Literature DB >> 16015513

Death rounds: end-of-life discussions among medical residents in the intensive care unit.

Catherine Lee Hough1, Leonard D Hudson, Antonio Salud, Timothy Lahey, J Randall Curtis.   

Abstract

PURPOSE: We introduced "Death Rounds," a monthly discussion of the issues and emotions surrounding the care of dying patients, into the intensive care unit (ICU) rotations for medical house staff. We surveyed participating residents to evaluate their satisfaction with these discussions. SUBJECTS AND METHODS: Death Rounds occurred at university-based teaching hospitals in Seattle, Washington and Salt Lake City, Utah, between October 2000 and March 2002. Residents who had attended Death Rounds were surveyed in April 2002.
RESULTS: A 10-item survey was distributed by e-mail to 116 residents in Utah and Washington. Of 116 residents, 97 (84%) responded to the survey; 50 of these 97 had attended at least one Death Rounds. Of these 50, the majority reported that Death Rounds were worthwhile (76%) and that sessions should be incorporated into all ICU rotations (76%).
CONCLUSIONS: Death Rounds provide a unique opportunity for residents to discuss the issues raised in caring for dying patients. This conference can be easily incorporated into the ICU curriculum. Most residents who participated in the survey indicated that they valued Death Rounds and believed that it should be included in all ICU rotations.

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Mesh:

Year:  2005        PMID: 16015513     DOI: 10.1016/j.jcrc.2004.09.006

Source DB:  PubMed          Journal:  J Crit Care        ISSN: 0883-9441            Impact factor:   3.425


  15 in total

1.  A memorial service to provide reflection on patient death during residency.

Authors:  Nancy L Schoenborn; M Jennifer Cheng; Colleen Christmas
Journal:  J Grad Med Educ       Date:  2013-12

Review 2.  The changing role of palliative care in the ICU.

Authors:  Rebecca A Aslakson; J Randall Curtis; Judith E Nelson
Journal:  Crit Care Med       Date:  2014-11       Impact factor: 7.598

3.  Moral Distress Amongst American Physician Trainees Regarding Futile Treatments at the End of Life: A Qualitative Study.

Authors:  Elizabeth Dzeng; Alessandra Colaianni; Martin Roland; David Levine; Michael P Kelly; Stephen Barclay; Thomas J Smith
Journal:  J Gen Intern Med       Date:  2015-09-21       Impact factor: 5.128

Review 4.  [Palliative care : Challenges in the intensive care unit].

Authors:  H Lemm; J Hoeger-Schäfer; M Buerke
Journal:  Med Klin Intensivmed Notfmed       Date:  2018-04-16       Impact factor: 0.840

5.  Physician Approaches to Conflict with Families Surrounding End-of-Life Decision-making in the Intensive Care Unit. A Qualitative Study.

Authors:  Hashim M Mehter; Jessica B McCannon; Jack A Clark; Renda Soylemez Wiener
Journal:  Ann Am Thorac Soc       Date:  2018-02

6.  Patient Death Debriefing Sessions to Support Residents' Emotional Reactions to Patient Deaths.

Authors:  Juliana Eng; Elizabeth Schulman; Sabrina M Jhanwar; Monika K Shah
Journal:  J Grad Med Educ       Date:  2015-09

7.  "It's Not Just Time Off": A Framework for Understanding Factors Promoting Recovery From Burnout Among Internal Medicine Residents.

Authors:  Nauzley C Abedini; Shobha W Stack; Jessie L Goodman; Kenneth P Steinberg
Journal:  J Grad Med Educ       Date:  2018-02

8.  A framework for conducting follow-up meetings with parents after a child's death in the pediatric intensive care unit.

Authors:  Susan Eggly; Kathleen L Meert; John Berger; Jerry Zimmerman; Kanwaljeet J S Anand; Christopher J L Newth; Rick Harrison; Joseph Carcillo; J Michael Dean; Douglas F Willson; Carol Nicholson
Journal:  Pediatr Crit Care Med       Date:  2011-03       Impact factor: 3.624

9.  An exploration of the role of religion/spirituality in the promotion of physicians' wellbeing in Emergency Medicine.

Authors:  Elena Salmoirago-Blotcher; George Fitchett; Katherine Leung; Gregory Volturo; Edwin Boudreaux; Sybil Crawford; Ira Ockene; Farr Curlin
Journal:  Prev Med Rep       Date:  2016-02-01

10.  Resident reflections on end-of-life education: a mixed-methods study of the 3 Wishes Project.

Authors:  J Centofanti; M Swinton; J Dionne; A Barefah; A Boyle; A Woods; M Shears; D Heels-Ansdell; D Cook
Journal:  BMJ Open       Date:  2016-03-31       Impact factor: 2.692

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