Managing Death in the ICU: The Transition from Cure to Comfort

by J. Randall Curtis (Editor), Gordon D. Rubenfeld (Editor)

Overview

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.

Product Details

ISBN-13:	9780195128819
Publisher:	Oxford University Press
Publication date:	11/30/2000
Pages:	408
Product dimensions:	6.40(w) x 9.50(h) x 0.92(d)

Table of Contents

Section I: The Changing Landscape of Death in the ICU1. Introducing the Concept of Managing Death in the ICU, J. Randall Curtis and Gordon D. Rubenfeld2. The Changing Ethics of Death in the ICU, Richard A. Mularski and Molly L. Osborne3. The Changing Nature of Death in the ICU, John M. Luce and thomas J. Predergast4. Making a Personal Relatinship with Death, Mitchell M. LevySection II: The Decision to Limit Life Support in the ICU5. Outcome Pretiction in the ICU, Marin H. Kollef6. Decision-Making and the Role of Bias, Deborah J. Cook7. The Role of Health Status and Quality of Life in decisions about ICU Care, J. Randall Curtis and Donld L. Patrick8. Advance Care Planning in the Outpatient and ICU Setting, Joan M. TenoSection III: Practical Skills Needed to Manage Death in the ICU9. How to Discuss Dying and Death in the ICU, J. Randall Curtis and Donald L. Patrick10. Managnig Pain and other Symptoms in Dying Patients in the ICU, Kathleen Foley11. Principles and Practice of Withdrawing Life Sustaining Treatment in the ICU, Gordon D. Rubenfeld12. The Role of Critical Care Nurses in Providing and Managing End-of-Life Care, Kathleen Puntillo13. Helping Families Prepare for and Cope with a Death in the ICU, Sarah E. Shannon14. Helping the Clinician Cope with Death in the ICU, Susan D. Block15. The Interface of Technology and Spriituality in the ICU, Nancy Chambers16. Sacred End-of-Life Rituals in the ICU, Steven MilesSection IV: Societal Issues17. Role of Race, Ethnicity, Religion, and Socioeconomic Status on End-of-Life Care in the ICU, Marion Danis18. Legal Liability Anxieties in the ICU, Marshal B. Kapp19. Economics of Managing Death in te ICU, Peter Pronovost and Derek C. Angus20. Organizational Change and Improving the uality of Palliative Care in the ICU, Barbara Daly21. An International Perspective on Death in the ICU, Malcom FisherSection V: Specific Diseases and Special Populations22. AIDS, Mark J. Rosen23. Cancer, Anthony Back24. Congestive heart failure, Jonathon Sackner-Bernstein25. Chronic obstructive pulmonary disease, John E. Heffner26. Decisions to limit intensive care in patients with coma, Eelco F.M. Wijdicks27. Special concerns for infants and children, Walter M. Robinson28. Special Concerns for the very old, Judith E. Nelson