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Vol 16, No 3 (2022)
Review paper
Published online: 2022-06-24
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Aspects of palliative medicine in intensive care units: A narrative review

Urszula Kościuczuk1, Piotr Jakubów2, Maciej Rosłan3, Dorota Artyszuk3, Ewa Rynkiewicz-Szczepańska1
DOI: 10.5603/PMPI.2022.0011
·
Palliat Med Pract 2022;16(3):150-155.
Affiliations
  1. Department of Anaesthesiology and Intensive Care, Medical University of Białystok, Poland
  2. Department of Palliative Medicine, Medical University of Białystok, Poland
  3. Student Scientific Group at the Department of Anaesthesiology and Intensive Care, Medical University of Białystok, Poland

open access

Vol 16, No 3 (2022)
Review paper
Published online: 2022-06-24

Abstract

Background: The perspective of palliative care has changed dynamically over the years, and palliative medicine, which was originally concerned with patients with advanced oncology diseases, has become an interdisciplinary area. Many societies have published guidelines for the use of palliative medicine in intensive care units. Methods: This article presents indications and methods for implementing the principles of palliative medicine in intensive care units. Particular attention is devoted to the consultations of palliative medicine for current medical trends — COVID-19 infection, oncological diseases, fragility syndrome, and end-stage circulatory failure. Conclusions: Elements of palliative medicine are necessary for everyday practices in the intensive care unit. The most important task in cooperation is to present classifications that can help in the objective identification of patients requiring palliative care. It seems that creating a checklist of the qualifications for a palliative medicine consultation can be the next step towards making decisions about this form of therapy.

Abstract

Background: The perspective of palliative care has changed dynamically over the years, and palliative medicine, which was originally concerned with patients with advanced oncology diseases, has become an interdisciplinary area. Many societies have published guidelines for the use of palliative medicine in intensive care units. Methods: This article presents indications and methods for implementing the principles of palliative medicine in intensive care units. Particular attention is devoted to the consultations of palliative medicine for current medical trends — COVID-19 infection, oncological diseases, fragility syndrome, and end-stage circulatory failure. Conclusions: Elements of palliative medicine are necessary for everyday practices in the intensive care unit. The most important task in cooperation is to present classifications that can help in the objective identification of patients requiring palliative care. It seems that creating a checklist of the qualifications for a palliative medicine consultation can be the next step towards making decisions about this form of therapy.

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Keywords

futile therapy, intensive care unit, palliative care, palliative medicine

About this article
Title

Aspects of palliative medicine in intensive care units: A narrative review

Journal

Palliative Medicine in Practice

Issue

Vol 16, No 3 (2022)

Article type

Review paper

Pages

150-155

Published online

2022-06-24

Page views

3904

Article views/downloads

267

DOI

10.5603/PMPI.2022.0011

Bibliographic record

Palliat Med Pract 2022;16(3):150-155.

Keywords

futile therapy
intensive care unit
palliative care
palliative medicine

Authors

Urszula Kościuczuk
Piotr Jakubów
Maciej Rosłan
Dorota Artyszuk
Ewa Rynkiewicz-Szczepańska

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