To identify the goals and methods for medical education about end-of-life care in the intensive care unit (ICU).
A status report on palliative care, a summary report of recent research on palliative care education, articles in the medical literature on end-of-life care and critical care, and expert opinion were considered.
A working group, including specialists in critical care, palliative care, medical ethics, consumer advocacy, and communications, was convened at the « Medical Education for Care Near the End of Life National Consensus Conference. » A modified nominal group process was used to develop a consensus.
In the ICU, life and death decisions are often made in a crisis mode or in the face of uncertainty, and may necessitate the withholding and withdrawal of life-supporting technologies.
Because critical illness often diminishes the capacity of patients to make decisions, clinicians must often make decisions in conjunction with surrogates, rather than with patients.
Discontinuity of care can threaten trusting relationships, and cultural diversity can have a particularly powerful impact on choices for care.
In the face of these realities, it is possible and appropriate to give compassionate palliative care to dying patients and their families in the ICU. (...)
Mots-clés Pascal : Unité soin intensif, Soin palliatif, Réanimation, Formation professionnelle, Enseignement professionnel, Médecin, Etudiant, Recommandation, Homme, Soin intensif, Etats Unis, Amérique du Nord, Amérique, Service hospitalier, Personnel sanitaire
Mots-clés Pascal anglais : Intensive care unit, Palliative care, Resuscitation, Occupational training, Occupational education, Physician, Student, Recommendation, Human, Intensive care, United States, North America, America, Hospital ward, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0492139
Code Inist : 002B30A09. Création : 22/03/2000.