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Related Experiment Videos

Where do we go from here? One intensivist's perspective.

Gordon D Rubenfeld1

  • 1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, Washington, USA.

Critical Care Medicine
|October 24, 2006
PubMed
Summary

Improving palliative care in the intensive care unit (ICU) is crucial for quality enhancement. This article examines strategies for integrating palliative care as a standard medical therapy within critical care settings.

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Area of Science:

  • Critical Care Medicine
  • Palliative Care
  • Quality Improvement

Background:

  • Intensive care units (ICUs) are increasingly subject to quality improvement measures.
  • Palliative care, encompassing patient values and suffering, is a frequent intervention in ICUs.
  • There is a growing need to integrate palliative care into critical care practices.

Purpose of the Study:

  • To explore the integration of palliative care within the ICU setting.
  • To identify similarities and differences between improving palliative care and other quality improvement initiatives in critical care.

Main Methods:

  • The article adopts the perspective of a clinical intensivist.
  • It analyzes the process of eliciting patient values, assessing care alignment, resolving conflicts, and alleviating suffering.

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  • It compares palliative care implementation with other critical care practice changes.

    • Main Results:

    • Palliative care is a routinely provided therapy in the ICU.
    • Quality improvement in palliative care is a relevant and achievable goal within critical care.
    • Specific challenges and commonalities exist when implementing palliative care compared to other ICU quality initiatives.

    Conclusions:

    • Palliative care is an essential component of critical care and a prime target for quality improvement.
    • Understanding the nuances of palliative care implementation is key for successful integration.
    • Further research and practice changes are needed to optimize palliative care in the ICU.