Integrating palliative and neurological critical care.
The goal of palliative care is to provide the alleviation or reduction of suffering and the support for the best possible quality of life for patients regardless of the stage of the disease. Palliative care can be provided in any patient care setting, including intensive care units. Death in intensive care units is a common occurrence, with literature suggesting that approximately 20% of deaths in the United States occur after a stay in the intensive care unit. Other studies suggest that approximately half of all chronically ill patients who die in a hospital receive care in the intensive care unit within 3 days of their deaths. Critical care nurses who work in neurological intensive care units are at the forefront of integrating palliative and critical care.
Owens
Darrell
D
Harborview Medical Center, University of Washington, Seattle, WA 98104, USA. owensd@u.washington.edu
Flom
Jan
J
D016223:Advance Directives; D002908:Chronic Disease; D003142:Communication; D003422:Critical Care / Q000458:organization & administration* / Q000523:psychology; D003657:Decision Making; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007400:Interprofessional Relations; D008020:Life Support Care / Q000458:organization & administration; D018447:Medical Futility; D009422:Nervous System Diseases / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D009462:Neurology / Q000458:organization & administration*; D024802:Nurse's Role; D009730:Nursing Assessment; D009937:Organizational Objectives; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D010166:Palliative Care / Q000458:organization & administration* / Q000523:psychology; D011785:Quality Assurance, Health Care; D011788:Quality of Life; D014481:United States / Q000453:epidemiology; D028761:Withholding Treatment