PMC:7134578 / 7772-12889 JSONTXT 9 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T50 0-18 Sentence denotes How do we respond?
T51 19-61 Sentence denotes Develop a COVID 19 policy for cancer care:
T52 62-191 Sentence denotes Establish an oncology multidisciplinary committee to create, review and rapidly update a clinical policy suitable to our setting.
T53 192-324 Sentence denotes Provide cancer patients with a cover note that enables seamless movement if they get stopped by law enforcement agents on the roads.
T54 325-387 Sentence denotes Strategise to reduce clinic visits and accelerate remote care:
T55 388-613 Sentence denotes Because cancer patients and caregivers are expectedly anxious whether they are symptomatic or not, and their genuine desire for improved survival; they will require information, counselling, symptomatic control and treatment.
T56 614-705 Sentence denotes Traditionally this is achieved through hospital visits but can be achieved by telemedicine.
T57 706-770 Sentence denotes It is a matter of urgency that we accelerate remote cancer care.
T58 771-859 Sentence denotes Oncology centres should within 72 hours transit to delivering 30-50% of services online.
T59 860-914 Sentence denotes Empower patients and caregivers through communication:
T60 915-1018 Sentence denotes Leverage on digital technologies to ensure we continue to communicate, to patients and with each other.
T61 1019-1255 Sentence denotes Bulk text messaging, email and or voice calls can ensure we provide patients with clear communication about how the hospital is responding to and preventing COVID-19 infection and how the infection will affect cancer care going forward.
T62 1256-1320 Sentence denotes This will keep them abreast of happenings and allay their fears.
T63 1321-1478 Sentence denotes For example, establish a clinical call centre manned by administrative and clinical staff knowledgeable in the provision of cancer care and support services.
T64 1479-1631 Sentence denotes This category of responders must be trained in client service and people relations as the bulk of the calls would be from agitated and worried patients.
T65 1632-1741 Sentence denotes This is so that the staff do not react in untoward ways to the emotion-laden calls they are bound to receive.
T66 1742-1785 Sentence denotes Leverage existing digital health platforms:
T67 1786-1989 Sentence denotes Cancer centres should integrate existing digital health platforms to limit patients and oncology professional’s physical interaction, a strategy that several oncology centres in the USA are adopting [9].
T68 1990-2091 Sentence denotes Digital platforms such as www.oncopadi.com already exist and were designed for low-resource settings.
T69 2092-2219 Sentence denotes They can provide telemedicine services, consultations, symptom control and counselling to cancer patients and their caregivers.
T70 2220-2579 Sentence denotes To facilitate the use of telehealth solutions across all contexts, a global directory of telehealth platforms is also being compiled by digital health experts which outlines multiple platforms (many are free) to support care delivery during the COVID-19 outbreak: https://docs.google.com/spreadsheets/d/1XMsJJIduO6yI_GEo1Vy_b_SXoz9YwbgtEL63-siNS_Q/edit#gid=0.
T71 2580-2591 Sentence denotes Administer:
T72 2592-2707 Sentence denotes Continue providing only emergencies and essential services such as radiotherapy under established safety protocols.
T73 2708-2794 Sentence denotes Switch: from systemic therapy to oral chemotherapy, and monitor side effects remotely.
T74 2795-2958 Sentence denotes This should be discussed and agreed upon by a multidisciplinary team and communicated with patients only if the pandemic stops patients from visiting the hospital.
T75 2959-3012 Sentence denotes This may be a better option than no treatment at all.
T76 3013-3119 Sentence denotes Practice: the World Health Organization’s advice on reducing coronavirus transmission for the public [10].
T77 3121-3172 Sentence denotes Palliative cancer care during the COVID-19 outbreak
T78 3173-3311 Sentence denotes Palliation is an ethical obligation and we should strive for good symptom control and comfort care for cancer patients in a pandemic [11].
T79 3312-3685 Sentence denotes To support palliative and supportive care of people with cancer, these proposed four areas (4S) for palliating a pandemic [11] can be used to guide a response but need to be adapted and considered in the context of the availability of resources and expertise in the context of low-resource settings: “Stuff” (i.e. stockpile of medications, equipment to deliver medications)
T80 3686-3906 Sentence denotes “Staff” (identifying and consulting with clinicians with palliative care expertise, deliver focused education sessions to frontline staff for symptom management and supporting end-of-life care for patients with COVID-19)
T81 3907-4071 Sentence denotes “Space” (e.g. identify wards and nonclinical areas in all health care facilities that would be appropriate to accommodate large numbers of patients expected to die)
T82 4072-4286 Sentence denotes “Systems” (e.g. develop systems for direct consultation of palliative care expertise for staff in hospitals, create a triage system to identify patients with cancer in need of specialist palliative care management)
T83 4287-4353 Sentence denotes Bereavement needs to be considered in the context of COVID-19 too.
T84 4354-4445 Sentence denotes Globally we are seeing increasing numbers of unexpected and premature deaths from COVID-19.
T85 4446-4584 Sentence denotes Families will need support with bereavement where they may have been expecting a longer trajectory of illness for a loved one with cancer.
T86 4585-4691 Sentence denotes Furthermore, traditional cultural rituals and ceremonies may be prohibited in line with social distancing.
T87 4692-4890 Sentence denotes We need talk to spiritual leaders to understand what can occur and provide guidance to the families of those who die to discuss how and when they might be able to hold services for their loved ones.
T88 4891-4952 Sentence denotes A time like this is a true test of leadership and our values.
T89 4953-5117 Sentence denotes As leaders we must make clinical and economical decisions in line with the ethical rationing of resources and the global call to flatten the curve of the infection.