Integrating Palliative Care in the ICU The Nurse in a Leading Role

被引：78

作者：

Nelson, Judith E. ^{[1
]}

Cortez, Therese B. ^{[2
]}

Curtis, J. Randall ^{[3
]}

Lustbader, Dana R. ^{[4
]}

Mosenthal, Anne C. ^{[5
,6
]}

Mulkerin, Colleen ^{[7
]}

Ray, Daniel E. ^{[8
]}

Bassett, Rick ^{[9
]}

Boss, Renee D. ^{[10
]}

Brasel, Karen J.

Campbell, Margaret L. ^{[12
]}

Weissman, David E. ^{[1
,11
]}

Puntillo, Kathleen A. ^{[13
]}

机构：

[1] Mt Sinai Sch Med, IPAL ICU Project, Ctr Adv Palliat Care, New York, NY 10029 USA

[2] Dept Vet Affairs Vet Integrated Serv Network 3, New York, NY USA

[3] Univ Washington, Sch Med, Div Pulm & Crit Care Med, Seattle, WA USA

[4] N Shore Long Isl Jewish Hlth Syst, Sect Palliat Med, Manhasset, NY USA

[5] Univ Med & Dent New Jersey, New Jersey Med Sch, Div Crit Care, Newark, NJ 07103 USA

[6] Univ Med & Dent New Jersey, New Jersey Med Sch, Div Palliat Care, Newark, NJ 07103 USA

[7] Hartford Hosp, Palliat Med Consult Serv, Hartford, CT 06115 USA

[8] Lehigh Valley Hlth Network, Med Crit Care Program, Allentown, PA USA

[9] St Lukes Hosp, Boise Meridian & Mt States Tumor Inst, Boise, ID USA

[10] Johns Hopkins Univ, Sch Med, Dept Pediat, Div Neonatol, Baltimore, MD 21205 USA

[11] Med Coll Wisconsin, Palliat Care Ctr, Milwaukee, WI 53226 USA

[12] Wayne State Univ, Coll Nursing, Detroit, MI 48202 USA

[13] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA

来源：

JOURNAL OF HOSPICE & PALLIATIVE NURSING | 2011年 / 13卷 / 02期

关键词：

intensive care; nurse's role; palliative care; OF-LIFE CARE; UNIT; COMMUNICATION; STATEMENT; FAMILY; INTERVENTION; GUIDELINES;

D O I：

10.1097/NJH.0b013e318203d9ff

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Palliative care is increasingly recognized as an integral component of comprehensive intensive care for all critically ill patients, regardless of prognosis, and for their families. Here we discuss the key role that nurses can and must continue to play in making this evidence-based paradigm a clinical reality across a broad range of ICUs. We review the contributions of nurses to implementation of ICU safety initiatives as a model that can be applied to ICU palliative care integration. We focus on the importance of nursing involvement in design and application of work processes that facilitate this integration in a systematic way, including processes that ensure the participation of nurses in discussions and decision making with families about care goals. We suggest ways that nurses can help to operationalize an integrated approach to palliative care in the ICU and to define their own essential role in a successful, sustainable ICU palliative care improvement effort. Finally, we identify resources including The IPAL-ICU Project (TM), a new initiative by the Center to Advance Palliative Care that can assist nurses and other healthcare professionals to move such efforts forward in diverse critical care settings.

引用

页码：89 / 94

页数：6

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