding the patient’s condition and meeting their needs, while also alleviating feelings of helplessness among nurses. As information and communication technologies continue to advance, such systems are expected to further expand the range of options available in medical care.

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© Japanese Society for Emergency Medicine
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