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CAPCconnect™ palliative care discussion forum

Palliative Care and the ICU


Number of threads on this Forum: 23
Subject Author Posts Last Post
Description
Post Triggers 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 ...
Post Palliative care contracts 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 ...
Post ICU patient survey 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?
Post ICU and Hospice 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 ...
Post Goals of Care 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 ...
Post Cutting Costs! 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 ...
Post Improvement needed? 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 ...
Post Fentanyl Drip Protocol 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 ...
Post Triggers for MICU ginat 2 08/26/2009
Does anyone use triggers to determine what patients will have a Palliative care consult?
Post Use of Fentanyl and Versed drips in withdrawal 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 ...
Post palliative care consults in the critical care 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 ...
Post Chemotherapy while on the ventilator mmschepp 2 04/07/2009
I worked in Palliative Care at an academic center for several years. I now work in a community hospital. I never saw chemotherapy (IV infusion) for solid tumors given in the academic hospital to inpatients, let alone ICU patients. The oncologists would ...
Post Info for family on the actively dying patient ChesapeakeMD 5 03/26/2009
Does anyone know of a informational handout/brochure that describes for family the actively dying patient. It helps when family doing the death vigil understands what the breathing, noises, movements etc of the dying patient are as well as the possible nu ...
Post Noninvasive ventilation for symptoms in DNR ChesapeakeMD 2 02/24/2009
Does anyone use noninvasive ventilation for dyspnea management in your comfort measures only/DNR patients?
Post Terminal extubation adugan 2 06/08/2010
Does anyone have a protocol for terminal extubation?
Post Palliative Consults in critical care units njoyner 2 01/30/2009
I am wondering what percentage of consults are done in the the critical care units, the reason(s) for the consult and average number of follow-up visits. What discipline does the intake to see appropriateness for the visit? Is care planning (i.e., withho ...
Post Palliative Care and Trauma Service Integration jstoneberg 3 01/21/2009
I am embarking on a project with our trauma service to integrate palliative care for those patients in greatest need. Does anyone have any guidelines or protocols that they might use to trigger a palliative care consultation for a select portion of traum ...
Post comfort care maryg 2 06/16/2010
Does any one have a policy or procedure re: comfort care. I would like one to help us more clearly define what comfort care means and so that we could be consistent throughout our facility.
Post waiting rooms litteken 2 06/30/2008
How do you handle children in the waiting rooms? When we have someone that is dying-we seem to get a very large number of people in--and the waiing room is not that big -- ICU, Our major complaint is that a lot are from out of town and they bring their sm ...
Post Mandated family meetings? sgrommel 2 06/23/2008
We provide palliative care consultation in a 700 bed private hospital. We have approximately 120 ICU beds and an open ICU model. In a hospital like ours, where physicians are paid for seeing patients, how would you incentivise or enforce physicians to c ...
Post DNRs in ICU KarenGeorge 5 02/24/2009
Do you allow DNR patients to remain in ICU?
Post MANDATED CONSULTS slmare 7 11/05/2007
Has anyone tested the waters on mandated consults in the ICU? If so, what steps were taken to implement as well as how was it received? Looking for any feedback from open or closed ICUs.
Post Welcome Message PCaines 2 06/16/2010
Welcome to the CAPC Palliative Care Discussion Forum! Use this area to share information, exchange ideas and get advice on the topic of Palliative Care and the ICU. Please come back often to get up-to-the-minute feedback from your peers and CAPC faculty ...
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General questions about using the CAPCconnect™ palliative care discussion forum? EmailPatricia.Caines@mssm.edu