Managing Death in the ICU
The Transition from Cure to Comfort
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Product details:
- Publisher OUP USA
- Date of Publication 11 January 2001
- ISBN 9780195128819
- Binding Hardback
- No. of pages408 pages
- Size 241x163x23 mm
- Weight 694 g
- Language English 0
Categories
Long 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.
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.
Table of Contents:
Section I: The Changing Landscape of Death in the ICU
Introducing the concept of managing death in the ICU
The changing ethics of death in the ICU
The changing nature of death in the ICU
Making a personal relatinship with death
Section II: The Decision to Limit Life Support in the ICU
Outcome prediction in the ICU
Decision-making and the role of bias
The role of health status and quality of life in decisions about ICU care
Advance care planning in the outpatient and ICU setting
Section III: Practical Skills Needed to Manage Death in the ICU
How to discuss dying and death in the ICU
Managnig pain and other symptoms in dying patients in the ICU
Principles and practice of withdrawing life sustaining treatment in the ICU
The Role of critical care nurses in providing and managing end-of-life care
Helping families prepare for and cope with a death in the ICU
Helping the clinician cope with death in the ICU
The interface of technology and spriituality in the ICU
Sacred end-of-life rituals in the ICU
Section IV: Societal Issues
Role of race, ethnicity, religion, and socioeconomic status on end-of-life care in the ICU
Legal liability anxieties in the ICU
Economics of managing death in te ICU
Organizational change and improving the quality of palliative care in the ICU
An interantional perspective on death in the ICU
Section V: Specific Diseases and Special Populations
AIDS
Cancer
Congestive heart failure
Chronic obstructive pulmonary disease
Decisions to limit intensive care in patients with coma
Special concerns for infants and children
Special Concerns for the very old
