Table 2.

EOL psychosocial intervention.

Phases	Setting	Content
Activation and coordination	Telematic coordination between HCT and EOL team after detection of an EOL situation.	Basic information gathering - Prognosis of the patient - Number of relatives - What information relatives have - Relatives' contact information
Social assessment	Telematic contact between Social Worker and relatives.	Social assessment - Patient's support network - Main caregivers - Socioeconomic situation Schedule an appointment to come to the hospital
Psychological assessment and pre-intervention	Face-to-face meeting of the EOL team with the relatives in the hospital hall.	First basic psychological assessment - Explore necessity of psychological support - Emotional state - Emotional needs - Psychopathological background, if required
Bad news communication	Face-to-face meeting of the EOL and HCT with the relatives in a private room.	Information of bad news: - Explanation of the evolution - Explanation of the prognosis Psychological support - Promote emotional expression - Promote the expression of doubts and worries regarding the disease course and death - Facilitate the farewell when difficulties facing it
Farewell	Face-to-face and private farewell in the patients' room.	Assure privacy in the farewell momentProvide protection measures to prevent contagion
Post-intervention	Face-to-face meeting of the EOL team with the relatives in a large private room.	Psychological support - Promote emotional expression - Validate experience of loss - Give meaning to the experience - Validate common grief reactions - Promote identified protective factors - Psychoeducate on phases of mourning - Inform about mourning rituals and how to adapt them to COVID-19 context - Advise on how to deliver the news to children - Specific anxiety techniques (e.g., relaxation) if needed Final psychological assessment - Protective factors: social network support, adaptive reactions, anticipation of alternative grief rituals - Risk factors: psychopathological background, high levels of expressed emotion, other symptomatology suggestive of specialized attention Social information: - Funeral services contact and procedures - Bureaucratic aspects - Public aids in socioeconomic risk situations - Specialized contact information: referral to specific resources if needed (e.g., EOL contact, family support program, grief-specific program…)

EOL, end of life; HCT, health care team.