A Team Approach to the Compassionate Withdrawal of Life Support on a Terminally Ill Patient

2.50
Hdl Handle:
http://hdl.handle.net/10755/157170
Category:
Abstract
Type:
Presentation
Title:
A Team Approach to the Compassionate Withdrawal of Life Support on a Terminally Ill Patient
Author(s):
Robertson, Lindsey; Gray, Barbara; Brenkman, Shawnee
Author Details:
Lindsey Robertson, Vanderbilt University Medical Center, Nashville, Tennessee, USA, email: Linznurse@aol.com; Barbara Gray; Shawnee Brenkman
Abstract:
PURPOSE: We developed practices to establish effective communication and procedures during the withdrawal of life support on a terminally ill patient. In order to provide comfort and compassion as a team approach for the patient and their family, Withdrawal of Life Support Guidelines were developed to maintain consistency in the way the process is managed. The Guidelines address the multiple responsibilities of the health care team and family once the decision is made to withdraw life support. Description: The Withdrawal of Life Support Guidelines were developed to improve clinical practice in the critical care environment during withdrawal of life support from a terminally ill patient. Our withdrawal situations were inconsistent and the nurses and physicians involved were requesting help in how to handle the procedure due to their inexperience with death. During these situations we realized that we needed a standard format to increase communication between staff and create an environment of care and compassion for the patient and their family. We researched practices in other hospitals and journals; and composed the guidelines. The guidelines have been reviewed and revised by the Surgical Intensive Care Unit Process Improvement Committee, the Multidisciplinary Surgical Critical Care Committee, the Palliative Care Team, Respiratory Care, the Ethics Committee and the Surgical Intensive Care Unit Board. There are many steps in the withdrawal process and these guidelines are a place to have all the steps in one document. As we developed the process we were able to utilize an established set of orders for pain management and ventilator management during withdrawal. Now everyone on the team assists with a compassionate withdrawal process EVALUATION: The Withdrawal of Life Support Guidelines have been implemented in the Surgical Intensive Care Unit at Vanderbilt Hospital with very positive verbal results. The family members involved, attending physicians, nurses, residents, interns, respiratory therapists and nurse practitioners have all verbally expressed satisfaction with the smoothness and compassion during withdrawal situations that have been handled since the guidelines have been available. Everyone on the team efficiently completes their role which allows the family to grieve in comfort and the patient to die with dignity.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleA Team Approach to the Compassionate Withdrawal of Life Support on a Terminally Ill Patienten_GB
dc.contributor.authorRobertson, Lindseyen_GB
dc.contributor.authorGray, Barbaraen_GB
dc.contributor.authorBrenkman, Shawneeen_GB
dc.author.detailsLindsey Robertson, Vanderbilt University Medical Center, Nashville, Tennessee, USA, email: Linznurse@aol.com; Barbara Gray; Shawnee Brenkmanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157170-
dc.description.abstractPURPOSE: We developed practices to establish effective communication and procedures during the withdrawal of life support on a terminally ill patient. In order to provide comfort and compassion as a team approach for the patient and their family, Withdrawal of Life Support Guidelines were developed to maintain consistency in the way the process is managed. The Guidelines address the multiple responsibilities of the health care team and family once the decision is made to withdraw life support. Description: The Withdrawal of Life Support Guidelines were developed to improve clinical practice in the critical care environment during withdrawal of life support from a terminally ill patient. Our withdrawal situations were inconsistent and the nurses and physicians involved were requesting help in how to handle the procedure due to their inexperience with death. During these situations we realized that we needed a standard format to increase communication between staff and create an environment of care and compassion for the patient and their family. We researched practices in other hospitals and journals; and composed the guidelines. The guidelines have been reviewed and revised by the Surgical Intensive Care Unit Process Improvement Committee, the Multidisciplinary Surgical Critical Care Committee, the Palliative Care Team, Respiratory Care, the Ethics Committee and the Surgical Intensive Care Unit Board. There are many steps in the withdrawal process and these guidelines are a place to have all the steps in one document. As we developed the process we were able to utilize an established set of orders for pain management and ventilator management during withdrawal. Now everyone on the team assists with a compassionate withdrawal process EVALUATION: The Withdrawal of Life Support Guidelines have been implemented in the Surgical Intensive Care Unit at Vanderbilt Hospital with very positive verbal results. The family members involved, attending physicians, nurses, residents, interns, respiratory therapists and nurse practitioners have all verbally expressed satisfaction with the smoothness and compassion during withdrawal situations that have been handled since the guidelines have been available. Everyone on the team efficiently completes their role which allows the family to grieve in comfort and the patient to die with dignity.en_GB
dc.date.available2011-10-26T19:29:04Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:29:04Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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