Journal of Gerontological Nursing · 2013 · 24 citations · 49 references
NursingCritical Care NursingPalliative NursingEnd-of-life CareFamily AssessmentPalliative CareCaregivingCommunication With FamiliesCommunication With PatientsEnd-of-life Decision MakingFamily SupportFamily-centered CareCommunication About Patient WishesDecision-making Support For FamiliesEnd-of-life Care SupportEnd-of-life Shared Decision-makingFamily Decision-making In DyingFamily Involvement In Decision-makingHealth Care Team CommunicationSerious Illness Decision-making
Families of older adults are intricately involved in the end-of-life decision-making process for a family member with a serious illness in the intensive care unit (ICU) setting. However, families are not always as involved and as informed as they would like to be. Creating a culture that assesses family needs and supports families is an important component of family-centered care. There are several strategies that nurses and other members of the interdisciplinary team can use to promote family-centered end-of-life care in the ICU. Nurses can get to know the family by spending time talking with them, assessing them, seeking to understand their perspectives on their family member's condition, and discussing previously verbalized patient wishes for care. This article offers strategies nurses can use to help guide the family through the end-of-life decision-making process, support families as difficult and complex decisions are made in collaboration with the health care team, and prepare families for the dying process.
49
Delirium in Mechanically Ventilated Patients
E. Wesley Ely, Sharon K. Inouye, Gordon R. Bernard et al. · JAMA · 2001 · 3.2K citations · Full text
Judy E. Davidson, Karen S. Powers, Kamyar M. Hedayat et al. · Critical Care Medicine · 2007 · 1.5K citations