Views
CAPCconnect™ palliative care discussion forum
Palliative Care and the ICU
Number of threads on this Forum: 42
| Subject | Author | Posts | Last Post |
|---|---|---|---|
| Description | |||
|
|
Deb | 2 | 01/25/2012 |
| Hi, My group of intensivists are finally getting fed up with partial DNR orders, like chemical code only. There are only a few physicians still writing this and these are usually the physicians who resist allowing palliative care involvement too, so I hav ... | |||
|
|
akrause | 5 | 10/28/2011 |
| Two questions: Does anyone have data on how much a proactive palliative care consult impacts a PC service LOS? Hospital administrators are looking at the total LOS but if PC gets involved on HD #2, after a positive palliative care screen, our LOS increas ... | |||
|
|
ultrapollo08 | 1 | 08/29/2011 |
| We are beginning to provide more acute palliative care to our patients and would like to adopt a subcutaneous catheter infusion policy. I have a sample for our local hospice but was wondering if someonw could share this policy with me. I am challenged to ... | |||
|
|
HilliardB | 7 | 12/02/2011 |
| Looking for information on ICU or palliative care representation on the institution's ethics committee. If your hospital has an "active and effective" committee, does anyone from ICU or the palliative care service serve as a member? | |||
|
|
ultrapollo08 | 2 | 08/24/2011 |
| In Nevada we have a law that requires written consent to withhold or withdraw life support. Can someone share with me the laws governing this in the state they practice in? I am working with legislation to change this to implied consent NRS 449.626 ... | |||
|
|
HilliardB | 2 | 08/08/2011 |
| One way to increase requests for PC consults is to ask for help from the hospital's ethics committee. Ethics committees have a variety of strategies and ideas for instituting "culture change" and helping physicians and families see the value of PC. | |||
|
|
maryg | 3 | 08/04/2011 |
| elderly female with lung cancer and in ICU with sob referal to discuss goals of care. When I spoke with patient she stated she could never discuss if she would want to stop aggressive therapy. I agreed I would not bring up again since was upsetting. Went ... | |||
|
|
ICU_nurse | 4 | 06/20/2011 |
| Working in the medical ICU, I still do not see enough palliative care consults (and we have a wonderful palliative care team in the hospital). How does one initiate a "culture change?" | |||
|
|
ultrapollo08 | 5 | 04/22/2011 |
| I am looking for a standard to base the need to initiate CRRT in the ICU. Does anybody use the APACHE II scoring system and predictor of outcomes? If so at what score triggers a case conference or do you require them of all cases prior to starting CRRT? | |||
|
|
maryg | 2 | 03/11/2011 |
| I was just apporoached by our Citical Care Medical Director that he would like me to develope of propossl on automatic referals for PC in the ICU. Love the idea but feel a little overwhelmed with the task and where to start. Anyone have any suggestions? | |||
|
|
Laura | 2 | 03/14/2011 |
| The palliative care information act just became law in NY state on 2/9/11 requiring attending physicians and NPs to offer "terminally ill" (defined as having a condition likely to cause death within 6 months) patients counseling and information regarding ... | |||
|
|
jgoodill | 2 | 02/11/2011 |
| I am a palliative care physician and have been involved in designing our DNR order form/policy. currently we allow residents to initiate a DNR as long as the attending signs it within 24 hrs. more recently we have allowed APN/Pas to do the same. How do ... | |||
|
|
jward10450 | 2 | 02/09/2011 |
| We have just starting a pilot tracking PPS in our inpatient consultation service with the hope to tie scores to survival data and benchmark against some of the published works using this tool in the cancer population. Obviously this does not translate we ... | |||
|
|
PCaines | 1 | 01/03/2011 |
| Dear Forum Community: I want to alert you about following 3 new tools posted to our IPAL-ICU website: 1 -- Clinician Satisfaction Survey (Ann Arbor VA) as posted under the section entitled, "Quality Monitoring Tools" 2 -- ICU Pall Care Service Ag ... | |||
|
|
s2white | 2 | 12/09/2010 |
| Our Palliative Care Service is involved in some but not all terminal weans in the ICU's. Up to now, Spiritual Care has discussed organ donation with the families. We do have a chaplain on our team, but he does not feel comfortable or competent to discuss ... | |||
