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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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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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Introducing palliative care into the intensive care unit: An interventional study.

Freda DeKeyser Ganz1, Maureen Ben Nun2, Ofra Raanan3

  • 1Hadassah Hebrew University School of Nursing, Kiryat Hadassah, PO Box 12000, Jerusalem 91120, Israel and Jerusalem College of Technology, Jerusalem, Israel.

Heart & Lung : the Journal of Critical Care
|July 30, 2020
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Summary

A course improved intensive care unit (ICU) palliative care knowledge and practices. However, organizational barriers hindered the integration of palliative care into ICUs, despite improved participant capacity.

Keywords:
AttitudesIntensive careKnowledgeNursePalliative carePractices

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Area of Science:

  • Medical Education
  • Palliative Care
  • Intensive Care Medicine

Background:

  • Intensive Care Unit (ICU) deaths often involve significant patient and family suffering.
  • Palliative care integration in ICUs is needed but frequently unavailable.
  • Addressing end-of-life care challenges in critical care settings is crucial.

Purpose of the Study:

  • To evaluate the impact of an ICU Palliative Care course on participants' knowledge, attitudes, and practices.
  • To assess long-term changes in palliative care competencies among ICU professionals.
  • To identify factors influencing the implementation of palliative care in ICUs.

Main Methods:

  • Longitudinal study of four cohorts (N=122) participating in a national Israeli ICU Palliative Care course.
  • Data collection at course commencement, completion, and 2-5 years post-course.
  • Assessment of changes in palliative care knowledge, attitudes, and practices.

Main Results:

  • Significant improvements were observed in palliative care attitudes and practices post-course.
  • Knowledge levels and quality of death and dying remained stable after course completion.
  • Participants acquired skills but faced organizational barriers to implementing palliative care.

Conclusions:

  • The ICU Palliative Care course effectively enhanced participants' capacity to deliver palliative care.
  • Organizational barriers significantly impeded the successful introduction of palliative care into the ICU setting.
  • Further strategies are needed to overcome systemic challenges for effective ICU palliative care integration.