Palliative Care in The Surgical Intensive Care Unit

Mosenthal, Anne C.; Lee, K.Francis; Huffman, Joan L.

doi:10.1016/s1072-7515(01)01133-4

Cited by 28 publications

(15 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18 Patient-specific triggers have been developed for the surgical and medical intensive care units, and can help providers recognize appropriate patients for referral. [19][20][21] These criteria could be built into the electronic medical record and could generate a recommendation to the provider to refer to palliative care. The emergency provider could ''opt-out,'' or decline consultation, while the patient/surrogate could decline services once the consult arrives.…”

Section: Triggered Consultationmentioning

confidence: 99%

The Palliative Care Model for Emergency Department Patients with Advanced Illness

Grudzen

Stone

Morrison

2011

Journal of Palliative Medicine

108

119

View full text Add to dashboard Cite

Background: Large gaps in the delivery of palliative care services exist in the outpatient setting, where there is a failure to address goals of care and to plan for and treat predictable crises. While not originally considered an ideal environment to deliver palliative care services, the emergency department presents a key decision point at which providers set the course for a patient's subsequent trajectory and goals of care. Many patients with serious and life-threatening illness present to emergency departments because symptoms, such as pain or nausea and vomiting, cannot be controlled at home, in an assisted living facility, or in a provider's office. Even for patients in whom goals of care are clear, families often need support for their loved one's physical as well as mental distress. The emergency department is often the only place that can provide needed interventions (e.g., intravenous fluids or pain medications) as well as immediate access to advanced diagnostic tests (e.g. computed tomography or magnetic resonance imaging). Discussion: Palliative care services provide relief of burdensome symptoms, attention to spiritual and social concerns, goal setting, and patient-provider communication that are often not addressed in the acute care setting. While emergency providers could provide some of these services, there is a knowledge gap regarding palliative care in the emergency department setting. Emergency department-based palliative care programs are currently consultations for symptoms and/or goals of care, and have been initiated both by both the palliative care team and palliative care champions in the emergency department. Some programs have focused on the provision of hospice services through partnerships with hospice providers, which can potentially help emergency department providers with disposition. Conclusion: Although some data on pilot programs are available, optimal models of delivery of emergency department-based palliative care have not been rigorously studied. Research is needed to determine how these services are best organized, what affect they will have on patients and caregivers, and whether they can decrease symptom burden and health care utilization.

show abstract

Section: Triggered Consultationmentioning

confidence: 99%

The Palliative Care Model for Emergency Department Patients with Advanced Illness

Grudzen

Stone

Morrison

2011

Journal of Palliative Medicine

108

119

View full text Add to dashboard Cite

show abstract

“…Traditionally, surgical culture is procedure oriented, and death is often seen as a failure. 3 Death within 30 days of a surgical procedure is monitored nationally. This places additional external pressure on the surgical team and reinforces a perception of death as failure.…”

Section: For Questions Related To This Article Contact Tonja Hartjesmentioning

confidence: 99%

“…Additionally, long-term cognitive and functional incapacities are significant risk factors for increased morbidity after discharge. 2 …”

Section: For Questions Related To This Article Contact Tonja Hartjesmentioning

confidence: 99%

Bringing Palliative Care to the Surgical Intensive Care Unit

Mirel

Hartjes

2013

Critical Care Nurse

View full text Add to dashboard Cite

“…1999), palliative-care units or freestanding hospice units, the emergency room (Lauria, Whitaker, & Coleman, 2001), intensive-care units (Mosenthal, Lee, & Huffman, 2002), hospital obstetrical (Pauw, 1991), and neonatal intensive care units (Silverman, 1992), pediatric settings and critical-care units (Dungan, Jaquay, Reznik, & Sands, 1995;Papadatou, 1997), pain clinics, communitybased substance abuse and health agencies, and nursing homes (Kruzich & Powell, 1995).…”

Section: Journal Of Social Work Educationmentioning

confidence: 99%

Analysis of End-Of-Life Content in Social Work Textbooks

Kramer

Pacourek

Hovland-Scafe

2003

Journal of Social Work Education

View full text Add to dashboard Cite

This article reports on a project designed to improve end-of-life (EOL) care in social work education. The project's goals were to develop and use EOLrelated content guidelines to conduct a critical review of textbooks frequently used in social work. A descriptive study design was employed using content analysis and quantification of the content in 50 texts, selected from a list of over 700 books. Ten content areas considered essential for competent social work practice in situations involving EOL care comprised only 3% of the total text. Results demonstrate a significant opportunity for improvement ofEOL content in social work textbooks.

show abstract

Palliative Care in The Surgical Intensive Care Unit

Cited by 28 publications

References 32 publications

The Palliative Care Model for Emergency Department Patients with Advanced Illness

The Palliative Care Model for Emergency Department Patients with Advanced Illness

Bringing Palliative Care to the Surgical Intensive Care Unit

Analysis of End-Of-Life Content in Social Work Textbooks

Contact Info

Product

Resources

About