End of Life Care in the ICU

From advanced disease to bereavement

Graeme Rocker, Kathleen Puntillo, Élie Azoulay, and Judith Nelson

Oxford Specialist Handbooks in End of Life Care

416 pages | 10 black and white line drawings | 180x100mm

978-0-19-923924-5 | Flexicover | 28 January 2010

Price: £37.99

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Concise chapters make it quick and easy to read up on a particular topic
Contains contributions from numerous experts from 3 continents to provide a comprehensive, yet concise and practical guide to the major issues that face patients, their families and the clinicians who work in modern day ICUs around the world

The Oxford Specialist Handbooks series provides readers with clear, concise information on all that is needed to successfully train in the medical sub-specialties. Each book gives an overview of clearly defined procedures, skills, guidelines, and technologies and provides practical tips and case studies to supplement hands-on experience. Where appropriate, each book complements the revised curriculum as developed by the Specialist Advisory Committees.

As palliative medicine does not have the resources to care for all patients with malignant and non-malignant chronic disease, government guidelines have pushed for its inclusion on the curriculum of most medical and surgical specialties. All specialties are being encouraged to become actively engaged in managing end of life care for their own patients.

End of life care in the ICU presents its own unique challenges, and this book highlights real clinical issues which need to be addressed if quality palliative care within ICUs is to be consistently delivered. It details strategies and evidence-based advice on the nature of effective palliative care in the ICU setting, dealing with issues such as diagnosing the dying, communicating with patients and families, the support of families and carers, multidisciplinary team work, TPN and fluids, dialysis, inotropic support, autonomy, dignity, effective symptom control, practical ethics and the process of decision making, management of dying, and bereavement care. This book is ideal for doctors, nurses, and allied health professionals working in the ICU and palliative care.

Readership: This book will be ideal for doctors, nurses, and allied health professionals working in the ICU and palliative care.

Graeme Rocker, Professor of Medicine, Department of Medicine (Division of Respirology), Dalhouise University, Halifax, Canada, Kathleen Puntillo, Professor of Nursing, Department of Physiological Nursing, University of California, San Francisco, USA, Élie Azoulay, Professor of Medicine, Paris 7 University; Director assistant of the Medical ICU of the Saint-Louis Hospital, Director of the Famirea® study group, France, and Judith Nelson, Professor of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Mount Sinai School of Medicine, New York, USA

