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The Intensive Care Unit 

The Intensive Care Unit
Chapter:
The Intensive Care Unit
Author(s):

Jennifer L. McAdam

, and Céline Gélinas

DOI:
10.1093/med/9780190862374.003.0051
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date: 19 August 2019

This chapter on intensive care discusses the provision of palliative care in intensive care units (ICUs), with an emphasis on end-of-life care. Specifically, it will cover the challenges and barriers to providing end-of-life care in ICUs. Recommendations are offered for the provision of symptom assessment and management. Current issues related to holding family meetings, establishing patient goals of care, surrogate decision-making, and withholding and withdrawing life-sustaining therapies are covered. Finally, recommendations are offered for attending to the needs of families as well as healthcare professionals who care for ICU patients at the end of life.

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