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End-of-Life Communication in the ICU by David W. Crippen Pdf
Talking to patients and their families about end-of-life issues can be difficult and stressful. This book looks at ways different cultures view death and then further explores how health care providers around the world communicate about such sensitive issues as withholding or withdrawing life support and discussing options when the outcome is uncertain. By offering a better understanding of cultural differences in attitudes about death and methods of communications about end-of-life issues, the coverage in this important book helps prepare healthcare practitioners to be better communicators – both within and outside of their own cultures.
Author : David W. Crippen Publisher : Springer Science & Business Media Page : 180 pages File Size : 41,6 Mb Release : 2007-11-27 Category : Medical ISBN : 9780387729664
End-of-Life Communication in the ICU by David W. Crippen Pdf
Talking to patients and their families about end-of-life issues can be difficult and stressful. This book looks at ways different cultures view death and then further explores how health care providers around the world communicate about such sensitive issues as withholding or withdrawing life support and discussing options when the outcome is uncertain. By offering a better understanding of cultural differences in attitudes about death and methods of communications about end-of-life issues, the coverage in this important book helps prepare healthcare practitioners to be better communicators – both within and outside of their own cultures.
This book highlights real clinical issues which need to be addressed if quality palliative care within ICUs is to be consistently delivered. It is presented in an easily accessible, bullet pointed style, and is illustrated with case histories from real-life patients, and drug tables.
Dying in America by Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues Pdf
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Textbook of Palliative Care Communication by Elaine Wittenberg,Betty R. Ferrell,Joy Goldsmith,Thomas Smith,Sandra L. Ragan,George Handzo Pdf
'The Textbook of Palliative Care Communication' is the authoritative text on communication in palliative care. Uniquely developed by an interdisciplinary editorial team to address an array of providers including physicians, nurses, social workers, and chaplains, it unites clinicians and academic researchers interested in the study of communication.
Palliative Care in Critical Care, An Issue of Critical Care Nursing Clinics of North America, E-Book by Tonja Hartjes Pdf
Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family’s physical, psychosocial and spiritual concerns, and aligning treatments with each patient’s goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.
Communication in Palliative Nursing by Elaine Wittenberg,Joy V. Goldsmith,Sandra L. Ragan,Terri Ann Parnell Pdf
Communication in Palliative Nursing presents the COMFORT Model, a theoretically-grounded and empirically-based model of palliative care communication. Built on over a decade of communication research with patients, families, and interdisciplinary providers, and reworked based on feedback from hundreds of nurses nationwide, the chapters outline a revised COMFORT curriculum: Connect, Options, Making Meaning, Family caregivers, Openings, Relating, and Team communication. Based on a narrative approach to communication, which addresses communication skill development, this volume teaches nurses to consider a universal model of communication that aligns with the holistic nature of palliative care. This work moves beyond the traditional and singular view of the nurse as patient and family educator, to embrace highly complex communication challenges present in palliative care-namely, providing care and comfort through communication at a time when patients, families, and nurses themselves are suffering. In light of the vast changes in the palliative care landscape and the increasingly pivotal role of nurses in advancing those changes, this second edition provides an evidence-based approach to the practice of palliative nursing. Communication in Palliative Nursing integrates communication theory and health literacy constructs throughout, and provides clinical tools and teaching resources to help nurses enhance their own communication and create comfort for themselves, as well as for patients and their families.
Communication in Palliative Nursing by Elaine Wittenberg-Lyles,Joy Goldsmith,Betty Ferrell,Sandra L. Ragan Pdf
Communication in Palliative Nursing unites complementary work in communication studies and nursing research to present a theoretically grounded curriculum for teaching palliative care communication to nurses. The chapters outline the COMFORT curriculum, comprised of these elements: Communication, Orientation and opportunity, Mindful presence, Family, Openings, Relating, and Team communication. Central to this curriculum is the need for nurses to practice self-care. Based on a narrative approach to communication, which addresses communication skills development holistically, this volume teaches nurses to consider a holistic model of communication that aligns with the holistic nature of palliative care. This work moves beyond the traditional and singular view of the nurse as patient and family teacher, to embrace more complex communication challenges present in palliative care -- namely, providing care and comfort through communication at a time when patients, families, and nurses themselves are suffering. In addition to collaborating with physicians, the nurse's role involves speaking with patients and families after they have received bad news and often extends to discussions of spiritual and religious concerns. This book covers communication theory, clinical tools, and teaching resources to help nurses enhance their own communication and create comfort for themselves, as well as for patients and their families.
