Crit Care Nurs Clin North Am. 2022 Mar;34(1):13-18. doi: 10.1016/j.cnc.2021.11.009. Epub 2022 Jan 22.ABSTRACTHistorically, the goal of care in a pediatric or neonatal intensive care unit was to do everything medically possible to cure illness or prolong life. When curative therapies were no longer appropriate, the approach was to turn to end-of-life care. Currently, some children are surviving illnesses that formerly resulted in death or significant disability. Their lives may be viewed as lacking in quality. A palliative care approach can be used in select pediatric populations to improve quality of life, clarify treatment decisions to be aligned with the…
Origen: Palliative Care and Population Management: Utilization of Palliative Care in Pediatric Critical Care Nursing – PubMed

Crit Care Nurs Clin North Am. 2022 Mar;34(1):121-127. doi: 10.1016/j.cnc.2021.11.005.ABSTRACTDementia is a progressive, incurable condition that causes limitations in life and should be recognized as a life-limiting condition. Health care professionals should understand its trajectory to better manage symptoms and to provide early and ongoing advance care planning. Advanced practice registered nurses are uniquely qualified to work with patients and their families to identify care preferences and then to align treatments to them. Palliative care and hospice are important interventions that should be integrated into the management of patients with dementia. Additionally, early integration of palliative medicine can better manage…
Origen: Palliative Care and Dementia: What All Advanced Practice Nurses Should Know – PubMed

Crit Care Nurs Clin North Am. 2022 Mar;34(1):1-12. doi: 10.1016/j.cnc.2021.11.001. Epub 2022 Jan 19.ABSTRACTThe IMPACT-ICU program provides staff with tools that make difficult palliative conversations easier; introduces the «3 conversations,» incorporates role-play activities, and provides for continued coaching. This program is highly relevant to the military health system, which typically lacks a specialized palliative care service. It is easily transferable to any environment to include austere locations as well as other disparate health care institutions. Although titled IMPACT-ICU, it uses communication skills that are appropriate for any difficult conversation in any situation, which makes it appropriate for empowering all multidisciplinary…
Origen: IMPACT-ICU: A Relevant Sustainable Program for Military Institutions – PubMed

Crit Care Nurs Clin North Am. 2022 Mar;34(1):103-119. doi: 10.1016/j.cnc.2021.11.008.ABSTRACTWith the frequency of infant deaths in the United States, many attributed to congenital malformations and prematurity, the neonatal intensive care unit (NICU) nurse must be adept at planning and providing perinatal palliative care. The NICU nurse requires education and training to proficiently contribute to the care planning and delivery of care and facilitate memory-making activities. The provision of perinatal palliative care may precipitate moral distress and needs to be addressed with education and resilience-fostering activities. To further perinatal palliative care effectiveness, research needs to be conducted.PMID:35210020 | DOI:10.1016/j.cnc.2021.11.008
Origen: Perinatal Palliative Care in the Neonatal Intensive Care Unit – PubMed

Medicina (Kaunas). 2022 Feb 15;58(2):294. doi: 10.3390/medicina58020294.ABSTRACTBackground and Objectives: Investigation into forms of behavior that violate dignity is not the typical way to look for means of dignity preservation, but it may be the optimal way to prevent improper behavior. Numerous studies document that maintaining and improving patient dignity at the end of life require an understanding of factors posing threats to dignity in health care organizations. This study aimed to assess associations between dignity-violating behaviors and barriers to the assurance of dignity in health care settings from the perspective of health professionals. Materials and Methods: An anonymous survey of…
Origen: Dignity Violations and Barriers to Dignity Assurance for Terminally Ill Patients at the End of Life: A Cross-Sectional Analysis – PubMed