Eluned Mun1, Craig Nakatsuka2, Lillian Umbarger3, Ruth Ruta4, Tracy Mccarty5, Cynthia Machado6, Clementina Ceria-Ulep7. 1. Retired Intensive Care Nurse and a current Nurse Practitioner at the Rehabilitation Hospital of the Pacific in Honolulu, HI. emun@rehabhospital.org. 2. Retired Palliative Care and Internal Medicine Physician at Kaiser Permanente Medical Center at Moanalua in Honolulu, HI. craignakatsuka87@gmail.com. 3. Intensivist and Pulmonologist at Kaiser Permanente Medical Center at Moanalua in Honolulu, HI. lillian.a.umbarger@kp.org. 4. Intensive Care Nurse at Kaiser Permanente Medical Center at Moanalua in Honolulu, HI. rutahealer@aol.com. 5. Clinical Coordinator for the Intensive Care Unit at Kaiser Permanente Medical Center at Moanalua in Honolulu, HI. tracy.t.mccarty@kp.org. 6. Intensive Care Nurse at Kaiser Permenente Medical Center at Moanalua in Honolulu, HI. cindymchd@gmail.com. 7. Professor and Department Chair in the School of Nursing and Dental Hygiene at the University of Hawaii at Manoa in Honolulu. clem@hawaii.edu.
Abstract
OBJECTIVE: For improved utilization of the existing palliative care team in the intensive care unit (ICU), a process was needed to identify patients who might need a palliative care consultation in a timelier manner. METHODS: A systematic method to create a new program that would be compatible with our specific ICU environment and patient population was developed. A literature review revealed a fairly extensive array of reports and numerous clinical practice guidelines, which were assessed for information and strategies that would be appropriate for our unit. RESULTS: The recommendations provided by the Center to Advance Palliative Care from its Improving Palliative Care in the ICU project were used to successfully implement a new palliative care initiative in our ICU. CONCLUSION: The guidelines provided by the Improving Palliative Care in the ICU project were an important tool to direct the development of a new palliative care ICU initiative.
OBJECTIVE: For improved utilization of the existing palliative care team in the intensive care unit (ICU), a process was needed to identify patients who might need a palliative care consultation in a timelier manner. METHODS: A systematic method to create a new program that would be compatible with our specific ICU environment and patient population was developed. A literature review revealed a fairly extensive array of reports and numerous clinical practice guidelines, which were assessed for information and strategies that would be appropriate for our unit. RESULTS: The recommendations provided by the Center to Advance Palliative Care from its Improving Palliative Care in the ICU project were used to successfully implement a new palliative care initiative in our ICU. CONCLUSION: The guidelines provided by the Improving Palliative Care in the ICU project were an important tool to direct the development of a new palliative care ICU initiative.
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