In a 2004 study, researchers found that almost 20% of American deaths occur in a critical care setting or shortly after a critical care stay.1 Historically, the focus of critical care has been primarily on curative therapies, and death has been viewed as failure. Now, awareness of the need to integrate palliative care in critical care settings has increased.2 The challenges to providing quality end-of-life care include the hectic, fast-paced environment; different perceptions among team members regarding the patient’s goals of care as far as aggressive treatment versus seeking limited or no treatment; communication barriers between health care professionals, patients, and patients’ families; and a lack of research on improvements in the care of the dying in critical care settings.2–4 Often, because of these and other barriers, pain and other symptoms are inadequately relieved and patients’ goals of care are not addressed properly.5–...
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1 December 2010
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December 01 2010
Statewide Efforts to Improve Palliative Care in Critical Care Settings
Betty R. Ferrell, PhD, MA;
Betty R. Ferrell is a research scientist at City of Hope National Medical Center in Duarte, California.Rose Virani is a senior research specialist at City of Hope National Medical Center in Duarte, California.Judith A. Paice is the director of the cancer pain program at Northwestern University, Feinberg School of Medicine, in Chicago, Illinois.Pam Malloy is the ELNEC project director for the American Association of Colleges of Nursing in Washington, DC.Constance Dahlin is an advanced practice nurse in the palliative care service at Massachusetts General Hospital in Boston
Corresponding author: Betty Ferrell, phd, ma, faan, fpcn, City of Hope, Division of Nursing Research & Education, Department of Population Science Building #173, 1500 East Duarte Road, Duarte, CA 91010 (e-mail: [email protected]).
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Rose Virani, RNC, MHA, OCN;
Rose Virani, RNC, MHA, OCN
Betty R. Ferrell is a research scientist at City of Hope National Medical Center in Duarte, California.Rose Virani is a senior research specialist at City of Hope National Medical Center in Duarte, California.Judith A. Paice is the director of the cancer pain program at Northwestern University, Feinberg School of Medicine, in Chicago, Illinois.Pam Malloy is the ELNEC project director for the American Association of Colleges of Nursing in Washington, DC.Constance Dahlin is an advanced practice nurse in the palliative care service at Massachusetts General Hospital in Boston
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Judith A. Paice, RN, PhD;
Judith A. Paice, RN, PhD
Betty R. Ferrell is a research scientist at City of Hope National Medical Center in Duarte, California.Rose Virani is a senior research specialist at City of Hope National Medical Center in Duarte, California.Judith A. Paice is the director of the cancer pain program at Northwestern University, Feinberg School of Medicine, in Chicago, Illinois.Pam Malloy is the ELNEC project director for the American Association of Colleges of Nursing in Washington, DC.Constance Dahlin is an advanced practice nurse in the palliative care service at Massachusetts General Hospital in Boston
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Pam Malloy, RN, MN, OCN;
Pam Malloy, RN, MN, OCN
Betty R. Ferrell is a research scientist at City of Hope National Medical Center in Duarte, California.Rose Virani is a senior research specialist at City of Hope National Medical Center in Duarte, California.Judith A. Paice is the director of the cancer pain program at Northwestern University, Feinberg School of Medicine, in Chicago, Illinois.Pam Malloy is the ELNEC project director for the American Association of Colleges of Nursing in Washington, DC.Constance Dahlin is an advanced practice nurse in the palliative care service at Massachusetts General Hospital in Boston
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Constance Dahlin, MSN, APRN, BC
Constance Dahlin, MSN, APRN, BC
Betty R. Ferrell is a research scientist at City of Hope National Medical Center in Duarte, California.Rose Virani is a senior research specialist at City of Hope National Medical Center in Duarte, California.Judith A. Paice is the director of the cancer pain program at Northwestern University, Feinberg School of Medicine, in Chicago, Illinois.Pam Malloy is the ELNEC project director for the American Association of Colleges of Nursing in Washington, DC.Constance Dahlin is an advanced practice nurse in the palliative care service at Massachusetts General Hospital in Boston
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Crit Care Nurse (2010) 30 (6): 40–45.
Citation
Betty R. Ferrell, Rose Virani, Judith A. Paice, Pam Malloy, Constance Dahlin; Statewide Efforts to Improve Palliative Care in Critical Care Settings. Crit Care Nurse 1 December 2010; 30 (6): 40–45. doi: https://doi.org/10.4037/ccn2010248
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