1
40
4
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/CCM.0B013E3181659096" target="_blank" rel="noreferrer">http://doi.org/10.1097/CCM.0B013E3181659096</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine
Publisher
An entity responsible for making the resource available
Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
Subject
The topic of the resource
Humans; Intensive Care Units; Family; Biomedical Research; Terminal Care/methods/standards; Intensive Care/methods/standards; Life Support Care/ethics/methods
Creator
An entity primarily responsible for making the resource
Truog RD; Campbell ML; Curtis JR; Haas CE; Luce JM; Rubenfeld GD; Rushton CH; Kaufman DC; American Academy of Critical Care Medicine
Description
An account of the resource
BACKGROUND: These recommendations have been developed to improve the care of intensive care unit (ICU) patients during the dying process. The recommendations build on those published in 2003 and highlight recent developments in the field from a U.S. perspective. They do not use an evidence grading system because most of the recommendations are based on ethical and legal principles that are not derived from empirically based evidence. PRINCIPAL FINDINGS: Family-centered care, which emphasizes the importance of the social structure within which patients are embedded, has emerged as a comprehensive ideal for managing end-of-life care in the ICU. ICU clinicians should be competent in all aspects of this care, including the practical and ethical aspects of withdrawing different modalities of life-sustaining treatment and the use of sedatives, analgesics, and nonpharmacologic approaches to easing the suffering of the dying process. Several key ethical concepts play a foundational role in guiding end-of-life care, including the distinctions between withholding and withdrawing treatments, between actions of killing and allowing to die, and between consequences that are intended vs. those that are merely foreseen (the doctrine of double effect). Improved communication with the family has been shown to improve patient care and family outcomes. Other knowledge unique to end-of-life care includes principles for notifying families of a patient's death and compassionate approaches to discussing options for organ donation. End-of-life care continues even after the death of the patient, and ICUs should consider developing comprehensive bereavement programs to support both families and the needs of the clinical staff. Finally, a comprehensive agenda for improving end-of-life care in the ICU has been developed to guide research, quality improvement efforts, and educational curricula. CONCLUSIONS: End-of-life care is emerging as a comprehensive area of expertise in the ICU and demands the same high level of knowledge and competence as all other areas of ICU practice.
2008
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/CCM.0B013E3181659096" target="_blank" rel="noreferrer">10.1097/CCM.0B013E3181659096</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2008
American Academy of Critical Care Medicine
Backlog
Biomedical Research
Campbell ML
Critical Care Medicine
Curtis JR
Family
Haas CE
Humans
Intensive Care Units
Intensive Care/methods/standards
Journal Article
Kaufman DC
Life Support Care/ethics/methods
Luce JM
Rubenfeld GD
Rushton CH
Terminal Care/methods/standards
Truog RD
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/01.ccm.0000127262.16690.65" target="_blank" rel="noreferrer">http://doi.org/10.1097/01.ccm.0000127262.16690.65</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Family satisfaction with family conferences about end-of-life care in the intensive care unit: increased proportion of family speech is associated with increased satisfaction
Publisher
An entity responsible for making the resource available
Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
Subject
The topic of the resource
Cross-Sectional Studies; Female; Humans; Male; Intensive Care Units; Hospital Mortality; Questionnaires; Middle Aged; Communication; Critical Care; Consumer Satisfaction; Washington; Family/psychology; Terminal Care/psychology
Creator
An entity primarily responsible for making the resource
McDonagh JR; Elliott TB; Engelberg RA; Treece PD; Shannon SE; Rubenfeld GD; Patrick DL; Curtis JR
Description
An account of the resource
OBJECTIVE: Family members of critically ill patients report dissatisfaction with family-clinician communication about withdrawing life support, yet limited data exist to guide clinicians in this communication. The hypothesis of this analysis was that increased proportion of family speech during ICU family conferences would be associated with increased family satisfaction. DESIGN: Cross-sectional study. SETTING: We identified family conferences in intensive care units of four Seattle hospitals during which discussions about withdrawing life support were likely to occur. PARTICIPANTS: Participants were 214 family members from 51 different families. There were 36 different physicians leading the conferences, as some physicians led more than one conference. INTERVENTIONS: Fifty-one conferences were audiotaped. MEASUREMENTS: We measured the duration of time that families and clinicians spoke during the conference. All participants were given a survey assessing satisfaction with communication. RESULTS: The mean conference time was 32.0 mins with an sd of 14.8 mins and a range from 7 to 74 mins. On average, family members spoke 29% and clinicians spoke 71% of the time. Increased proportion of family speech was significantly associated with increased family satisfaction with physician communication. Increased proportion of family speech was also associated with decreased family ratings of conflict with the physician. There was no association between the duration of the conference and family satisfaction. CONCLUSIONS: This study suggests that allowing family members more opportunity to speak during conferences may improve family satisfaction. Future studies should assess the effect of interventions to increase listening by critical care clinicians on the quality of communication and the family experience.
