Improving Healthcare Provider Communication in End of Life Decision Making
Journal Title: Journal of Intensive and Critical Care - Year 2017, Vol 3, Issue 3
Abstract
End of life decision making in the critical care setting is a complex and stressful event for all involved, including family members, patients and the healthcare team. Communicating end of life needs is a skill that requires education and supervised practice. This article describes a quality improvement project that was designed to improve communication structure during EOL decision-making. A gap analysis prior to the project revealed lack of formal education for this skill leaving healthcare providers uncomfortable and dissatisfied with current practice. The analysis also identified lack of structured family meeting guidelines in place which led to inconsistent meetings and documentation of plan of care leaving healthcare providers feeling frustrated and dissatisfied with outcomes of meetings.
Authors and Affiliations
Tracey Wilson
Evaluation of Unfractionated Heparin Dosing for Thromboprophylaxis using Anti-Xa Levels in Obese Critically Ill Patients: A Retrospective Study
Purpose: This study aims to evaluate whether current dosing recommendations of UFH for the prevention of thromboembolism is appropriate in obese critically ill patients utilizing Anti-Xa levels. Materials and methods: A...
Effect of High-Dose Intravenous Immunoglobulin Administration on the Levels of Interleukin-6 in Patients with Sepsis
Background: Intravenous immunoglobulin (IVIG) is administered to patients with sepsis to improve clinical outcomes. Here, we report the effectiveness of highdose IVIG therapy in patients with sepsis admitted to a teachin...
Commentary on Application of the Cultural Competence Model in the Experience of Care in Nursing Professionals Primary Care
In the original article "Application of the cultural competence model in the experience of care in nursing professionals Primary Care", published by the Atención Primaria magazine, the authors, María Dolores Gil Estevan...
Improving Healthcare Provider Communication in End of Life Decision Making
End of life decision making in the critical care setting is a complex and stressful event for all involved, including family members, patients and the healthcare team. Communicating end of life needs is a skill that requ...
Light Intensity on Intensive Care Units- A Short Review
Circadian rhythms are autonomous, self-sustained, approximately 24 h oscillations in biological processes (e.g. daily fluctuation of core body temperature, serum melatonin, or cortisol) entrained to environmental cues, t...