Contributors:
Fekri Abroug, Intensive Care Unit, CHU F.Bourguiba, Tunisia
Shoshana Arai, Assistant adjunct Professor, Department of Physiological Nursing, University of California, San Francisco, USA
Élie Azoulay, Professor of Medicine, Pulmonary Medicine and Critical Care and Director Assistant of the Medical-ICU Saint-Louis Hospital, Paris, France
Dominique Benoit, Intensive Care department, Medical Unit Ghent University Hospital, Belgium
Martha E. Billings, Senior fellow, Division of Pulmonary and Critical Care Medicine, University of Washington, USA
Kerry Bowman, University of Toronto and Mount Sinai Hospital, USA
Peter G. Brindley, Associate Professor, Critical Care Medicine, University of Alberta Hospital, Canada
P. Calzavacca, Institute of Anaesthesia and Intensive Care Medicine, Policlinico di Catania University Hospital, Italy
Alain Cariou, Réanimation Médicale, Cochin Hospital, Paris, France
Jean Carlet, French National Authority for Health (HAS), Saint Denis, France
Laura Chapman. consultant in Palliative Medicine, Royal Liverpool and Braodgreen University Hospitals, Liverpool, UK
Deborah Cook, McMaster University, Ontario, Canada
Jean-Claude Chevrolet, Intensive Care Service, University Hospital, Geneva, Switzerland
Simon L. Cohen, Consultant Physician, Intensive Care Unit, University College Hospital, London, UK
Christophe Coupé, Clinical Psychologist, ALS Centre, University Centre, University Pitie, Salpetriere, Paris, France
J. Randall Curtis, Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, USA
Freda DeKeyser Ganz, Head, Masters Program, Hadassah-Hebrew University School of Nursing, Jerusalem, Israel
M. DeVita, Institute of Anaesthesia and Intensive Care Medicine, Policlinico di Catania University Hospital, Italy
Peter Dodek, Center for Health Evaluation and Outcome Sciences and Program in Critical Care Medicine, St. Paul's Hospital and University of British Columbia, Vancouver, Canada
Jocelyn Downie, Canada research Chair and Professor, Faculties of Law and Medicine, Dalhousie University, Halifax Canada
Didier Dreyfuss, Professor of Medicine, director of Medical-Surgical ICU, Hopital Louis Mourier, Colmbes; Assistance Publique, Hopitaux de Paris, Universite Paris-Diderot, Paris, France
Thomas Fassier, Serice de Reanimation Medicale et d'Assistance Respiratoire Hopital de la Croix Rousse - Hospices Civils de Lyon, France
Niall D. Ferguson, Interdepartmental Division of Critical Care Medicine, University of Toronto, Canada
Malcolm Fisher, Professor, Departments of Medicine and Anaesthesia, University of Sydney; Senior staff Spedialist, Intensive care Unit, royal North shore Hospital; Senior clinical Executive, Northern Sydney Central Coast Area Health; Visiting Intensivist, North Shore Private Hospital, Sydney, Australia
Christopher Frank, Associate Professor, Department of Medicine, Queen's University, Providence Care, St. Mary's of the Lake Hospital site, Kingston, Canada
Maité Garrouste-Orgeas, Medical ICU, Saint Joseph Hospital, Paris, France
Jesus Gonzalez Bermejo, Service de pneumologie et réanimation, Groupe Hospitalier Pitié-Salpêtrière, and Service de Neurologie et Centre de Référence pour la Sclérose Latérale Amyotrophique "Ile de France", Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Vicki Guy, department of Nursing, QEII Health Sciences Centre, Halifax, Canada
Jane Harper, Consultant in Intensive Care and Anaesthesia, Royal Liverpool university Hospital, Liverpool, UK
John E. Heffner, Adjunct Professor of Medicine and Garnjobst Chair of Medical Education, Providence Portland Medical Center, Oregon Health and Science University, Oregon, USA
Catherine L. Hough, Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, School of Medicine, University of Washington, Seattle, USA
Daren Heyland, Professor, Department of Medicine, Queen's University; Clinical Evaluation Research Unit, Kingston General Hospital, Canada
Amélie Hurbault, Service de pneumologie et réanimation, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Philippe Jolliet, Intensive Care Service, University Hospital, Geneva, Switzerland
Denah Joseph, Spiritual Care Services, university of California, San Fransisco Medical Centre, USA Nancy Kentish-Barnes, FAMIREA Study Group, Service de Réanimation Médicale, Hôpital Saint Louis, Paris, France
Denice Klavano, Certified Tissue Bank Specialist, Regional Tissue Bank, Capital District Health Authority, Halifax, Canada
David Kuhl, Director, Centre for Practitioner Renewal, Providence Health Care/University of British Columbia; and Associate Professor, Department of Family Practice, Faculty of Medicine, University of British Columbia, Canada
Alexandre Lautrette, Assistant Director of the Medical-ICU University Hospital, Univertisy d'Auvergne, Clermont-Ferrand, France
