期刊
SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA
卷 17, 期 4, 页码 240-248出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1089253213506121
关键词
palliative care; surgical ICU; communication; pain and symptom; end of life; family meetings; patient preferences; decision making
资金
- Department of Anesthesia & Perioperative Medicine, Western University
Palliative care is expanding its role into the surgical intensive care units (SICU). Embedding palliative philosophies of care into SICUs has considerable potential to improve the quality of care, especially in complex patient care scenarios. This article will explore palliative care, identifying patients/families who benefit from palliative care services, how palliative care complements SICU care, and opportunities to integrate palliative care into the SICU. Palliative care enhances the SICU team's ability to recognize pain and distress; establish the patient's wishes, beliefs, and values and their impact on decision making; develop flexible communication strategies; conduct family meetings and establish goals of care; provide family support during the dying process; help resolve team conflicts; and establish reasonable goals for life support and resuscitation. Educational opportunities to improve end-of-life management skills are outlined. It is necessary to appreciate how traditional palliative and surgical cultures may influence the integration of palliative care into the SICU. Palliative care can provide a significant, value added contribution to the care of seriously ill SICU patients.
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