Chapter

The intensive care unit

Jennifer McAdam and Kathleen Puntillo

in Oxford Textbook of Palliative Nursing

Fourth edition

Published on behalf of Oxford University Press

Published in print January 2015 | ISBN: 9780199332342
Published online January 2015 | e-ISBN: 9780199385225 | DOI: https://dx.doi.org/10.1093/med/9780199332342.003.0054

Series: Oxford Textbooks In Palliative Medicine

The intensive care unit

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This chapter discusses the provision of palliative care in ICUs, with an emphasis on end-of-life care. Specifically, challenges and barriers to providing such care in ICUs are described, and recommendations are offered for the provision of symptom assessment and management. Current issues related to holding family meetings, establishing patient goals of care, surrogate decision-making, and withholding and withdrawing life-sustaining therapies are covered. Recommendations are offered for attending to the needs of families and of healthcare providers who care for ICU patients at the end of life. Finally, an international agenda for improving end-of-life care in ICUs is presented.

Chapter.  19781 words. 

Subjects: Palliative Medicine ; Nursing Skills

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