Palliative care in the intensive care unit: barriers, advances, and unmet needs. Export

@article{citeulike:1220585, abstract = {The concept that critical illness and terminal illness are necessarily distinct entities has given way to the understanding that they often exist on the same spectrum. Consequently, there is growing consensus that palliative treatment must coexist with attempts at restorative treatment in the intensive care unit (ICU). Palliative care in the ICU has evolved from a relatively one-dimensional construct of terminal sedation in dying patients to a multidisciplinary field addressing symptom control, physician-patient-family communication,spiritual needs, and the needs of health care providers. As ongoing research efforts yield new insights, our ability to practice evidence-based palliative care in the ICU will grow, and new avenues for improvement will become evident.}, address = {Division of Pulmonary and Critical Care Medicine and Program in Medical Ethics, University of California, 521 Parnassus Avenue, Suite C-126, San Francisco, CA 94143-0903, USA. dwhite@medicine.ucsf.edu}, author = {White, D. B. and Luce, J. M.}, citeulike-article-id = {1220585}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/j.ccc.2004.03.003}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/15183206}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=15183206}, comment = {geen gratis full text}, doi = {10.1016/j.ccc.2004.03.003}, issn = {0749-0704}, journal = {Crit Care Clin}, keywords = {barrier, palliative-care}, month = {July}, number = {3}, posted-at = {2007-04-11 14:03:34}, priority = {4}, title = {Palliative care in the intensive care unit: barriers, advances, and unmet needs.}, url = {http://dx.doi.org/10.1016/j.ccc.2004.03.003}, volume = {20}, year = {2004} }

TY - JOUR ID - citeulike:1220585 L3 - citeulike-article-id:1220585 N2 - The concept that critical illness and terminal illness are necessarily distinct entities has given way to the understanding that they often exist on the same spectrum. Consequently, there is growing consensus that palliative treatment must coexist with attempts at restorative treatment in the intensive care unit (ICU). Palliative care in the ICU has evolved from a relatively one-dimensional construct of terminal sedation in dying patients to a multidisciplinary field addressing symptom control, physician-patient-family communication,spiritual needs, and the needs of health care providers. As ongoing research efforts yield new insights, our ability to practice evidence-based palliative care in the ICU will grow, and new avenues for improvement will become evident. IS - 3 JF - Crit Care Clin SN - 0749-0704 AD - Division of Pulmonary and Critical Care Medicine and Program in Medical Ethics, University of California, 521 Parnassus Avenue, Suite C-126, San Francisco, CA 94143-0903, USA. dwhite@medicine.ucsf.edu TI - Palliative care in the intensive care unit: barriers, advances, and unmet needs. VL - 20 KW - barrier KW - palliative-care N1 - geen gratis full text AU - White, DB AU - Luce, JM PY - 2004/07// UR - http://dx.doi.org/10.1016/j.ccc.2004.03.003 ER -