Titlebook: End-of-Life Communication in the ICU; A Global Perspective David W. Crippen Book 2008 Springer-Verlag New York 2008 care.critical care.inte

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What It Feels Like to Live and Die on Prolonged Life Support,nits (ICUs) around the world, advanced medical therapies are saving lives every day. Many patients who receive intensive care do recover and are able to lead fruitful, productive lives. However, a large majority of patients treated in ICUs are chronically or terminally ill and may not return to thei

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Dealing with Difficult Surrogates,hing done” despite pleas for comfort measures. This situation usually occurs at three in the morning and frequently involves an elderly patient who has been transferred from a skilled nursing facility to the hospital for recurring decompensations. There is rarely evidence in the chart of any discuss

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Emotions in the Intensive Care Unit, belief, specialists are called in. Yet patients and their families do not compartmentalize so neatly, saving their emotional or spiritual issues for the appearance of such specialists. Emotions are a part of everything. They do, in fact, operate as guides for living (and dying), and should be a mos

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The Role of Ethics Committees in End-of-Life Care,are and are not.. Ethics committees came about as the result of a history of scarce resources such as transplants and dialysis, suggestions or mandates from the court, such as in the Quinlan case, state or national regulations, and the Joint Commission on Accreditation of Healthcare Organizations (J

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Medical Liability Issues in Dealing with Critical Care Patients in the End-of-Life Situation,its doing will result in a medical malpractice action. While good communication between physician and other health professionals and patients/families will not guarantee a total absence of lawsuits, poor communication, especially if associated with a less-than-optimal case outcome, will almost assur

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DEAWL

The Intensive Care Unit of the Future,ced to the difference in the way their atoms are arranged. From a broken bone to a broken strand of DNA, illness is ultimately reducible to how the structures that embody life are configured and interact with each other. Today‘s clinicians can only affect events going on in their patients at the mol

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