Innovative solutions: family conference progress note.

Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8211489 Publication Model: Print Cited Medium: Print ISSN: 0730-4625 (Print) Linking ISSN: 07304625 NLM ISO Abbreviation: Dimens Crit Care Nurs

Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Philadelphia, PA] : Lippincott, [c1982-

Communication* ; Professional-Family Relations*; Critical Care/*psychology ; Family/*psychology ; Nursing Records/*standards ; Patient Care Planning/*organization & administration ; Terminal Care/*psychology ; Visitors to Patients/*psychology; Algorithms ; Attitude of Health Personnel ; Attitude to Health ; Critical Care/organization & administration ; Critical Illness/psychology ; Critical Illness/therapy ; Decision Making, Organizational ; Decision Trees ; Documentation ; Forms and Records Control ; Grief ; Humans ; Nursing Audit ; Nursing Evaluation Research ; Organizational Objectives ; Paternalism ; Patient Care Team/organization & administration ; Patient Participation/psychology ; Terminal Care/organization & administration ; Visitors to Patients/education

The grief and anxiety of complex medical illness, with a high likelihood of death, strains communication between medical staff and patients' families in the intensive care unit (ICU). For decades, the emphasis has been on curative intent and a paternalistic approach to decision making, which has been fostered by physicians, when patients are unable to communicate for themselves. However, the past 15 to 25 years have seen a paradigm shift in both what families expect from physicians and what physicians see as the goal of medical (especially ICU) care with respect to the patient and family wishes. This article will address this topic.

Date Created: 20050414 Date Completed: 20050620 Latest Revision: 20191210

20240628

10.1097/00003465-200503000-00009

15827431