Search Tag: end-of-life care

ICU Management

#EUSEM18: End-of-life care in the ED

2018 12 Sep

Nobody goes into emergency medicine to care for dying patients, but people do die in emergency departments, and end-of-life care could and should be better in the ED, said Mary Dawood, RN, of Imperial College Healthcare NHS Trust, London, speaking at the European Society of Emergency Medicine congress in Glasgow this week. She noted that EOLC in... Read more

ICU Management

End-of-life care: drawing the line for futile interventions

2018 06 Sep

Many patients near the end of life are subject to rapid response system (RRS) calls. A study was conducted in a large Sydney teaching hospital to identify a cutoff point that defines nonbeneficial treatment for older hospital patients receiving an RRS call, describe interventions administered, and measure the cost of hospitalisation. "Identifiable... Read more

ICU Management

2018 23 Apr

Who should read You Can Stop Humming Now ?   Everyone and anyone! These are the stories of what comes after the medical miracles, when the sirens and flashing lights have gone quiet, behind curtains and closed doors. In this book, you will meet those whose lives have been extended by days, months or years as a result of our treatments... Read more

ICU Management

Volume 18 - Issue 1, 2018

2018 16 Mar

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ICU Management

Variation in end-of-life care

2018 16 Mar

Do we need yet another standard operating procedure? Variability in end-of-life care would seem to demand a standard operating procedure, but a roadmap towards harmonisation arguably would be easier to implement. Mainly due to enormous pharmacological and technological innovation during the last decades, intensive care medicine can... Read more

ICU Management

Video Testimonials Improve Consensus Regarding Patients' Wishes

2017 21 Feb

Adding a patient-created video testimonial to a living will or "POLST" form makes it easier for medical providers to interpret patients' wishes for critical versus end-of-life care, according to a study published in Journal of Patient Safety. "Our study shows that medical professionals are more likely to reach a consensus after viewing a video testimonial,... Read more

ICU Management

Greater Primary Care Physician Involvement, Less Costly, Less intensive care

2017 11 Jan

According to new research by Claire K. Ankuda, MD, MPH, with the Robert Wood Johnson Clinical Scholars Program at the University of Michagan Health System in Ann Arbor, and colleagues, regions that have greater primary care physician involvement during the last six months of life tend to have lower intensity, lower-cost end-of-life care. The research... Read more

ICU Management

End-of-Life Care in the ICU: WFSICCM Task Force Report

2016 21 Jun

As the demographics of ICU admission change, intensive care unit (ICU) staff are increasingly faced with ethical, legal and cultural considerations relating to end-of-life (EOL) care, including withholding or withdrawing life-sustaining treatment. The World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM) Task Force, chaired... Read more

ICU Management

Do End-of-Life Communication Tools Improve Decision-Making?

2016 12 Apr

Patients admitted to the ICU commonly have not have discussed their end-of-life (EOL) goals with family or surrogate decision-makers. Even if patients have discussed their preferences, they may not be documented in the medical record. ICU staff therefore may need to discuss goals with families and patients. A variety of decision aids, communication... Read more

Executive Health Management

Where Would You Like to Die?

2016 25 Jan

If you compare how people near the end of life are treated in the U.S. and other regions of the world, you will find very specific differences. In the U.S, such patients are typically attached to tubes and machines. They also have to go through invasive procedures and because of the fact that they are inundated with all these measures, most of the... Read more