Virginie Lemiale, Service de Réanimation Médicale, Hôpital Cochin - Saint Vincent de Paul - La Roche Guyon, Paris, France
Stephen Liben, The Montreal Children's Hospital, Montreal, Canada
Harold MacAloney, former Registered Nurse, Nova Scotia, Canada
Heather MacDonald, Clinical Nurse Specialist in Critical Care, Halifax Infirmary, Halifax, Canada
Jane MacIver, Divisions of Cardiology and Transplantation, Toronto General Hospital, Canada
Adeline Max, Medical ICU, Cochin hospital, AP-HP, Paris, France
Jennifer McAdam, Assistant Professor of Nursing, Dominican University, San Rafael, USA
Alison McCallum, Family Physician, Halifax, Canada
Vincent Meininger, Professor of Neurology, ALS Centre, University Hospital Pitie, Salpetriere, Paris, France
Paolo Merlani, Intensive Care Service, University Hospitals, , Univerity of Geneva, Switerzland Jean-Paul Mira, Medical ICU, Cochin hospital, AP-HP & University Paris Descartes, Paris, France
Anne C. Mosenthal, Associate Professor Surgery Chief, Division of Surgical Critical Care, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, USA
John Myburgh, Professor of Critical Care Medicine, University of New South Wales, Sydney, Department of Intensive Care Medicine, St George Hospital, Sydney and The George Institute for International Health, Sydney, Australia
Judith E. Nelson, Professor of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Mount Sinai School of Medicine, New York, USA
Lamia Ouanes Besbes, Intensive care Unit, CHU F.Bouruiba, Monastir, Tunisia
Frédéric Pène, Medical ICU, Cochin hospital, AP-HP & University Paris Descartes, Paris, France
Ruth Piers, Department of geriatric Medicine, Ghent University Hospital, Belgium Thomas J. Prendergast, Associate Professor of Medicine and Anesthesiology; Program Director, Pulmonary and Critical Care Medicine, Dartmouth Hitchcock Medical Center, Lebanon, USA
Kathleen Puntillo. FAAN Professor of Nursing, Department of Physiological Nursing, University of California, San Francisco, USA
Bara Ricou, Intensive Care, University Hospitals, University of Geneva, Switzerland
Walter Robinson, Pulmonary Division, Vanberbilt Children's Hospital, Centre for Biomedical Ethics and Society, Vanderbilt University, Nashville, USA Graeme Rocker, Professor of Medicine, Department of Medicine (Division of respirology), Dalhouise University, Canada
Heather J. Ross, Divisions of Cardiology and Transplantation Toronto General Hospital, Canada
F. Rubulotta, Institute of Anaesthesia and Intensive Care Medicine, Policlinico di Catania University Hospital, Italy
Damon C. Scales, Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada
Wim Schrauwen, Clinical Psychologists, Department of Medial Oncology and Palliative Care, Ghent University Hospital, Gent, Belgium
Cathy Schuster, Clinical Nurse IV, Medical-Surgical ICU, University of California, San Francisco Medical Center, USA
Sam D. Shemie, Division of Critical Care, Montreal Children's Hospital; Professor of Paediatrics, McGill University, Montreal, Canada; Loeb chair in Organ and Tissue Donation, Univerity of Ottawa; canadian Blood Services, Ottawa, Canada
Michele R. Shields, Director, Spiritual Care Services, University of California, San Fransisco Medical Center, USA
Thomas Similowski, Service de pneumologie et réanimation, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Christy Simpson, Associate Professor, Wthics Collaborations Coordinator, Department of Bioethics, Dalhouise University, Halifax, Canada
Gurmeet Singh, Assistant Clinical Professor, Critical Care Medicine and cardiac Surgery, University of Alberta Hospital Edmonton, Canada
Tasnim Sinuff, Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada
Bertrand Souweine
Yoanna Skrobik, Critical Care Medicine, Université de Montréal and McGill University; and Intensive Care Unit, Maisonneuve-Rosemont Hospital, Montreal, Canada
Vicki Spuhler, Nurse Manager RICU, Intermountain Medical Center, Murray, Utah, USA
Jeannette Suurdt, Research Associate, Clinical Evaluation Research Unit, Kingston General Hospital, Canada
Sandy Swoboda, Johns Hopkins University Schools of Medicine and Nursing. Baltimore, Maryland, USA
Anna Towers, Associate Professor, Palliative Care division, McGill University, Montreal, Canada
Nele Van Den Noortgate, Department of geriatric Medicine, Ghent University Hospital, belgium
Jeffrey Watts, Professor, University d'Auvergne, Clermont-Ferrand, France
Stephen Workman, The Queen Elizabeth Health Sciences Center, Halifax, Canada
Duncan Young, Clinical Director, Adult Intensive Care Unit, John Radcliffe Hospital, Oxford, UK

End of Life Care in the ICU

From advanced disease to bereavement

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