Practice Recommendations for End-of-Life Care in the Intensive Care Unit

Crit Care Nurse. 2020 Jun 1;40(3):14-22. doi: 10.4037/ccn2020834.

Abstract

Topic: A substantial number of patients die in the intensive care unit, so high-quality end-of-life care is an important part of intensive care unit work. However, end-of-life care varies because of lack of knowledge of best practices.

Clinical relevance: Research shows that high-quality end-of-life care is possible in an intensive care unit. This article encourages nurses to be imaginative and take an individual approach to provide the best possible end-of-life care for patients and their family members.

Purpose of paper: To provide recommendations for high-quality end-of-life care for patients and family members.

Content covered: This article touches on the following domains: end-of-life decision-making, place to die, patient comfort, family presence in the intensive care unit, visiting children, family needs, preparing the family, staff presence, when the patient dies, after-death care of the family, and caring for staff.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Death
  • Critical Care Nursing / education*
  • Critical Care Nursing / standards*
  • Critical Illness / nursing*
  • Curriculum
  • Education, Nursing, Continuing
  • Family / psychology*
  • Female
  • Humans
  • Intensive Care Units / organization & administration*
  • Male
  • Middle Aged
  • Practice Guidelines as Topic*
  • Terminal Care / standards*
  • Young Adult