- Poster presentation
Evaluation of a new limitations and withdrawal of care framework order form in the intensive care unit
Critical Care volume 14, Article number: P601 (2010)
The aim of this study was to demonstrate improvements in both staff and patient experiences with end-of-life care. The ICU is a setting where death is common; it has been suggested that 20% of patients in the US die on the ICU . Given that the majority of ICU deaths involve the withholding or withdrawing of treatment , the importance of end-of-life care is clear. Despite this frequency, studies suggest that the current quality of end-of-life care is suboptimal on the ICU [3, 4]. As a result, we developed a new framework to address this issue.
We introduced our new framework over a 1-year period; we circulated questionnaires to the staff pre and post study to demonstrate any improvements in end-of-life care.
Our framework was found to be helpful by 97% of respondents and was associated with an improvement in communication and knowledge of end-of-life care. We discovered an increase in the number of staff who felt that patients, along with having their analgesia/sedation needs met, were now experiencing care that was more conducive to a good quality of dying. The number of staff who now felt confident in managing withdrawal of care trended towards a significant P value. See Figure 1 for details.
Quality of end-of-life care was improved with our new framework; however, further research is vital to ensure our patients receive the same kind of evidence-based medicine in their final hours as they did during their acute illness.
Angus DC, et al.: Crit Care Med. 2004, 32: 638-643. 10.1097/01.CCM.0000114816.62331.08
Wood GG, et al.: Can J Anaesth. 1995, 42: 186-191. 10.1007/BF03010673
Desbiens NA, et al.: J Am Geriatr Soc. 2000, 48: S183-S186.
Treece PD, et al.: Crit Care Med. 2004, 32: 1141-1147. 10.1097/01.CCM.0000125509.34805.0C
About this article
Cite this article
Sherren, P., Turnbull, L. & Yoganathan, S. Evaluation of a new limitations and withdrawal of care framework order form in the intensive care unit. Crit Care 14, P601 (2010). https://doi.org/10.1186/cc8833
- Public Health
- Intensive Care Unit
- Emergency Medicine
- Patient Experience
- Acute Illness