Top ten tips palliative care clinicians should know about intensive care unit consultation Editorial


Authors: Mehta, A.; Bullock, K.; Gustin, J. L.; Hadler, R. A.; Nelson, J. E.; Rosa, W. E.; Seaman, J. B.; Varner-Perez, S. E.; White, D. B.
Title: Top ten tips palliative care clinicians should know about intensive care unit consultation
Abstract: The intensive care unit (ICU) is distinct in population, culture, and palliative care needs. Critical illness and ICU stays can be extremely distressing for patients and their loved ones. Providing palliative care in the ICU, although a standard component of comprehensive care delivery, involves understanding the individual culture of each specific ICU, collaboration with multiple providers, and interfacing with surrogate decision makers while patients may not be able to communicate and are undergoing interventions that are unfamiliar to them and loved ones. These top ten tips aim to support palliative care clinicians providing consultation in ICUs. Specifically, these tips address initial relationship building with ICU clinicians and teams to foster effective collaboration, establishing goals of care by assessing health-related values, explaining treatment options, individualizing prognostic discussions, and managing end-of-life symptoms for patients while in the ICU and throughout ICU discharge transition.
Keywords: palliative care; intensive care unit; communication; satisfaction; children; guidelines; critical care; critical illness; of-life care; symptoms; statement; societies; family-centered care; prognosis; interprofessional collaboration; goals of care; serious illness communication
Journal Title: Journal of Palliative Medicine
ISSN: 1096-6218
Publisher: Mary Ann Liebert, Inc  
Publication status: Online ahead of print
Date Published: 2025-08-08
Online Publication Date: 2025-08-08
Language: English
ACCESSION: WOS:001546990700001
DOI: 10.1177/10966218251366072
PROVIDER: wos
PMCID: PMC12395537
PUBMED: 40780837
Notes: Article; Early Access -- Source: Wos
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  1. Judith Eve Nelson
    97 Nelson
  2. William   Rosa
    228 Rosa