The dying patient in the ICU: role of the interdisciplinary team.
Expert opinion supports the application of broad interdisciplinary team approaches to the care of the dying patient in the intensive care unit (ICU). Current literature contains many suggestions about how core team members-physicians, nurses, and patients/family members-could systematically enhance interdisciplinary collaboration in the care of the dying patient. In the few studies of ICU interdisciplinary collaborative care of the dying patient, investigator shave demonstrated improvement in care. In addition, ethics consultants and interdisciplinary palliative care teams, working with the core team members, have improved care for the dying. Further studies are needed to document alternative interdisciplinary models for achieving improved and durable patient, family,and provider outcomes in the care of the dying ICU patient.
Baggs
Judith Gedney
JG
School of Nursing and School of Medicine and Dentistry, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY 14642, USA. Judith.Baggs@urms.rochester.edu
Norton
Sally A
SA
Schmitt
Madeline H
MH
Sellers
Craig R
CR
D032722:Advance Care Planning; D003299:Cooperative Behavior; D003422:Critical Care / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D003659:Decision Making, Organizational; D004282:Documentation; D033061:Ethics Consultation / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations / Q000941:ethics; D017146:Models, Organizational; D010348:Patient Care Team / Q000941:ethics / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D024382:Professional Role / Q000523:psychology; D011368:Professional-Family Relations; D013727:Terminal Care / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D017749:Total Quality Management / Q000458:organization & administration; D028761:Withholding Treatment