title: Palliative medicine in the surgical intensive care unit and trauma.
abstract: The purpose of palliative medicine is to prevent and relieve suffering and to help patients and their families set informed goals of care and treatment. Palliative medicine can be provided along with life-prolonging treatment or as the main focus of treatment. Increasingly, palliative medicine has a role in the surgical intensive care unit (SICU) and trauma. Data show involving palliative medicine in the SICU results in decreased length of stay, improved communication with families and patients, and earlier setting of goals of care, without increasing mortality. The use of triggers for palliative medicine consultation improves patient-centered care in the SICU.
authors.affiliation: Allegheny General Hospital, Pittsburgh, PA 15212, USA. ctoevs@aol.com
authors.forename: Christine C
authors.initials: CC
authors.lastname: Toevs
mesh_terms: D003422:Critical Care; D019033:Delivery of Health Care, Integrated; D006801:Humans; D007362:Intensive Care Units; D010166:Palliative Care; D016414:Resuscitation Orders; D013727:Terminal Care; D014947:Wounds and Injuries / Q000628:therapy*