Creating a Comfort Environment at End-of Life in Critical Care: A Review
Journal Title: Journal of Intensive and Critical Care - Year 2017, Vol 3, Issue 2
Abstract
End-of life situations occur routinely in critical care. Depending on age and diagnosis, it is estimated that 10-29% of adults will die in the intensive care unit (ICU) [1]. When the goal of treatment changes from life-sustaining to comfort measures, it is a challenge for the staff to quickly switch gears and provide end-of-life care in an environment that is fast-paced, noisy, and even chaotic at times. This transition can be stressful for nurses and upsetting to patients and their families [2]. A review of the article “All the Comforts of Home: Transformation to a Comfort Environment in Critical Care” [3] shows how the staff of a 14-bed intensive care unit in a community hospital worked to create a peaceful, homelike atmosphere for patients and families at end-of-life.
Authors and Affiliations
Betsey S Dreher
A Cohort Study on Nurse-Led Checklist Intervention to Reduce Catheter-Related Bloodstream Infection in an Intensive Care Unit
Background: Several collaborative studies have shown that infectious complications arising from the use of central venous catheters (CVC) in intensive care units (ICU) are preventable and that the implementation of a saf...
Sleep Disturbances and Critical Illness
Patients in the intensive care unit are at risk for developing sleep disturbances. This article describes the etiologic factors associated with sleep disturbances in the intensive care setting, effects of sleep disturban...
Myocarditis Mimicking Acute Coronary Syndrome Secondary to Eosinophilia
Background: Eosinophilic myocarditis is a rare and under-recognized subtype of myocarditis. The signs and symptoms are non-specific, most often mimicking other diseases, leading to a late, and sometimes, incorrect diagno...
Acute Kidney Injury in HIV-Infected Versus Non-Infected Persons: What Difference?
Patients are younger with a female predominance in the HIV-positive group. The signs are the clinical expression of opportunistic infections related to severe immunosuppression. Anemia is more common and severe in HIV-po...
With or Without ARDS: Evidence Regarding PEEP levels
Positive end-expiratory pressure (PEEP) is defined as the alveolar pressure above atmospheric pressure that exists at the end of expiration, and it comprehends the intrinsic PEEP and extrinsic PEEP [1]. Intrinsic PEEP is...