European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit
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| Publication Date: | 2024 |
| Other Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Article |
| Language: | eng |
| Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| Download full: | http://hdl.handle.net/10362/173835 |
Summary: | Publisher Copyright: © The Author(s) 2024. |
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European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unitCommunicationConflict managementCultural variationsDecision-makingEnd of lifeFamily-centered careGRADEIntensive care unitPalliative careCritical Care and Intensive Care MedicineSDG 3 - Good Health and Well-beingPublisher Copyright: © The Author(s) 2024.The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented. EoL legislation and the importance of respecting the autonomy and preferences of patients were given close attention. Differences in EoL care depending on country income and healthcare provision were considered. Structured EoL decision-making strategies are recommended to improve outcomes of patients and relatives, as well as staff satisfaction and mental health. Early integration of palliative care and the use of standardized tools for symptom assessment are suggested for patients at high risk of dying. Communication training for ICU staff and printed communication aids for families are advocated to improve outcomes and satisfaction. Methods for enhancing family-centeredness of care include structured family conferences and culturally sensitive interventions. Conflict-management protocols and strategies to prevent burnout among healthcare professionals are also considered. The work done to develop these guidelines highlights many areas requiring further research.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNKesecioglu, JozefRusinova, KaterinaAlampi, DanielaArabi, Yaseen M.Benbenishty, JulieBenoit, DominiqueBoulanger, CaroleCecconi, MaurizioCox, Christophervan Dam, Marjelvan Dijk, DiederikDownar, JamesEfstathiou, NikolasEndacott, RuthGalazzi, Alessandrovan Gelder, FionaGerritsen, Rik T.Girbes, ArmandHawyrluck, LauraHerridge, MargaretHudec, JanKentish-Barnes, NancyKerckhoffs, MonikaLatour, Jos M.Malaska, JanMarra, AnnachiaraMeddick-Dyson, StephanieMentzelopoulos, SpyridonMer, MervynMetaxa, VictoriaMichalsen, AndrejMishra, RajeshMistraletti, Giovannivan Mol, MargoMoreno, RuiNelson, JudithSuñer, Andrea OrtizPattison, NatalieProkopova, TerezaPuntillo, KathleenPuxty, KathrynQahtani, Samah AlRadbruch, LukasRodriguez-Ruiz, EmilioSabar, RonSchaller, Stefan J.Siddiqui, ShahlaSprung, Charles L.Umbrello, MicheleVergano, MarcoZambon, MassimoZegers, MariekeDarmon, MichaelAzoulay, Elie2024-10-21T23:22:39Z2024-10-032024-10-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/173835eng0342-4642PURE: 101079982https://doi.org/10.1007/s00134-024-07579-1info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-11-11T01:38:55Zoai:run.unl.pt:10362/173835Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T19:02:34.418302Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
| dc.title.none.fl_str_mv |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit |
| title |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit |
| spellingShingle |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit Kesecioglu, Jozef Communication Conflict management Cultural variations Decision-making End of life Family-centered care GRADE Intensive care unit Palliative care Critical Care and Intensive Care Medicine SDG 3 - Good Health and Well-being |
| title_short |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit |
| title_full |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit |
| title_fullStr |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit |
| title_full_unstemmed |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit |
