Search Tag: End-of-Life

ICU Management

2018 06 Feb

A young woman is brought to the emergency room after being hit by a sports utility vehicle. After 45 minutes of resuscitation, she is pronounced dead. Jonathan Bartels, RN, recalled the case and the vacancy he felt afterwards. It prompted him to develop "The Pause"—taking a few moments after the patient has died, to acknowledge their passing and the... Read more

ICU Management

LIVES2016: Do We Need the Dead Donor Rule?

2016 11 Oct

With continuing shortages of donor organs in all countries, should the dead donor rule be replaced by the “dead enough for donation” rule? The issues surrounding organ donation when the donor is not yet dead were presented by Rik Gerritsen, Chair of the Ethics section of the European Society of Intensive Care Medicine at LIVES 2016 in Milan last week.... Read more

ICU Management

ICU Volume 15 - Issue 4 - 2015

2015 31 Dec

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ICU Management

Canadian Researchers at the End of Life Network (CARENET)

2015 31 Dec

Interview with Professor Daren HeylandThe Canadian Researchers at the End of Life Network (CARENET), directed by Professor Daren Heyland, brings together health professionals from across Canada. The network aims to understand and improve palliative and end-of-life (EOL) care through improving communication and decision making between patients, their... Read more

ICU Management

Spirituality and Physician-Family Meetings in the ICU

2015 31 Aug

While religious or spiritual concerns are discussed during family meetings in intensive care units, healthcare professionals only rarely explore the patient’s or family’s religious or spiritual ideas. The finding, reported in JAMA Internal Medicine, suggests that understanding how often such discussions take place — and what characterises them — is... Read more

ICU Management

UK Issues Draft Guidance for Care of the Dying

2015 04 Aug

The National Institute for Health and Care Excellence (NICE) has produced new draft guidance to improve the care of adults nearing the end of their lives. The guidelines have been proposed as an alternative to the controversial Liverpool Care Pathway, which was phased out in 2014 after a review by the Health Service Ombudsman found serious failings... Read more

ICU Management

Study: Transitioning to End-of-Life Care in the ICU

2015 04 Aug

The transition to end-of-life care (EOLC) is a difficult process for healthcare staff, patients and their families, whatever the setting. End-of-life care (EOLC) for cancer patients in the ICU has not been frequently studied. A paper published in Annals of Intensive Care as an epublication ahead of print explored the quality of transition to EOLC for... Read more

ICU Management

End-of-Life — Why These Conversations Matter

2015 23 Jul

The original Obamacare proposal sought to grant compensation for physicians for providing counselling to patients about living wills and end-of-life care options. The Affordable Care Act, which was enacted in 2010, however, includes no such compensation.The issue has been resurrected when the Center for Medicare and Medicaid Services (CMS) announced... Read more

ICU Management

End-of-Life Care: Doctors Should Help Kin Make Decisions

2015 18 Jun

Most deaths in the ICU follow a decision to limit life-sustaining therapies and, according to a Loyola University Medical Center critical care physician, doctors have a responsibility to provide recommendations to families of dying patients. Family members or other surrogate decision makers often have no experience in making end-of-life decisions for... Read more

ICU Management

Doctors Commonly Misinterpret End-of-Life Care Documents

2015 02 Mar

A pair of studies published in the Journal of Patient Safety show "significant confusion" among emergency physicians and prehospital care providers in interpreting the universal end-of-life care documents, called Physicians Orders for Life Sustaining Treatment (POLST), which communicate seriously ill patients' choices for life-sustaining treatments."Our... Read more