How We Do It

Integrating Palliative Care in the Intensive Care Unit

In 1999 in the United States, 540,000 people died in an ICU, close to a quarter of all US deaths. Despite trends toward declining hospital length of stay prior to death and increased hospice utilization, ICU days during the last six months of life continue to climb.



 

Jacob J. Strand, MD

, J. Andrew Billings, MD

Abstract

The admission of cancer patients into intensive care units (ICUs) is on the rise. These patients are at high risk for physical and psychosocial suffering. Patients and their families often face difficult end-of-life decisions that highlight the importance of effective and empathetic communication. Palliative care teams are uniquely equipped to help care for cancer patients who are admitted to ICUs.

When utilized in the ICU, palliative care has the potential to improve a patient's symptoms, enhance the communication between care teams and families, and improve family-centered decision making. Within the context of this article, we will discuss how palliative care can be integrated into the care of ICU patients and how to enhance family-centered communication; we will also highlight the care of ICU patients at the end of life.

*For a PDF of the full article, click on the link to the left of this introduction.

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