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8.3 - Managing Palliative Care of the Critically Ill Patient

from Section 8 - End-of-Life Care

Published online by Cambridge University Press:  27 July 2023

By
Shankara Nagaraja
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Palliative care is an approach that aims to improve the quality of life of patients and their families.

  2. 2. The limitation of therapy is considered when the burden of life-sustaining treatment outweighs the benefits.

  3. 3. At the point of withholding and withdrawal of life-sustaining treatment, the priority of care changes from ‘cure’ to ‘comfort’.

  4. 4. A multidisciplinary and collaborative approach should be adopted for decision-making.

  5. 5. There should be access to spiritual care, including cultural and religious rituals.

Keywords

palliative carecritical illnessend-of-life careadvance directives
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 677 - 679
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Aslakson, RA, Randall Curtis, J, Nelson, JE. The changing role of palliative care in the ICU. Crit Care Med 2014;42:2418–28.Google Scholar
Braganza, MA, Glossop, AJ, Vora, VA. Treatment withdrawal and end-of-life care in the intensive care unit. BJA Education 2017;17:396–400.CrossRefGoogle Scholar
Downar, J, Delaney, JW, Hawry luck, L, Kenny, L. Guidelines for the withdrawal of life-sustaining measures. Intensive Care Med 2016;42:1003–17.Google ScholarPubMed
General Medical Council. Treatment and care towards the end of life: the duties of a doctor registered with the General Medical Council. London: General Medical Council; 2010.Google Scholar
Truog, RD, Campbell, ML, Curtis, JR, et al. Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College of Critical Care Medicine. Crit Care Med 2008;36:953–63.CrossRefGoogle Scholar

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