2004
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/01.ccm.0000127262.16690.65" target="_blank" rel="noreferrer">10.1097/01.ccm.0000127262.16690.65</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2004
Backlog
Communication
Consumer Satisfaction
Critical Care
Critical Care Medicine
Cross-sectional Studies
Curtis JR
Elliott TB
Engelberg RA
Family/psychology
Female
Hospital Mortality
Humans
Intensive Care Units
Journal Article
Male
McDonagh JR
Middle Aged
Patrick DL
Questionnaires
Rubenfeld GD
Shannon SE
Terminal Care/psychology
Treece PD
Washington
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/00003246-200102001-00006" target="_blank" rel="noreferrer">http://doi.org/10.1097/00003246-200102001-00006</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The family conference as a focus to improve communication about end-of-life care in the intensive care unit: Opportunities for improvement
Publisher
An entity responsible for making the resource available
Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Family
Creator
An entity primarily responsible for making the resource
Curtis JR; Patrick DL; Shannon SE; Treece Patsy D; Engelberg RA; Rubenfeld GD
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00003246-200102001-00006" target="_blank" rel="noreferrer">10.1097/00003246-200102001-00006</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2001
2001
Backlog
Critical Care Medicine
Curtis JR
Engelberg RA
Family
Journal Article
Patrick DL
Rubenfeld GD
Shannon SE
Treece Patsy D
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/00003246-200110000-00025" target="_blank" rel="noreferrer">http://doi.org/10.1097/00003246-200110000-00025</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
End-of-life care in the intensive care unit: a research agenda.
Publisher
An entity responsible for making the resource available
Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Female; Humans; Male; United States; Program Evaluation; Quality of Health Care; Evidence-Based Medicine; Palliative Care/standards; Palliative Care/trends; Attitude to Death; Health Services Research/organization & administration; Intensive Care Units; Intensive Care/standards; Intensive Care/trends; Outcome Assessment (Health Care)
Creator
An entity primarily responsible for making the resource
Rubenfeld GD; Randall CJ; The End-of-Life Care in the ICU Working Group
Description
An account of the resource
BACKGROUND: The intensive care unit (ICU) represents a unique clinical setting in which mortality is relatively high and the professional culture tends to be one of "rescue therapy" using technological and invasive interventions. For these reasons, the ICU is an important environment for understanding and improving end-of-life care. Although there have been consensus statements and review articles on end-of-life care in the ICU, there is limited evidence on which to base an assessment of best practices for providing high-quality end-of-life care in this setting. OBJECTIVE: To convene a Working Group of experts in critical care, palliative medicine, medical ethics, and medical law to address the question "What research needs to be done to improve end-of-life care to patients in the ICU?" METHODS: Participants were identified for membership in the Working Group by purposive sampling within the fields of critical care medicine and nursing, palliative medicine, and medical ethics; others were chosen to represent social work and hospital chaplains. Through a process of breakout and plenary sessions, the group identified important questions that need to be addressed in the areas of defining the problem, identifying solutions, evaluating solutions, and overcoming barriers. CONCLUSIONS: Outlining unanswered questions on end-of-life care in the ICU is a first step to providing the answers that will allow us to improve care to patients dying in the ICU. These questions also serve to focus clinicians and educators on the important areas for improving quality of care. [References: 25]
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00003246-200110000-00025" target="_blank" rel="noreferrer">10.1097/00003246-200110000-00025</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2001
Attitude To Death
Backlog
Critical Care Medicine
Evidence-based Medicine
Female
Health Services Research/organization & administration
Humans
Intensive Care Units
Intensive Care/standards
Intensive Care/trends
Journal Article
Male
Outcome Assessment (health Care)
Palliative Care/standards
Palliative Care/trends
Program Evaluation
Quality Of Health Care
Randall CJ
Rubenfeld GD
The End-of-Life Care in the ICU Working Group
United States