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Patients Dying Fast, And Far From Family, Challenge Practice of Palliative Care

For one family who lost both mother and father to the coronavirus, palliative care clinicians helped them face "the awful, awful truth."
The practice of palliative care is changing under the pandemic: doctors and nurses are learning new ways to help patients and families communicate their treatment goals and make decisions about end-of-life care.

Seattle mourned the news: Elizabeth and Robert Mar died of COVID within a day of each other. They would have celebrated 50 years of marriage in August.

But their deaths at the end of March were not the same. Liz, a vivacious matriarch at 72, died after two weeks sedated on a ventilator. Her analytical engineer husband, Robert, 78, chose no aggressive measures. He was able to communicate with their adult children until nearly the end.

Darrell Owens is the clinician who helped the Mar family navigate this incredibly difficult time.

"You cannot underestimate the stress on family members who cannot visit and are now in a crisis mode trying to talk this through over the phone," says Owens, who is a doctor of nursing practice and runs palliative and supportive care at the University of Washington Medical Center - Northwest in Seattle.

Owens, like other

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