Chapter

A Communication Intervention in the Intensive Care Unit

Lori Olson and Christian T. Sinclair

in 50 Studies Every Palliative Care Doctor Should Know

Published on behalf of Oxford University Press

Published in print April 2018 | ISBN: 9780190658618
Published online April 2018 | e-ISBN: 9780190658649 | DOI: https://dx.doi.org/10.1093/med/9780190658618.003.0038

Series: Fifty Studies Every Doctor Should Know

A Communication Intervention in the Intensive Care Unit

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Caregiver outcomes of anxiety, depression, and posttaumatic stress disorder are modifiable based on care received while a patient is in the intensive care unit (ICU) setting. When compared to usual ICU care (which did include family meetings), the intervention added a structured end-of-life conference according to VALUE-based guidelines and a 15-page bereavement informational booklet. Patients in the intervention arm also had longer conferences, more time with family speaking, and more life-sustaining treatments withdrawn. The chapter describes the basics of the study, briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case.

Chapter.  1478 words.  Illustrated.

Subjects: Palliative Medicine ; Primary Care

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