Abstract
The importance of an interdisciplinary end-of-life curricula for the intensive care unit is now recognized. Educational agendas for interdisciplinary end-of-life curricula are being developed across the United States. However, the limited database on palliative care education precludes evidence-based recommendations. Through a case-based approach, the need for an interdisciplinary team is explored, including the definition of an interdisciplinary team and the step-wise incorporation of specific members, such as physicians, nurses, social workers, and the chaplain, as patient care evolves. Gore competencies for end-of-life care are enumerated including the approaches to end-of-life care, ethical and legal constraints, symptom management, specific end-of-life syndromes/palliative crises, and development of communication skills for trusting relationships. Finally, four phases of ICU management of curative and comfort care are proposed: phase I, focus on checklist for transfer; phase II, focus on life-saving treatments; phase III, focus on the "whole" patient; and phase IV, focus on palliative care.
Original language | English (US) |
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Pages (from-to) | N16-N23 |
Journal | Critical care medicine |
Volume | 29 |
Issue number | 2 SUPPL. |
DOIs | |
State | Published - 2001 |
Keywords
- Acute Physiology and Chronic Health Evaluation II
- Education
- Education of Physicians on End-of-Life Care
- End-of-life care
- End-of-life care curricula
- Intensive care unit
- Interdisciplinary curriculum
- Interdisciplinary team
- Palliative care
- Study to Understand Prognoses and References for Outcomes and Risks of Treatment
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine