Initiatives to improve end-of-life care in intensive care units face several important barriers. These include inflated expectations for critical care therapies, which are shared by many clinicians and many patients and families; preoccupation with an unattainable level of prognostic certainty, delaying attention to palliative needs; and fragmentation of the healthcare team into separate "silos" of disciplines and specialties. The article reviews these barriers and relevant empirical evidence. Specific strategies to improve intensive care unit palliative care, including consultation by palliative care specialists, and palliative care quality measurement are discussed.
Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit. Publishing Authors By Initials
Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit. Journal Published:
PUBLICATION TYPE: Review
Journal: Critical care medicine
VOLUME: 34
Page Numbers: S324-31
Journal Abbreviation: Crit. Care Med.
ISSN: 0090-3493
DAY: 3
MONTH: Nov
YEAR: 2006
Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit. Information
Number of References:
LANGUAGE: eng
NlmUniqueID: 355501
Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit. Keywords Mesh Terms:
KEYWORDS: Terminal Care
MESH TERMS: organization & administration
Chemical & Substance for Abstract: Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit. Information
Substance Name:
Registry Number:
Grant and Affiliation Information for Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit.
AFFILIATION: Division of Pulmonary and Critical Care Medicine, Department of Medicine and Hertzberg Palliative Care Institute, Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY, USA.
Country: United States
AGENCY: United States NIA
GRANT: K02 AG024476
ACRONYM: AG
MEDLINETA: Crit Care Med
REFSOURCE:
DATABASENAME:
ACCESSION NUMBER:
Number Hits: 0
Identifying and overcoming the barriers to high-quality palliative care in the intensive care unit Related Publications