Advertisement

Dying in the Intensive Care Unit

  • K. Hillman
Conference paper

Abstract

In 2000 it was reported in Time magazine [1] that while 70% of Americans wanted to die at home, approximately 75% died in medical institutions and over 30% of those spent their last 10 days of life in an intensive care unit (ICU). Other studies have shown that approximately 50% of all deaths occur in the ICU [2]. Approximately 70% of Canadians now die in hospitals [2]. Not only is it not what people want, but as a result many of the families have faced financial hardship [3].

Keywords

Intensive Care Unit Palliative Care Financial Hardship Medical Emergency Team Time Magazine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Cloud J (2000) A kinder, gentler death. Time Magazine (18 September), pp 60–73Google Scholar
  2. 2.
    Heyland DK, Laery JV, Tranmer JE et al (2000) Dying in Canada: is it an institutionalised, technologically supported experience? J Palliat Care 16:S10–S16PubMedGoogle Scholar
  3. 3.
    The SUPPORT Principal Investigators (1995) A controlled trial to improve care for seriously ill hospitalised patients: The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT). JAMA 274:1591–1598CrossRefGoogle Scholar
  4. 4.
    Amos B (2000) Australia’s health system in the 20th century. Healthcover. 10:59–63Google Scholar
  5. 5.
    Lee A, Bishop G, Hillman KM et al (1995) The medical emergency team. Anaesth Intensive Care 23:183–186PubMedGoogle Scholar
  6. 6.
    Hourihan F, Bishop G, Hillman KM et al (1995) The medical emergency team: a new strategy to identify and intervene in high risk patients. Clin Intensive Care 6:269–272CrossRefGoogle Scholar
  7. 7.
    Daffurn K, Kerridge R, Hillman KM et al (1992) Active management of the dying patient. Med J 157:701–704Google Scholar
  8. 8.
    Angus D, Barnato AE, Linde-Zwirble WT et al on behalf of the Robert Wood Johnson Foundation ICU End-of-Life Peer Group (2004) Use of intensive care at the end of life in the United States: An epidemiologic study. Crit Care Med 32:638–643PubMedCrossRefGoogle Scholar
  9. 9.
    Sprung CL, Eidelman LA (1996) Worldwide similarities and differences in the forgoing of life-sustaining treatments. Intensive Care Med 22:1003–1005PubMedCrossRefGoogle Scholar
  10. 10.
    Christakis NA, Lamont EB (2000) Extent and determinants of error in doctors’ prognoses in terminally ill patients: prospective cohort study. BMJ 320:469–473PubMedCrossRefGoogle Scholar
  11. 11.
    Eliasson AH, Howard RS, Torrington KG et al (1997) Do-not-resuscitate decisions in the medical ICU: comparing physician and nurse opinions. Chest 111:1106–1111PubMedGoogle Scholar
  12. 12.
    Heyland DK, Cook DJ, Rocerk GM et al (2003) Decision-making in the ICU: perspectives of the substituted decision-maker. Intensive Care Med 29:75–82PubMedGoogle Scholar
  13. 13.
    Prendergast TJ, Luce PM (1997) Increasing incidence of withholding and withdrawal of life support from the critically ill. J Respir Crit Care Med 155:15–20Google Scholar
  14. 14.
    Azoulay E, Pochard F, Chevret S et al (2004) Half the family members of intensive care unit patients do not want to share in the decision-making process: A study in 78 French intensive care units. Crit Care Med 32:1832–1838PubMedCrossRefGoogle Scholar
  15. 15.
    Jacob DA (1998) Family members’ experiences with decision making for incompetent patients in the ICU: a qualitative study. Am J Crit Care 7:30–37PubMedGoogle Scholar
  16. 16.
    Sprung CL, Cohen SL, Sjokvist P et al for the Ethicus Study Group (2003) End-of-life practice in European intensive care units. The Ethicus Study. JAMA 290:790PubMedCrossRefGoogle Scholar
  17. 17.
    Singer P, Martin DK, Kelner M (1999) Quality end-of-life care: Patients’ perspectives. JAMA 281:163–168PubMedCrossRefGoogle Scholar
  18. 18.
    Truog RD, Burns JP (2002) Excellence in end-of-life care: a new goal for intensivists. Intensive Care Med 28:1197–1199CrossRefGoogle Scholar
  19. 19.
    Ben-Nun M, Konichezk S, Polishuk Y, Benbenishty J (2005) Care of the deceased patient and the bereaved family. ICU Management 4:34–38Google Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • K. Hillman
    • 1
  1. 1.Area Critical Care ServicesLiverpool HospitalLiverpoolAustralia

Personalised recommendations