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Am J Hosp Palliat Care · Nov 2015
Palliative Care in the Intensive Care Unit: Are Residents Well Trained to Provide Optimal Care to Critically ill Patients?
- Ghassan Kamel, Miguel Paniagua, and Aditya Uppalapati.
- Department of Internal Medicine, St Louis University School of Medicine, St Louis, MO, USA.
- Am J Hosp Palliat Care. 2015 Nov 1; 32 (7): 758-62.
UnlabelledPalliative care (PC) and end-of-life (EOL) care are gaining importance in the management of critically ill patients in the ICU. Residents form a significant work force in the ICU and most often are the only group that provides round the clock coverage.MethodsWe conducted a cross sectional study where residents were surveyed to assess their knowledge, skills and perceived barriers towards palliative care in the ICU.ResultsThe most common barrier identified by our residents was discrepancies in goals of care between the medical team and patients/families (18.7%). A palliative care consult was most commonly obtained when the patient was terminally ill (22.9%).DiscussionTeaching should focus on overcoming the identified barriers especially communication with patients and their families. More studies are needed to identify the best method to teach Palliative care in the ICU.© The Author(s) 2014.
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