title: Critical palliative care: intensive care redefined.
abstract: In the area of end-of-life bioethical issues, patients, families, and health care providers do not understand basic principles, often leading to anguish, guilt, and anger. Providers lack communication skills, concepts, and practical bedside information. Linking societal values of the sanctity of life and quality of life with medical goals of preservation of life and alleviation of suffering respectively provides an essential structure. Medical care focuses on cure when possible but when the patient is dying, the focus switches to caring for patients and their families. Clinicians need to learn how to balance the benefits and burdens of medications and treatments, control symptoms, and orchestrate withdrawal of treatment. Finally, all need to learn more about the dying process to benefit society, their own families, and themselves.
authors.affiliation: Department of Surgery, University of Connecticut Health Center, Farmington, Connecticut 06030-3955, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Civetta
mesh_terms: D016223:Advance Directives / Q000331:legislation & jurisprudence; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D001294:Attitude to Health; D003422:Critical Care / Q000331:legislation & jurisprudence / Q000379:methods*; D004992:Ethics, Medical; D005066:Euthanasia, Passive / Q000331:legislation & jurisprudence; D005190:Family / Q000523:psychology; D006801:Humans; D010166:Palliative Care / Q000331:legislation & jurisprudence / Q000379:methods*; D010344:Patient Advocacy; D018579:Patient Selection; D010686:Philosophy, Medical; D011788:Quality of Life; D012945:Social Values; D017236:Suicide, Assisted; D013727:Terminal Care / Q000331:legislation & jurisprudence / Q000379:methods*; D014481:United States