Managing Death in the ICU
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Managing Death in the ICU : The Transition from Cure to Comfort

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Description

This volume reviews the state of the art in caring for patients dying in the ICU, focusing on both clinical aspects of managing pain and other symptoms, as well as ethical and societal issues that affect the standards of care recieved, The book also addresses the changing epidemiology of death in this setting related to managed care, practical skills needed to provide the highest quality of care to terminal patients, communicating with patients and families, the mechanics of withdrawing life supporting therapies, and the essential role of palliative care specialists in the ICU. The book briefly describes unique issues that arise when caring for patients with some of the more common diseases that preciptate death in the ICU. Contributors for the book were chosed because they have experience caring for patients in the ICU, and are also doing current research to find ways to improve care for terminal patients in this setting.show more

Product details

  • Hardback | 406 pages
  • 154.9 x 236.2 x 22.9mm | 680.4g
  • Oxford University Press Inc
  • New York, United States
  • English
  • New.
  • 0195128818
  • 9780195128819

Review quote

This is a ground-breaking collection of essays examining death and dying in the intensive care unit... It is the first book I have seen that makes explicit the parallels between palliative and intensive care, and one of the best examples I have encountered of interdisciplinary collaboration in aid of a common goal between nurses, physicians, oncologists, bio-ethicists and intensivists...I wholeheartedly recommend this book - not only to those with a specific intensive care interest, but to anyone who wishes to understand and improve the care of dying people in hospital environments. * Progress in Palliative Care *show more

Table of contents

SECTION I: THE CHANGING LANDSCAPE OF DEATH IN THE ICU ; 1. Introducing the concept of managing death in the ICU ; 2. The changing ethics of death in the ICU ; 3. The changing nature of death in the ICU ; 4. Making a personal relatinship with death ; SECTION II: THE DECISION TO LIMIT LIFE SUPPORT IN THE ICU ; 5. Outcome prediction in the ICU ; 6. Decision-making and the role of bias ; 7. The role of health status and quality of life in decisions about ICU care ; 8. Advance care planning in the outpatient and ICU setting ; SECTION III: PRACTICAL SKILLS NEEDED TO MANAGE DEATH IN THE ICU ; 9. How to discuss dying and death in the ICU ; 10. Managnig pain and other symptoms in dying patients in the ICU ; 11. Principles and practice of withdrawing life sustaining treatment in the ICU ; 12. The Role of critical care nurses in providing and managing end-of-life care ; 13. Helping families prepare for and cope with a death in the ICU ; 14. Helping the clinician cope with death in the ICU ; 15. The interface of technology and spriituality in the ICU ; 16. Sacred end-of-life rituals in the ICU ; SECTION IV: SOCIETAL ISSUES ; 17. Role of race, ethnicity, religion, and socioeconomic status on end-of-life care in the ICU ; 18. Legal liability anxieties in the ICU ; 19. Economics of managing death in te ICU ; 20. Organizational change and improving the quality of palliative care in the ICU ; 21. An interantional perspective on death in the ICU ; SECTION V: SPECIFIC DISEASES AND SPECIAL POPULATIONS ; 22. AIDS ; 23. Cancer ; 24. Congestive heart failure ; 25. Chronic obstructive pulmonary disease ; 26. Decisions to limit intensive care in patients with coma ; 27. Special concerns for infants and children ; 28. Special Concerns for the very oldshow more

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