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Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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[How to implement quality in palliative care at intensive care unit]
Rubens C Costa Filho1, João Luiz Ferreira Costa2, Fernando Luiz B da R Gutierrez3
1Unidades de Terapias Intensivas, Hospital Pró-Cardíaco.
Revista Brasileira De Terapia Intensiva
|October 14, 2014
Summary
Palliative care enhances patient well-being by integrating with curative treatments, improving communication and addressing suffering, especially for critically ill patients. Further research is needed to optimize its implementation and family understanding in intensive care settings.
Area of Science:
- Palliative Medicine
- Intensive Care Medicine
- Bioethics
Context:
- Palliative care is increasingly integrated into intensive care units (ICUs).
- There's a recognized need to enhance palliative care for patients experiencing discomfort and pain in ICUs.
- Families of critically ill patients often lack understanding of diagnostic, prognostic, and therapeutic interventions.
Purpose:
- To improve communication and synergism between palliative and curative therapies.
- To integrate patients' and families' values into treatment plans for critically ill patients.
- To facilitate patient transitions across hospital departments.
Summary:
- Palliative care aims to prevent and relieve suffering by optimizing the synergy between palliative and curative treatments.
- This approach incorporates patient and family values, aiding transitions for critically ill patients.
- Despite advancements, palliative care in ICUs requires improvement, particularly regarding symptom management and family education.
Impact:
- Research in palliative care can lead to performance indicators for efficiency and quality improvement.
- Highlights the importance of palliative medicine in aligning general medicine with human values.
- Proposes alternatives for timely intervention and better patient-centered care.
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