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Literature DB >> 22581585

Life-sustaining treatment decisions in the ICU for patients with ESLD: a prospective investigation.

Lissi Hansen¹, Nancy Press, Susan J Rosenkranz, Judith Gedney Baggs, Judith Kendall, Amanda Kerber, Angel Williamson, Mark S Chesnutt.

Abstract

We conducted a prospective study in the ICU of life-sustaining treatment and comfort care decisions over time in patients with end-stage liver disease (ESLD) from the perspectives of patients, family members, and healthcare professionals. Six patients with ESLD, 19 family members, and 122 professionals participated. The overarching theme describing the decision-making process was "on the train." Four sub-themes positioned patients and family members as passengers with limited control, unable to fully understand the decision-making process. Findings suggest that including patients and family members in non-immediate life-saving decisions and verifying early on their understanding may help to improve the decision-making process.

Entities: Chemical Disease Gene Species

Mesh：

Year: 2012 PMID： 22581585 PMCID： PMC3442137 DOI： 10.1002/nur.21488

Source DB: PubMed Journal: Res Nurs Health ISSN： 0160-6891 Impact factor: 2.228

51 in total

1. Life support withdrawal: communication and conflict.

Authors: Sally A Norton; Virginia P Tilden; Susan W Tolle; Christine A Nelson; Susan Talamantes Eggman
Journal: Am J Crit Care Date: 2003-11 Impact factor: 2.228

Review 2. Family caregivers making life-sustaining treatment decisions: factors associated with role strain and ease.

Authors: Lissi Hansen; Patricia G Archbold; Barbara Stewart; Una Beth Westfall; Linda Ganzini
Journal: J Gerontol Nurs Date: 2005-11 Impact factor: 1.254

3. Toward shared decision making at the end of life in intensive care units: opportunities for improvement.

Authors: Douglas B White; Clarence H Braddock; Sylvia Bereknyei; J Randall Curtis
Journal: Arch Intern Med Date: 2007-03-12

Review 4. Interventions to improve care during withdrawal of life-sustaining treatments.

Authors: J Randall Curtis
Journal: J Palliat Med Date: 2005 Impact factor: 2.947

Review 5. End-of-life family conferences: rooted in the evidence.

Authors: Alexandre Lautrette; Magali Ciroldi; Hichem Ksibi; Elie Azoulay
Journal: Crit Care Med Date: 2006-11 Impact factor: 7.598

6. Decisions to limit life-sustaining treatment for critically ill patients who lack both decision-making capacity and surrogate decision-makers.

Authors: Douglas B White; J Randall Curtis; Bernard Lo; John M Luce
Journal: Crit Care Med Date: 2006-08 Impact factor: 7.598

7. A communication strategy and brochure for relatives of patients dying in the ICU.

Authors: Alexandre Lautrette; Michael Darmon; Bruno Megarbane; Luc Marie Joly; Sylvie Chevret; Christophe Adrie; Didier Barnoud; Gérard Bleichner; Cédric Bruel; Gérald Choukroun; J Randall Curtis; Fabienne Fieux; Richard Galliot; Maité Garrouste-Orgeas; Hugues Georges; Dany Goldgran-Toledano; Mercé Jourdain; Georges Loubert; Jean Reignier; Fayçal Saidi; Bertrand Souweine; François Vincent; Nancy Kentish Barnes; Frédéric Pochard; Benoit Schlemmer; Elie Azoulay
Journal: N Engl J Med Date: 2007-02-01 Impact factor: 91.245

8. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients.

Authors: Sally A Norton; Laura A Hogan; Robert G Holloway; Helena Temkin-Greener; Marcia J Buckley; Timothy E Quill
Journal: Crit Care Med Date: 2007-06 Impact factor: 7.598

Review 9. Caring for the family of the critically ill patient.

Authors: Karin T Kirchhoff; Mi-Kyung Song; Karen Kehl
Journal: Crit Care Clin Date: 2004-07 Impact factor: 3.598

10. Effect of ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial.

Authors: Lawrence J Schneiderman; Todd Gilmer; Holly D Teetzel; Daniel O Dugan; Jeffrey Blustein; Ronald Cranford; Kathleen B Briggs; Glen I Komatsu; Paula Goodman-Crews; Felicia Cohn; Ernlé W D Young
Journal: JAMA Date: 2003-09-03 Impact factor: 56.272

8 in total

Life-sustaining treatment decisions in the ICU for patients with ESLD: a prospective investigation.

1. Life support withdrawal: communication and conflict.

Review 2. Family caregivers making life-sustaining treatment decisions: factors associated with role strain and ease.

3. Toward shared decision making at the end of life in intensive care units: opportunities for improvement.

Review 4. Interventions to improve care during withdrawal of life-sustaining treatments.

Review 5. End-of-life family conferences: rooted in the evidence.

6. Decisions to limit life-sustaining treatment for critically ill patients who lack both decision-making capacity and surrogate decision-makers.

7. A communication strategy and brochure for relatives of patients dying in the ICU.

8. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients.

Review 9. Caring for the family of the critically ill patient.

10. Effect of ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial.

1. The power of the liver transplant waiting list: a case presentation.

2. Background and design of the symptom burden in end-stage liver disease patient-caregiver dyad study.

Review 3. Palliative care for patients with end-stage liver disease.

Review 4. Palliative Care in End-Stage Liver Disease Patients Awaiting Liver Transplantation: Review.

5. Advance Care Planning and Goals of Care Discussions in Advanced Liver Disease.

6. Communication by nurses in the intensive care unit: qualitative analysis of domains of patient-centered care.

7. Underutilization of palliative care services in the liver transplant population.

Review 8. How Do We Start Palliative Care for Patients With End-Stage Liver Disease?