| title_sort |
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit |
| author |
Kesecioglu, Jozef |
| author_facet |
Kesecioglu, Jozef Rusinova, Katerina Alampi, Daniela Arabi, Yaseen M. Benbenishty, Julie Benoit, Dominique Boulanger, Carole Cecconi, Maurizio Cox, Christopher van Dam, Marjel van Dijk, Diederik Downar, James Efstathiou, Nikolas Endacott, Ruth Galazzi, Alessandro van Gelder, Fiona Gerritsen, Rik T. Girbes, Armand Hawyrluck, Laura Herridge, Margaret Hudec, Jan Kentish-Barnes, Nancy Kerckhoffs, Monika Latour, Jos M. Malaska, Jan Marra, Annachiara Meddick-Dyson, Stephanie Mentzelopoulos, Spyridon Mer, Mervyn Metaxa, Victoria Michalsen, Andrej Mishra, Rajesh Mistraletti, Giovanni van Mol, Margo Moreno, Rui Nelson, Judith Suñer, Andrea Ortiz Pattison, Natalie Prokopova, Tereza Puntillo, Kathleen Puxty, Kathryn Qahtani, Samah Al Radbruch, Lukas Rodriguez-Ruiz, Emilio Sabar, Ron Schaller, Stefan J. Siddiqui, Shahla Sprung, Charles L. Umbrello, Michele Vergano, Marco Zambon, Massimo Zegers, Marieke Darmon, Michael Azoulay, Elie |
| author_role |
author |
| author2 |
Rusinova, Katerina Alampi, Daniela Arabi, Yaseen M. Benbenishty, Julie Benoit, Dominique Boulanger, Carole Cecconi, Maurizio Cox, Christopher van Dam, Marjel van Dijk, Diederik Downar, James Efstathiou, Nikolas Endacott, Ruth Galazzi, Alessandro van Gelder, Fiona Gerritsen, Rik T. Girbes, Armand Hawyrluck, Laura Herridge, Margaret Hudec, Jan Kentish-Barnes, Nancy Kerckhoffs, Monika Latour, Jos M. Malaska, Jan Marra, Annachiara Meddick-Dyson, Stephanie Mentzelopoulos, Spyridon Mer, Mervyn Metaxa, Victoria Michalsen, Andrej Mishra, Rajesh Mistraletti, Giovanni van Mol, Margo Moreno, Rui Nelson, Judith Suñer, Andrea Ortiz Pattison, Natalie Prokopova, Tereza Puntillo, Kathleen Puxty, Kathryn Qahtani, Samah Al Radbruch, Lukas Rodriguez-Ruiz, Emilio Sabar, Ron Schaller, Stefan J. Siddiqui, Shahla Sprung, Charles L. Umbrello, Michele Vergano, Marco Zambon, Massimo Zegers, Marieke Darmon, Michael Azoulay, Elie |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
| dc.contributor.author.fl_str_mv |
Kesecioglu, Jozef Rusinova, Katerina Alampi, Daniela Arabi, Yaseen M. Benbenishty, Julie Benoit, Dominique Boulanger, Carole Cecconi, Maurizio Cox, Christopher van Dam, Marjel van Dijk, Diederik Downar, James Efstathiou, Nikolas Endacott, Ruth Galazzi, Alessandro van Gelder, Fiona Gerritsen, Rik T. Girbes, Armand Hawyrluck, Laura Herridge, Margaret Hudec, Jan Kentish-Barnes, Nancy Kerckhoffs, Monika Latour, Jos M. Malaska, Jan Marra, Annachiara Meddick-Dyson, Stephanie Mentzelopoulos, Spyridon Mer, Mervyn Metaxa, Victoria Michalsen, Andrej Mishra, Rajesh Mistraletti, Giovanni van Mol, Margo Moreno, Rui Nelson, Judith Suñer, Andrea Ortiz Pattison, Natalie Prokopova, Tereza Puntillo, Kathleen Puxty, Kathryn Qahtani, Samah Al Radbruch, Lukas Rodriguez-Ruiz, Emilio Sabar, Ron Schaller, Stefan J. Siddiqui, Shahla Sprung, Charles L. Umbrello, Michele Vergano, Marco Zambon, Massimo Zegers, Marieke Darmon, Michael Azoulay, Elie |
| dc.subject.por.fl_str_mv |
Communication Conflict management Cultural variations Decision-making End of life Family-centered care GRADE Intensive care unit Palliative care Critical Care and Intensive Care Medicine SDG 3 - Good Health and Well-being |
| topic |
Communication Conflict management Cultural variations Decision-making End of life Family-centered care GRADE Intensive care unit Palliative care Critical Care and Intensive Care Medicine SDG 3 - Good Health and Well-being |
| description |
Publisher Copyright: © The Author(s) 2024. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024-10-21T23:22:39Z 2024-10-03 2024-10-03T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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eng |
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