• Mary Baker, Jim Luce, and Gabriel T Bosslet.
• Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Indiana University, 1120 W Michigan Street, Indianapolis, IN 46202, USA; Charles Warren Fairbanks Center for Medical Ethics, IU Health Methodist Hospital, 1701 North Senate Boulevard, Indianapolis, IN 46202, USA.
• Clin. Chest Med. 2015 Sep 1; 36 (3): 441-8.

AbstractClinicians working in the intensive care unit (ICU) confront death and dying daily. ICU care can be inconsistent with a patient's values, preferences, and previously expressed goals of care. Current evidence promotes the integration of palliative care services within the ICU setting. Palliative care bridges the gap between comfort and cure, and these services are growing in the United States. This article discusses the benefits and barriers to integration of ICU and palliative care services, and a stepwise approach to implementation of palliative care services. Integration of palliative care services into ICU workflow is increasingly seen as essential to providing high-quality, comprehensive critical care. Copyright © 2015 Elsevier Inc. All rights reserved.

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