“…The impact of related policies has made it difficult for patients to access hospitals, resulting in a decrease in institutional admissions and a significant increase in palliative consultation referrals. This situation has made it difficult for institutions to provide and manage palliative care services, and staff have suffered as a result (de Azeredo Siqueira et al, 2021;Dhavale et al, 2020;Franchini et al, 2021;Mishra et al, 2022;Moriyama et al, 2021;Nyblom et al, 2022;Penel et al, 2021;Rahnea-Nita et al, 2021;Santin et al, 2022;Varani et al, 2021). Many options for improving palliative care during the COVID-19 epidemic have also been proposed in the literature, including modification of treatment protocols, enhanced caregiver training, use of electronic patient symptom management programs, and use of telemedicine (Adhikari et al, 2021; Almouaalamy…”