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Titolo:
Palliative care in the intensive care unit: Part II
Autore:
Nelson, JE; Meier, DE;
Indirizzi:
Mt Sinai Sch Med, Dept Med, Div Pulm & Crit Care Med, New York, NY USA Mt Sinai Sch Med New York NY USA Pulm & Crit Care Med, New York, NY USA Mt Sinai Sch Med, Dept Geriatr & Adult Dev, New York, NY USA Mt Sinai Sch Med New York NY USA t Geriatr & Adult Dev, New York, NY USA
Titolo Testata:
JOURNAL OF INTENSIVE CARE MEDICINE
fascicolo: 4, volume: 14, anno: 1999,
pagine: 189 - 199
SICI:
0885-0666(199907/08)14:4<189:PCITIC>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
LIFE-SUSTAINING TREATMENT; PROACTIVE ETHICS CONSULTATION; CRITICALLY ILL PATIENTS; CLINICAL MANAGEMENT; DYING PATIENTS; SUPPORT; WITHDRAWAL; EXPERIENCE; PHYSICIANS; ANALGESIA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
75
Recensione:
Indirizzi per estratti:
Indirizzo: Nelson, JE Mt Sinai Med Ctr, Med Intens Care Unit, Box 1232,1 Gustave L Levy Pl, New York, NY 10029 USA Mt Sinai Med Ctr Box 1232,1 Gustave L Levy PlNew York NY USA 10029
Citazione:
J.E. Nelson e D.E. Meier, "Palliative care in the intensive care unit: Part II", J INTENS C, 14(4), 1999, pp. 189-199

Abstract

Although intensivists have not thought of their patients as "terminally ill," critically ill patients can be seen to share many salient features withpopulations of terminally ill patients for whom the principles and practice of palliative medicine were originally developed. In this two-part series, we review the role of palliative care in the intensive care unit. Part I discussed aspects of death and distress among the critically ill that mandate expertise and education in palliative medicine. In Part II we review thepractice of withdrawal and withholding of Life support, which now precedesthe majority of ICU deaths, discuss management of distress and discomfort experienced by critically ill patients, and suggest strategies for improving palliative care in the ICU. Traditionally palliative care and curative orlife-prolonging treatments have been dichotomized, the former deferred or deemphasized until hope of cure was abandoned. In a newer integrated model that provides the conceptual framework for this review, palliative care is provided to all patients receiving intensive care, including those pursuingaggressive, life-prolonging therapies as well as those more clearly at theend of Life.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 02:17:34