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Related Concept Videos

Continuing Care01:25

Continuing Care

1.5K
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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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Tertiary Healthcare System01:21

Tertiary Healthcare System

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Nursing Implementation01:15

Nursing Implementation

5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
Patient-centered Care01:13

Patient-centered Care

2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Related Experiment Video

Updated: Jun 29, 2025

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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Primary palliative care in the ICU.

Bryan Boling1,2

  • 1Division of Critical Care Medicine, Department of Anesthesiology, University of Kentucky, Lexington, Kentucky.

Journal of the American Association of Nurse Practitioners
|April 3, 2024
PubMed
Summary

Critical care providers can offer essential palliative care in the intensive care unit (ICU). This primary palliative care model improves end-of-life symptom management and supports patients and families during difficult conversations and decisions.

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Area of Science:

  • Medical Care
  • Palliative Care
  • Critical Care Medicine

Background:

  • Many intensive care unit (ICU) patients die annually despite advanced medical interventions.
  • There is a significant need for palliative care services within the ICU setting.
  • While specialty palliative care is valuable, critical care providers can deliver foundational palliative care.

Purpose of the Study:

  • To advocate for and outline the principles of primary palliative care delivered by critical care providers.
  • To equip critical care teams with skills for managing end-of-life care in the ICU.
  • To enhance patient and family support during critical illness and end-of-life discussions.

Main Methods:

  • Discussion of best practices for communication with patients and families.
  • Guidance on facilitating shared decision-making regarding goals of care.
  • Strategies for effective symptom management at the end of life.

Main Results:

  • Empowering critical care providers to offer primary palliative care can improve patient and family experiences.
  • Effective communication and shared decision-making are crucial for end-of-life care.
  • Proactive symptom management is essential for patient comfort.

Conclusions:

  • Critical care providers can and should integrate primary palliative care into their practice.
  • Implementing primary palliative care enhances the quality of care for critically ill patients nearing end of life.
  • Providing palliative care, though initially challenging, is a rewarding aspect of critical care.