Top Ten Tips Palliative Care Clinicians Should Know About Intensive Care Unit Consultation.

IF 2.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Ankita Mehta, Karen Bullock, Jillian L Gustin, Rachel A Hadler, Judith E Nelson, William E Rosa, Jennifer B Seaman, Shelley E Varner-Perez, Douglas B White
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引用次数: 0

Abstract

The intensive care unit (ICU) is distinct in population, culture, and palliative care needs. Critical illness and ICU stays can be extremely distressing for patients and their loved ones. Providing palliative care in the ICU, although a standard component of comprehensive care delivery, involves understanding the individual culture of each specific ICU, collaboration with multiple providers, and interfacing with surrogate decision makers while patients may not be able to communicate and are undergoing interventions that are unfamiliar to them and loved ones. These top ten tips aim to support palliative care clinicians providing consultation in ICUs. Specifically, these tips address initial relationship building with ICU clinicians and teams to foster effective collaboration, establishing goals of care by assessing health-related values, explaining treatment options, individualizing prognostic discussions, and managing end-of-life symptoms for patients while in the ICU and throughout ICU discharge transition.

关于重症监护室会诊,姑息治疗临床医生应该知道的十大提示。
重症监护病房(ICU)在人口、文化和姑息治疗需求方面是不同的。危重疾病和ICU住院对病人和他们的亲人来说是非常痛苦的。在ICU中提供姑息治疗,虽然是综合护理服务的标准组成部分,但涉及了解每个特定ICU的个体文化,与多个提供者合作,以及在患者可能无法沟通并正在接受他们和亲人不熟悉的干预措施时与替代决策者进行交互。这十大建议旨在支持姑息治疗临床医生在icu提供咨询。具体来说,这些提示涉及与ICU临床医生和团队的初步关系建立,以促进有效的合作,通过评估健康相关的价值来建立护理目标,解释治疗方案,个性化预后讨论,以及在ICU和ICU出院过渡期间管理患者的临终症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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