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European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit
J. Kesecioglu, K. Rusinova, D. Alampi, YM. Arabi, J. Benbenishty, D. Benoit, C. Boulanger, M. Cecconi, C. Cox, M. van Dam, D. van Dijk, J. Downar, N. Efstathiou, R. Endacott, A. Galazzi, F. van Gelder, RT. Gerritsen, A. Girbes, L. Hawyrluck, M....
Language English Country United States
Document type Journal Article, Practice Guideline
NLK
ProQuest Central
from 1997-01-01 to 1 year ago
Medline Complete (EBSCOhost)
from 2000-01-01 to 1 year ago
Nursing & Allied Health Database (ProQuest)
from 1997-01-01 to 1 year ago
Health & Medicine (ProQuest)
from 1997-01-01 to 1 year ago
- MeSH
- Intensive Care Units * organization & administration standards MeSH
- Communication MeSH
- Humans MeSH
- Palliative Care * standards methods MeSH
- Critical Care methods standards MeSH
- Terminal Care * standards methods MeSH
- Decision Making MeSH
- Societies, Medical MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Practice Guideline MeSH
- Geographicals
- Europe MeSH
The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented. EoL legislation and the importance of respecting the autonomy and preferences of patients were given close attention. Differences in EoL care depending on country income and healthcare provision were considered. Structured EoL decision-making strategies are recommended to improve outcomes of patients and relatives, as well as staff satisfaction and mental health. Early integration of palliative care and the use of standardized tools for symptom assessment are suggested for patients at high risk of dying. Communication training for ICU staff and printed communication aids for families are advocated to improve outcomes and satisfaction. Methods for enhancing family-centeredness of care include structured family conferences and culturally sensitive interventions. Conflict-management protocols and strategies to prevent burnout among healthcare professionals are also considered. The work done to develop these guidelines highlights many areas requiring further research.
2nd Department of Anaesthesiology and Intensive Care Medicine University Hospital Brno Brno Czechia
Ahmedabad Shaibya Comprehensive Care Clinic Ahmedabad India
Anesthesia and Intensive Care Ospedale Uboldo Cernusco sul Naviglio Milan Italy
Biomedical Sciences Department Humanitas University Milan Italy
Bruyere Research Institute Ottawa Canada
Centrum Voor Intensive Care Medisch Centrum Leeuwarden Leeuwarden The Netherlands
CLINURSID Research Group University of Santiago de Compostela Santiago de Compostela Spain
Curtin School of Nursing Curtin University Perth Australia
Department of Anaesthesia and Intensive Care IRCCS Humanitas Research Hospital Milan Italy
Department of Anesthesia Intensive Care and Emergency San Giovanni Bosco Hospital Turin Italy
Department of Critical Care AmsterdamUMC Location VUmc Amsterdam The Netherlands
Department of Critical Care King's College Hospital NHS Foundation Trust London UK
Department of Intensive Care Medicine Ghent University Hospital Ghent Belgium
Department of Intensive Care Radboud University Medical Center Nijmegen The Netherlands
Department of Medicine University of Ottawa Ottawa Canada
Department of Medicine University of Udine Udine Italy
Department of Neuroscience Reproductive Science and Dentistry University of Naples Naples Italy
Department of Nursing Zhongshan Hospital Fudan University Shanghai China
Department of Palliative Medicine University Hospital Bonn Bonn Germany
Department of Pathophysiology and Transplantation Università degli Studi di Milano Milan Italy
Department of Simulation Medicine Faculty of Medicine Masaryk University Brno Czechia
Division of Pulmonary and Critical Care Medicine Duke University Durham NC USA
Faculdade de Ciências da Saúde Universidade da Beira Interior Covilhã Portugal
Faculty of Health Sciences University of the Witwatersrand Johannesburg South Africa
Faculty of Medicine and Health Science Ghent University Ghent Belgium
Faculty of Medicine School of Nursing Hebrew University Jerusalem Israel
Famiréa Research Group APHP Nord Saint Louis Hospital Intensive Care Unit Paris France
Gelderse Vallei Hospital Ede The Netherlands
Hospital Arnau de Vilanova Lliria Valencia Spain
Hospital de São José Unidade Local de Saúde São José Lisbon Portugal
Imperial Healthcare NHS Trust Imperial College London UK
Intensive Care Glasgow Royal Infirmary Glasgow UK
King's College London London UK
Médecine Intensive et Réanimation APHP Saint Louis Hospital Paris France
Memorial Hospital Weill Cornell Medical College New York NY USA
National Institute for Health and Care Research London UK
Royal Devon University NHS Foundation Trust Exeter UK
S C Anesthesia and Intensive Care Legnano Hospital ASST Ovest Milanese Milan Italy
Sapienza University of Rome A O U Sant'Andrea Rome Italy
School of Nursing and Midwifery Faculty of Health University of Plymouth Plymouth UK
School of Nursing and Midwifery University of Birmingham Birmingham UK
School of Nursing University of California San Francisco San Francisco CA USA
Universidad Católica de Valencia San Vicente Mártir Valencia Spain
Université Paris Cité Paris France
University of Glasgow Glasgow UK
University of Hertfordshire East and North Hertfordshire NHS Trust Hatfield UK
Wolfson Palliative Care Research Centre Hull York Medical School University of Hull Hull UK
References provided by Crossref.org
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