{"id":1013,"date":"2021-01-28T18:17:37","date_gmt":"2021-01-28T18:17:37","guid":{"rendered":"https:\/\/www.hospitalinnovate.org\/covid19\/?p=1013"},"modified":"2021-01-28T18:18:27","modified_gmt":"2021-01-28T18:18:27","slug":"07-what-were-the-policies-for-visitor-restriction-for-patients-at-end-of-life","status":"publish","type":"post","link":"https:\/\/www.hospitalinnovate.org\/covid19\/2021\/01\/28\/07-what-were-the-policies-for-visitor-restriction-for-patients-at-end-of-life\/","title":{"rendered":"07. What were the policies for visitor restriction for patients at end-of-life? How did hospitals define &#8220;end-of-life&#8221; for the purposes of these exceptions?"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; css=&#8221;.vc_custom_1600728786278{margin-top: 0px !important;border-bottom-width: 4px !important;padding-top: 0px !important;padding-right: 20px !important;padding-bottom: 0px !important;padding-left: 20px !important;background-color: #f2f2f2 !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;}&#8221;][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1599247143020{padding-right: 20px !important;padding-left: 10px !important;}&#8221;][vc_custom_heading text=&#8221;Patient Experience&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23f7941d&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1611855472022{margin-top: 0px !important;padding-top: 40px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/\">Home<\/a> \/ <a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/patient-experience\/\">Patient Experience<\/a> \/ <a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/patient-experience\/key-clinical-questions\/\">Key Clinical Questions<\/a><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;20&#8243;][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1599596059091{padding: 20px !important;}&#8221;][vc_custom_heading source=&#8221;post_title&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]a. Of the 43 institutions with information about end-of-life exceptions to visitor restriction policies, only 12 institutions specified a definition for end-of-life. The most commonly used definition (7\/12) included the language &#8220;Likely to die \u2013 days, or unlikely to survive the hospital stay.&#8221; 3 institutions defined end-of-life as &#8220;withdrawal of life support or care,&#8221; 4 institutions deferred to the clinical care team on a &#8220;case-by-case basis&#8221; to determine an appropriate definition, and 4 institutions noted their end-of-life visitor restriction policy exceptions were not limited to patients on &#8220;palliative care&#8221; or &#8220;comfort care&#8221; pathways. Only 1 institution mentioned exceptions relating to end-of-life for discussions about transition to end-of-life care.[\/vc_column_text][vc_raw_html]JTNDdGFibGUlM0UlMEElM0N0ciUzRSUwQSUzQ3RkJTNFJTNDc3Ryb25nJTNFVGVybXMlMjBVc2VkJTIwdG8lMjBEZWZpbmUlMjBFbmQtb2YtTGlmZSUyMCUyOEVPTCUyOSUzQyUyRnN0cm9uZyUzRSUzQyUyRnRkJTNFJTNDdGQlM0UlM0NzdHJvbmclM0UlMjMlMjBJbnN0aXR1dGlvbnMlMjBVc2VkJTNDJTJGc3Ryb25nJTNFJTNDJTJGdGQlM0UlM0MlMkZ0ciUzRSUwQSUzQ3RyJTNFJTNDdGQlM0UlMjJJbW1pbmVudCUyMiUyMG9yJTIwJTIyY2xvc2UlMjB0byUyMiUyMEVPTCUyQyUyMEVPTCUyMCUyMmFudGljaXBhdGVkJTIyJTNDJTJGdGQlM0UlM0N0ZCUzRTklM0MlMkZ0ZCUzRSUzQyUyRnRyJTNFJTBBJTNDdHIlM0UlM0N0ZCUzRUxpa2VseSUyMHRvJTIwZGllLWRheXMlMjBvciUyMHVubGlrZWx5JTIwdG8lMjBzdXJ2aXZlJTIwaG9zcGl0YWwlMjBzdGF5JTIwJTI4Y2xpbmljYWwlMjBzeW1wdG9tcyUyOSUzQyUyRnRkJTNFJTNDdGQlM0U3JTNDJTJGdGQlM0UlM0MlMkZ0ciUzRSUwQSUzQ3RyJTNFJTNDdGQlM0VIb3NwaWNlJTJGcGFsbGlhdGl2ZSUyMGNhcmUlMkZDb21mb3J0JTIwTWVhc3VyZXMlMjBPbmx5JTIwJTI4Q01PJTI5JTJGJTIyc3VwcG9ydGl2ZSUyMiUyMGNhcmUlM0MlMkZ0ZCUzRSUzQ3RkJTNFNSUzQyUyRnRkJTNFJTNDJTJGdHIlM0UlMEElM0N0ciUzRSUzQ3RkJTNFQ2FyZSUyMHRlYW0lMjByZWZlcmVuY2VkJTJDJTIwJTIyY2FzZSUyMGJ5JTIwY2FzZSUyMiUyMGJhc2lzJTNDJTJGdGQlM0UlM0N0ZCUzRTQlM0MlMkZ0ZCUzRSUzQyUyRnRyJTNFJTBBJTNDdHIlM0UlM0N0ZCUzRU5PVCUyMHJlc3RyaWN0ZWQlMjB0byUyMHBhbGxpYXRpdmUlMjBjYXJlJTIwb3IlMjBjb21mb3J0JTIwY2FyZSUyMHBhdGh3YXklM0MlMkZ0ZCUzRSUzQ3RkJTNFNCUzQyUyRnRkJTNFJTNDJTJGdHIlM0UlMEElM0N0ciUzRSUzQ3RkJTNFV2l0aGRyYXdhbCUyMG9mJTIwbGlmZSUyMHN1cHBvcnQlMjBvciUyMGNhcmUlM0MlMkZ0ZCUzRSUzQ3RkJTNFMyUzQyUyRnRkJTNFJTNDJTJGdHIlM0UlMEElM0N0ciUzRSUzQ3RkJTNFTGlrZWx5JTIwdG8lMjBkaWUtaG91cnMlM0MlMkZ0ZCUzRSUzQ3RkJTNFMiUzQyUyRnRkJTNFJTNDJTJGdHIlM0UlMEElM0N0ciUzRSUzQ3RkJTNFVGVybWluYWwlMjBjb25kaXRpb24lM0MlMkZ0ZCUzRSUzQ3RkJTNFMSUzQyUyRnRkJTNFJTNDJTJGdHIlM0UlMEElM0N0ciUzRSUzQ3RkJTNFQWN0aXZlJTIwRE5SJTNDJTJGdGQlM0UlM0N0ZCUzRTElM0MlMkZ0ZCUzRSUzQyUyRnRyJTNFJTBBJTNDdHIlM0UlM0N0ZCUzRURpc2N1c3Npb25zJTIwZm9yJTIwdHJhbnNpdGlvbiUyMHRvJTIwRU9MJTNDJTJGdGQlM0UlM0N0ZCUzRTElM0MlMkZ0ZCUzRSUzQyUyRnRyJTNFJTBBJTNDJTJGdGFibGUlM0UlMEE=[\/vc_raw_html][vc_column_text]b. 27\/70 hospitals did not specify exceptions to visitor restriction policies for end-of-life. An additional 12 institutions alluded to exceptions but made no specific comments. Of hospitals who did specify exceptions to general visitor restriction policies for inpatients at end-of-life, 11 institutions had different exceptions based on an inpatient&#8217;s COVID-19 status. Of hospitals that indicated the number of visitors allowed for inpatients at end-of-life, 19 hospitals indicated 2 allowed visitors, 7 hospitals indicated more than 2, and 5 indicated less than 2 visitors. Three institutions specified exceptions for &#8220;family&#8221; versus visitors in general. Only 5 institutions specified the role of clergy within these restrictions. Only 6 institutions clarified whether\/how visitors could rotate, or how many were allowed at the bedside at any given time.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1600127223223{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 4px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;border-left-color: #2c5d73 !important;border-left-style: solid !important;border-right-color: #2c5d73 !important;border-right-style: solid !important;border-top-color: #2c5d73 !important;border-top-style: solid !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;border-radius: 4px !important;}&#8221;][vc_raw_html]JTVCdWx0aW1hdGVfcG9zdF9saXN0JTIwaWQlM0QlMjI5OTYlMjIlNUQ=[\/vc_raw_html][vc_wp_custommenu nav_menu=&#8221;19&#8243; el_class=&#8221;subNavButton&#8221; title=&#8221;Patient Experience&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column][cesis_line_divider width=&#8221;&#8221;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nineteen percent of protocols recommended standard pharmacologic VTE prophylaxis dosing for all COVID-19 patients regardless of estimated VTE risk. Ten percent recommended&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"_links":{"self":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/1013"}],"collection":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/comments?post=1013"}],"version-history":[{"count":2,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/1013\/revisions"}],"predecessor-version":[{"id":1015,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/1013\/revisions\/1015"}],"wp:attachment":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/media?parent=1013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/categories?post=1013"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/tags?post=1013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}