|
|
cblizzard | 3 | 12/07/2010 |
| Does anyone have experience in working with heart transplant and LVAD teams? | |||
|
|
mjsearcy | 3 | 10/28/2010 |
| I am a palliative care physcian who works full time in the intensive care units (80 bed) at the largest private hospital(>600 beds) in our state. I have focused on terminal extubations for the last two years (250 deaths since 2008). I attend each death, ... | |||
|
|
doclake | 2 | 10/26/2010 |
| We are instituting the palliative care "bundle" in our ICU. Part of the bundle is the family meeting by day 5. I am looking for a template that may be used by teams (both palliative and primary team) to document that the necessary topics were covered, who ... | |||
|
|
maryg | 4 | 09/03/2010 |
| I am looking for hospital policy on Futile care does anybody have one. mary.l.garrison@osfhealthcare.org | |||
|
|
ceaelle | 3 | 06/18/2010 |
| Can you give some specific examples that should trigger a palliative care referral from the ICU? If we used a nursing-based model for screening measures, how many triggers should we use? If this is done on admission to ICU, if and when should follow-up oc ... | |||
|
|
Laurie_M | 2 | 05/06/2010 |
| We are just getting started with our inpatient palliative care program. We will see the patients in the hospital and then plan to continue to follow patients for palliative care after they leave the hospital. Do patients have to sign a contract with us fo ... | |||
|
|
leslie1214 | 2 | 05/11/2010 |
| Does anyone use a patient satisfaction survey to evaluate their EOL care during their stay in the ICU? If so, would you be willing to share? | |||
|
|
LibbyT | 3 | 03/23/2010 |
| Hi - I am new to this forum. We have a well-established palliative care service in a large metropolitian hospital in Houston. We are very active in our ICUs and have a proactive palliative care pilot program to reduce death in the ICU underway. We have in ... | |||
|
|
Bcabil | 1 | 01/31/2010 |
| "Quality palliative and end-of-life care in the ICU is an ethical imperative. Initiating early discussion about patient preferences and palliative needs and structured daily reassessment is an approach that promotes excellent palliative care simultaneousl ... | |||
|
|
cnalls | 2 | 01/31/2010 |
| "Hospital palliative care programs have been shown to improve physical and psychological symptom management, caregiver well-being, and family satisfaction, and small, single-site studies suggest that palliative care programs may reduce hospital and intens ... | |||
|
|
chrmcbride | 2 | 01/30/2010 |
| Death occurrence,58% in hospitals, 22% at home, 20% nursing homes, 59% of all hospital deaths occur in ICUs, 540,000 decedents a year according to (Weitzen et al, 2003; Angus et al, 2004) With these types of numbers it is imperative that ICU nurses and P ... | |||
|
|
CMichael | 2 | 10/12/2009 |
| Hello All, I'm new to this discussion group and apologize in advance if this topic has been posted before. We are in the process of developing a Fentanyl Drip protocol for use in pain management as well as palliative care. Does anyone have a protocol t ... | |||
|
|
ginat | 2 | 08/26/2009 |
| Does anyone use triggers to determine what patients will have a Palliative care consult? | |||
|
|
pstark | 4 | 06/18/2009 |
| In the case of compassionate extubation, what role (if any) does the use of fentanyl and versed drips play? Particularly, the question of the drips being assistive with the suppression of the respiratory drive rather than for comfort measures? Just looki ... | |||
|
|
mherman | 3 | 03/24/2009 |
| I have been asked by the Dept. of critical care Chair to expand our program to include palliative care as the standard of care ( best practices). The palliative care will be an automatic referal vs consult from providers. Currently I am consulted frequent ... | |||
IMPORTANT: In order to post a new message or reply to an existing post in the discussion you must login. If you are not a registered member you may join here.
The statements posted in the forum section of capc.org are opinions expressed by website visitors and do not necessarily represent the viewpoints or positions of the Center to Advance Palliative Care(CAPC). CAPC is not responsible for the factual or legal accuracy of any of the statements posted.
General questions about using the CAPCconnect™ palliative care discussion forum? EmailPatricia.Caines@mssm.edu
Lost login username/password questions? Email: Margaret.Schutz@mssm.edu




