Integrating palliative care into the PICU: a report from the Improving Palliative Care in the ICU Advisory Board

Title

Integrating palliative care into the PICU: a report from the Improving Palliative Care in the ICU Advisory Board

Creator

Boss R; Nelson JE; Weissman DE; Campbell M; Curtis Randall; Frontera J; Gabriel M; Lustbader DR; Mosenthal A; Mulkerin C; Puntillo KA; Ray DE; Bassett R; Brasel K; Hays R

Publisher

Pediatric Critical Care Medicine

Date

2014

Description

OBJECTIVE: This review highlights benefits that patients, families and clinicians can expect to realize when palliative care is intentionally incorporated into the PICU. DATA SOURCES: We searched the MEDLINE database from inception to January 2014 for English-language articles using the terms "palliative care" or "end of life care" or "supportive care" and "pediatric intensive care." We also hand-searched reference lists and author files and relevant tools on the Center to Advance Palliative Care website. STUDY SELECTION: Two authors (physicians with experience in pediatric intensive care and palliative care) made final selections. DATA EXTRACTION: We critically reviewed the existing data and tools to identify strategies for incorporating palliative care into the PICU. DATA SYNTHESIS: The Improving Palliative Care in the ICU Advisory Board used data and experience to address key questions relating to: pain and symptom management, enhancing quality of life, communication and decision-making, length of stay, sites of care, and grief and bereavement. CONCLUSIONS: Palliative care should begin at the time of a potentially life-limiting diagnosis and continue throughout the disease trajectory, regardless of the expected outcome. Although the PICU is often used for short term postoperative stabilization, PICU clinicians also care for many chronically ill children with complex underlying conditions and others receiving intensive care for prolonged periods. Integrating palliative care delivery into the PICU is rapidly becoming the standard for high quality care of critically ill children. Interdisciplinary ICU staff can take advantage of the growing resources for continuing education in pediatric palliative care principles and interventions.
2014-10

Rights

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

Journal Article

Citation List Month

Backlog

Pages

762-767

Issue

8

Volume

15

Citation

Boss R; Nelson JE; Weissman DE; Campbell M; Curtis Randall; Frontera J; Gabriel M; Lustbader DR; Mosenthal A; Mulkerin C; Puntillo KA; Ray DE; Bassett R; Brasel K; Hays R, “Integrating palliative care into the PICU: a report from the Improving Palliative Care in the ICU Advisory Board,” Pediatric Palliative Care Library, accessed September 21, 2021, https://pedpalascnetlibrary.omeka.net/items/show/14970.

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