Communication in Palliative Nursing by Elaine Wittenberg,Joy V. Goldsmith,Sandra L. Ragan,Terri Ann Parnell Pdf
Communication in Palliative Nursing presents the COMFORT Model, a theoretically-grounded and empirically-based model of palliative care communication. Built on over a decade of communication research with patients, families, and interdisciplinary providers, and reworked based on feedback from hundreds of nurses nationwide, the chapters outline a revised COMFORT curriculum: Connect, Options, Making Meaning, Family caregivers, Openings, Relating, and Team communication. Based on a narrative approach to communication, which addresses communication skill development, this volume teaches nurses to consider a universal model of communication that aligns with the holistic nature of palliative care. This work moves beyond the traditional and singular view of the nurse as patient and family educator, to embrace highly complex communication challenges present in palliative care-namely, providing care and comfort through communication at a time when patients, families, and nurses themselves are suffering. In light of the vast changes in the palliative care landscape and the increasingly pivotal role of nurses in advancing those changes, this second edition provides an evidence-based approach to the practice of palliative nursing. Communication in Palliative Nursing integrates communication theory and health literacy constructs throughout, and provides clinical tools and teaching resources to help nurses enhance their own communication and create comfort for themselves, as well as for patients and their families.
Managing Death in the ICU by J. Randall Curtis,Gordon D. Rubenfeld Pdf
A clear and concise statement of facts and causes that have led step by step to the present deplorable condition of public affairs and the corruption of the body politic"--Preface.
Talk at Work is a major collection of studies of language and interaction in a wide variety of institutional and workplace settings, including doctor-patient consultations, legal hearings, mass media, job interviews, visits by health visitors, psychiatric interviews, and calls to emergency services. A theoretical overview of the distinctive contribution made by conversation analysis to our understanding of talk in institutional contexts is followed by reports of the contributors' original empirical research.
Author : Jon F. Nussbaum,Howard Giles,Amber K. Worthington Publisher : Lifespan Communication Page : 0 pages File Size : 42,7 Mb Release : 2015 Category : Death ISBN : 1433125838
Communication at the End of Life by Jon F. Nussbaum,Howard Giles,Amber K. Worthington Pdf
This multi-contextual approach serves to integrate current findings, expand our theoretical understanding of the end of life, prioritize the significance of competent communication for scholars and practitioners, and provide a solid foundation upon which to build pragmatic interventions to assist individuals at the end of life as well as those who care for and grieve for those who are dying.
"End-of-life decisions, more specifically decisions about whether to continue or discontinue the patient’s life-sustaining treatment, are among the most difficult decisions to make. Decision-making is emotionally overwhelming and complex for all involved in the communication- and decision-making process, especially when it concerns life and death decisions for another human being. These situations confront healthcare providers and family members of critically ill patients with the limitations of medical possibilities and human knowledge. In these situations, there is no way out but rather only a way through. As such, how matters. How physicians and family members of critically ill patients together make end-of-life decisions, how they communicate about these decisions, and how physicians learn to conduct such complex end-of-life conversations, can significantly impact the experiences and outcomes for patients, family members, and healthcare providers. In this thesis, we therefore obtained in-depth insights into end-of-life communication- and decision-making practices in intensive care units. We aimed to increase knowledge and awareness of how physicians actually communicate with the family members of critically ill neonates, children, and adults during real-life end-of-life conversations. Additionally, we explored how physicians perceive their own communication and how they (wish to) learn to communicate with family members of critically ill patients in end-of-life conversations. Based on our overall conclusions, we propose three ‘shifts’ in communication. We also propose corresponding learning methods, to not only move toward effective end-of-life communication with families but also to move toward a valuing communication culture in intensive care medicine."--
Extreme Measures by Dr. Jessica Nutik Zitter, M.D. Pdf
For readers of Being Mortal and Modern Death, an ICU and Palliative Care specialist offers a framework for a better way to exit life that will change our medical culture at the deepest level In medical school, no one teaches you how to let a patient die. Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care—to become an ICU physician—and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter’s journey from wanting to be one kind of hero to becoming another—a doctor who prioritizes the patient’s values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients’ pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully. Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human.
AACN Protocols for Practice: Palliative Care and End-of-Life Issues in Critical Care sets forth the evidence-based guidelines for providing appropriate care, whether aggressively life-saving or palliative end-of-life care. the Protocols equip critical care nurses to effectively manage the following: symptom management. family issues and intervention. withholding and withdrawing life support. communication and conflict resolution. caring for the caregiver. Additionally, the text includes a state-of-the-science review that provides guidance to critical care nurses while acknowledging the limited
