End of life care in the intensive care unit

Aluko A. Hope; Hannah I. Lipman

doi:10.1007/978-1-4471-6521-7_5

End of life care in the intensive care unit

Aluko A. Hope, Hannah I. Lipman

Medicine

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

One in five Americans die in or directly following an ICU stay. Predicting who will survive the ICU is difficult and those who do survive struggle with post-ICU physical and psychological symptoms and functional and cognitive impairments. All patients, regardless of prognosis, benefit from a multidisciplinary, patient- and family-centered approach to care aimed at assessing and treating multiple sources of suffering. Research highlights potential areas for improvement in EOL care in the ICU. Measures of quality ICU palliative care and models for integrating palliative care into the ICU are reviewed. Skillful clinician communication is necessary to facilitate shared decision-making, provide care that is concordant with patients’ values, and support patients facing serious life threatening illness and their families. Decision making and best practices for forgoing life sustaining treatment in the ICU are reviewed.

Original language	English (US)
Title of host publication	End-of-Life Care in Cardiovascular Disease
Publisher	Springer-Verlag London Ltd
Pages	71-90
Number of pages	20
ISBN (Electronic)	9781447165217
ISBN (Print)	9781447165200
DOIs	https://doi.org/10.1007/978-1-4471-6521-7_5
State	Published - Jan 1 2015

Keywords

Communication
End-of-life care
Futility
Life sustaining treatment
Palliative care
Shared decision-making
Withdrawal of mechanical ventilator

ASJC Scopus subject areas

Medicine(all)
Social Sciences(all)
Psychology(all)

Access to Document

10.1007/978-1-4471-6521-7_5

Cite this

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End of life care in the intensive care unit

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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