Managing Death in the ICU

The Transition from Cure to Comfort

Author: J. Randall Curtis and Gordon D. Rubenfeld

Section I: The Changing Landscape of Death in the ICU 1. J. Randall Curtis and Gordon D. Rubenfeld: Introducint the Concept of Managing Death in the ICU 2. Richard A. Mularski and Molly L. Osborne: The Changing Ethics of Death in the ICU 3. John M. Luce and thomas J. Predergast: The Changing Nature of Death in the ICU 4. Mitchell M. Levy: Making a Personal Relatinship with Death Section II: The Decision to Limit Life Support in the ICU 5. Marin H. Kollef: Outcome Pretiction in the ICU 6. Deborah J. Cook: Decision-Making and the Role of Bias 7. J. Randall Curtis and Donld L. Patrick: The Role of Health Status and Quality of Life in decisions about ICU Care 8. Joan M. Teno: Advance Care Planning in the Outpatient and ICU Setting Section III: Practical Skills Needed to Manage Death in the ICU 9. J. Randall Curtis and Donald L. Patrick: How to Discuss Dying and Death in the ICU 10. Kathleen Foley: Managnig Pain and other Symptoms in Dying Patients in the ICU 11. Gordon D. Rubenfeld: Principles and Practice of Withdrawing Life Sustaining Treatment in the ICU 12. Kathleen Puntillo: The Role of Critical Care Nurses in Providing and Managing End-of-Life Care 13. Sarah E. Shannon: Helping Families Prepare for and Cope with a Death in the ICU 14. Susan D. Block: Helping the Clinician Cope with Death in the ICU 15. Nancy Chambers: The Interface of Technology and Spriituality in the ICU 16. Steven Miles: Sacred End-of-Life Rituals in the ICU Section IV: Societal Issues 17. Marion Danis: Role of Race, Ethnicity, Religion, and Socioeconomic Status on End-of-Life Care in the ICU 18. Marshal B. Kapp: Legal Liability Anxieties in the ICU 19. Peter Pronovost and Derek C. Angus: Economics of Managing Death in te ICU 20. Barbara Daly: Organizational Change and Improving the uality of Palliative Care in the ICU 21. Malcom Fisher: An Interantional Perspective on Death in the ICU Section V: Specific Diseases and Special Populations 22. Mark J. Rosen: AIDS 23. Anthony Back: Cancer 24. Jonathon Sackner-Bernstein: Congestive heart failure 25. John E. Heffner: Chronic obstructive pulmonary disease 26. Eelco F.M. Wijdicks: Decisions to limit intensive care in patients with coma 27. Walter M. Robinson: Special concerns for infants and children 28. Judith E. Nelson: Special Concerns for the very old

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Summary

Description

This volume reviews the state of the art in caring for patients dying in the ICU, focusing on both clinical aspects of managing pain and other symptoms, as well as ethical and societal issues that affect the standards of care received. The book also addresses the changing epidemiology of death in this setting related to managed care, practical skills needed to provide the highest quality of care to terminal patients, communicating with patients and families, themechanics of withdrawing life-supporting therapies, and the essential role of palliative care specialists in the ICU. The book briefly describes unique issues that arise when caring for patients with someof the more common diseases that precipitate death in the ICU. Contributors for the book were chosen because they have experience caring for patients in the ICU and are also conducting current research to find ways of improving care for terminal patients in this setting.

Critic Reviews

“"The text contains a good balance of clinical information that addresses commonly confronted problems facing the practitioner, as well as providing unique information in specialty areas such as oncology, cardiology, the care of dying children, and the elderly."--American College of ChestPhysiciansOctober 2001”

"Articulated is a template for treating patients who do not recover from critical illness or injury. Relief of psychosocial suffering in patients and family is emphasized. Finally, practical and specific advice is given on the means to fulfill the goals of palliative care in the ICU. Due to the severity and complexity of illness in the ICU, death is common and families rate communication with healthcare providers as one of the most important skills for theseindividuals. This book provides background and tools which allow the intensivist to come to grips with the mortality of patients in the ICU setting." -- Doody's"The book will be a valuable reference for anyone who cares for critally ill patients, including physicians, nurses, respiratory therapists, patoral care providers, and students, and would be a useful addition to any ICU reference library."--New England Journal of Medicine2002"The text contains a good balance of clinical information that addresses commonly confronted problems facing the practitioner, as well as providing unique information in specialty areas such as oncology, cardiology, the care of dying children, and the elderly."--American College of Chest PhysiciansOctober 2001"...represents the definitive text on end-of-life care in the intensive care unit (ICU)...a refreshijng attempt to redefine death in the ICU and will serve as a comprehensive resource for health care professionals caring for critically ill patients."--Respiratory Care May 2002

About the Author

Gordon D. Rubenfeld is at University of Washington Harborview Medical Center, Seattle.

More on this Book

This volume reviews the state of the art in caring for patients dying in the ICU, focusing on both clinical aspects of managing pain and other symptoms, as well as ethical and societal issues that affect the standards of care received. The book also addresses the changing epidemiology of death in this setting related to managed care, practical skills needed to provide the highest quality of care to terminal patients, communicating with patients and families, the mechanics of withdrawing life-supporting therapies, and the essential role of palliative care specialists in the ICU. The book briefly describes unique issues that arise when caring for patients with some of the more common diseases that precipitate death in the ICU. Contributors for the book were chosen because they have experience caring for patients in the ICU and are also conducting current research to find ways of improving care for terminal patients in this setting.