Palliative Care Specialty Nursing in Medical Intensive Care Units.

IF 2 4区 医学 Q3 CRITICAL CARE MEDICINE
Amy Newman, Joshua Lasseigne, Suzanne Goldhirsch, Emily Chai, Samuel Acquah, Camille Davis, Karen Stanley, Ankita Mehta
{"title":"Palliative Care Specialty Nursing in Medical Intensive Care Units.","authors":"Amy Newman, Joshua Lasseigne, Suzanne Goldhirsch, Emily Chai, Samuel Acquah, Camille Davis, Karen Stanley, Ankita Mehta","doi":"10.4037/ccn2025739","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Given the serious illness burden of patients in medical intensive care units, palliative care is a key element of their care. This case discussion highlights the role of the palliative care specialty registered nurse in an embedded palliative care model in medical intensive care units.</p><p><strong>Clinical findings: </strong>A 44-year-old female patient with decompensated cirrhosis was transferred to the study hospital for liver transplant evaluation. Her hospital stay involved multiple complications.</p><p><strong>Diagnosis: </strong>The patient was determined to have palliative care needs. Multiple areas of intervention were identified.</p><p><strong>Interventions: </strong>A model including a palliative care specialty registered nurse was initiated in the medical intensive care unit.</p><p><strong>Outcomes: </strong>The palliative care specialty registered nurse had 2 roles: (1) optimizing patient care by partnering with medical intensive care unit colleagues to develop a plan of care aligned with patient and family values and preferences and (2) supporting and enhancing critical care nursing excellence by helping bedside nurses advocate for the patient's palliative care needs. Nurses were also empowered with communication skills to engage with patients, family members, and primary team colleagues.</p><p><strong>Conclusion: </strong>The palliative care specialty registered nurse model can be used in various intensive care unit settings. However, the complex care needs of critically ill patients, the unique nature and structural variations across critical care settings, and the resources required to implement this model are potential challenges.</p>","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"45 4","pages":"43-48"},"PeriodicalIF":2.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Critical care nurse","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4037/ccn2025739","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Given the serious illness burden of patients in medical intensive care units, palliative care is a key element of their care. This case discussion highlights the role of the palliative care specialty registered nurse in an embedded palliative care model in medical intensive care units.

Clinical findings: A 44-year-old female patient with decompensated cirrhosis was transferred to the study hospital for liver transplant evaluation. Her hospital stay involved multiple complications.

Diagnosis: The patient was determined to have palliative care needs. Multiple areas of intervention were identified.

Interventions: A model including a palliative care specialty registered nurse was initiated in the medical intensive care unit.

Outcomes: The palliative care specialty registered nurse had 2 roles: (1) optimizing patient care by partnering with medical intensive care unit colleagues to develop a plan of care aligned with patient and family values and preferences and (2) supporting and enhancing critical care nursing excellence by helping bedside nurses advocate for the patient's palliative care needs. Nurses were also empowered with communication skills to engage with patients, family members, and primary team colleagues.

Conclusion: The palliative care specialty registered nurse model can be used in various intensive care unit settings. However, the complex care needs of critically ill patients, the unique nature and structural variations across critical care settings, and the resources required to implement this model are potential challenges.

医学重症监护病房的姑息治疗专业护理。
引言:鉴于重症监护病房患者的严重疾病负担,姑息治疗是其护理的关键要素。本案例讨论强调了姑息治疗专业注册护士在医疗重症监护室嵌入式姑息治疗模式中的作用。临床表现:一名44岁女性失代偿性肝硬化患者被转移到研究医院进行肝移植评估。她住院期间出现了多种并发症。诊断:确定患者有姑息治疗需求。确定了多个干预领域。干预措施:在医疗重症监护室启动了一个包括姑息治疗专业注册护士的模型。结果:姑息治疗专科注册护士有两个角色:(1)通过与医学重症监护室同事合作,制定符合患者和家庭价值观和偏好的护理计划,优化患者护理;(2)通过帮助床边护士倡导患者的姑息治疗需求,支持和加强重症护理的卓越性。护士还被赋予了与患者、家属和主要团队同事沟通的技能。结论:姑息治疗专科注册护士模式可应用于各类重症监护病房。然而,危重患者复杂的护理需求、危重护理环境的独特性质和结构差异,以及实施这一模式所需的资源,都是潜在的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Critical care nurse
Critical care nurse 医学-护理
CiteScore
2.80
自引率
0.00%
发文量
68
审稿时长
>12 weeks
期刊介绍: Critical Care Nurse (CCN) is an official publication of the American Association of Critical-Care Nurses (AACN). Authors are invited to submit manuscripts for consideration and peer review. Clinical topics must meet the mission of CCN and address nursing practice of acute and critically ill patients.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信