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Doctor insights on: Palliative Care In Icu

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Can hospital care include hospice care for the terminally ill ?

Can  hospital care include hospice care for the terminally ill ?

It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read more

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Dr. Anthony Back
1,633 doctors shared insights

Palliative Care (Definition)

Palliative care is a field of medicine relating to the alleviation of pain, especially in ...Read more


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How is palliative care done in a hospice setting?

How is palliative care done in a hospice setting?

Hospice: Well, you may just need a palliative approach to care; comfort over cure. Hospice is palliative care in the last months of life. Discuss with your physician about working on your comfort or find a physician who is hospice and palliatively board-certified. It is unfortunate that cms has sort of defined hospice meaning palliative care for the last six months of life, but this is only an estimate. ...Read more

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Comparing palliative care for adults with cancer in hospice?

Comparing palliative care for adults with cancer in hospice?

The time to: Shift from exclusive focus on cure, to acceptance that cure is not possible, time to focus on quality, comfort and care is difficult for many. Today, evidence is pointing toward integrating comfort measures for pain, nausea, fatigue and sleep early during "cure care". Amazingly, people treated this way live longer, and more comfortably. It's what i would want! ...Read more

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Explain palliative care for adults with cancer in a hospital vs those getting care in hospice?

Explain  palliative care for adults with cancer in a hospital vs those getting care in hospice?

Both ease symptoms!: Pallative care in a hospital is often delivered by a consulting team of clinicians, or in a specialized inpatient unit. Patients at any stage of illness can be helped by palliative care. Hospice is one form of palliative care that usually is delivered at home by a team of specialists, focused on the very last phase of life. ...Read more

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Do patients in intensive care recover?

Do patients in intensive care recover?

Depends why in ICU: It all depends on why they are in the intensive care unit. Most patients do recover, but certainly there are very ill patients that do not recover after being in the icu. There are also those that have conditions that would not lead to a good quality of life. Those patients do not recover. But overall, the majority of ICU patients recover. ...Read more

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What's the difference between the icu (intensive care unit), and a ccu (critical care unit)?

What's the difference between the icu (intensive care unit), and a ccu (critical care unit)?

None: These are terms that essentially describe the same high level care floor/unit for the critically ill. ...Read more

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How are palliative and hospice care different?

How are palliative and hospice care different?

Yes Difference!: Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care.The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed. Go to www.vitas.com ...Read more

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What kinds of doctors work in the pediatric intensive care unit at children hospitals?

What kinds of doctors work in the pediatric intensive care unit at children hospitals?

Peds intensivistde: Depending on the type of hospital one may find general pediatricians or board certified pediatric intensivists. It may also depend on the"level" of ICU ie are there really sick kids or only moderately i'll children? ...Read more

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Is hospice care passionate?

Is hospice care passionate?

Another thought: I'm wondering if you meant, is hospice care compassionate? The idea of hospice is to provide specialized medical care for someone who is near the end of life, and their family--and usually patients and families find that hospice care is very compassionate--at its best hospice addresses all the aspects of dying. ...Read more

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Why is hospice located in skilled nursing facilities?

Why is hospice located  in skilled nursing facilities?

High level needs: Hospice is extremely useful in skilled nursing facilities for patients who have a high symptom burden and cannot be managed at home or do not have a home or home caregivers that allow for this. Hospice clinicians are specially trained to deal with symptoms and generally add expertise to the staff at skilled nursing facilities because the patient will get extra attention. ...Read more

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Do all hospitals have a neonatal intensive care unit?

Do all hospitals have a  neonatal intensive care unit?

No: Every hospital does have an area to transition babies while they maybe experiencing problems after birth. However, not all hospitals have a neonatal intensive care unit. If you have a prenatal diagnosis that recommends or suggests neonatal care after delivery you should deliver in a hospital with a level one or two nicu. ...Read more

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How are palliative care programs set up?

How are palliative care programs set up?

Good question!: I wasn't sure, but i found this: http://www.Growthhouse.Org/palliative/ there is also a national association for homecare and hospice; they may have more useful information. It's a great question, and a much-needed service! ...Read more

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How many pediatric intensive care doctors work at night in a childerns hospital?

How many pediatric intensive care doctors work at night in a childerns hospital?

Varies greatly: This is not a simple answer. This depends on the staffing structure of the hospital, the degree of sickness of the patients, and the size of the hospital. There is often at least one doctor "on call" 24 hours a day in a pediatric icu; however, that doctor may not necessarily be physically in the building at all times. ...Read more

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Are intensive care and critical care the same thing?

Yes: Yes, there are different intensive care unit ( cardiovascular, surgical or medical). The physician practicing in these units are Critical Care physicians. ...Read more

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When under hospice care is the patient confined?

When under hospice care is the patient confined?

No...: Most of hospice care occurs where the patient lives. There are very few "hospice homes" or "inpatient hospice units." most of the time the hospice team makes visit in the patients own home. The goal of hospice is never to "confine" people and at times the team helps people get to certain places as their final wish, like to a wedding or las vegas etc. Quality of life is the key on hospice. ...Read more

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Could you please describe members of the multidisciplinary team in palliative care ?

Could you please describe members of the multidisciplinary team in palliative care ?

It varies: Most PC programs have doctors, nurse practitioners, nurses, social workers, and a chaplain/spiritual counselor. Psychologists are included in some programs. ...Read more

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What are the nutritional care given to icu patients or critically ill?

What are the nutritional care given to  icu patients  or critically ill?

Depends: Many people have a multitude of reasons for being in the intensive care ward. Some of these patients have restricted diets to comply with doctors orders for the specific disease or problem for that patient. So, the answer lies in the problem for which they were admitted to the hospital. Low sodium or low fat diets are frequently prescribed. Sometimes a liquid diet, and prior to surgery, nothing. ...Read more

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What is the delirium rating for intensive care unit?

What is the delirium rating for intensive care unit?

Diagnostic tool: There are a number of tools used to diagnose delirium in the intensive care unit. The two most common tools in north america include the cam-icu and the intensive care delirium screening checklist. Both have good sensitivity for detecting delirium. ...Read more

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What healthcare professionals are involved in hospice?

What healthcare professionals are involved in hospice?

Hospice services: All hospices deliver a similar set of services. They include nursing, assistance with caregivers on a limited basis, chaplaincy, bereavement counseling, social worker and physician care (medical director in many cases). You are covered for many services and this includes medications related to your terminal diagnosis. ...Read more

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Which departments in the hospital are considered critical care?

Which departments in the hospital are considered critical care?

ICU: Hi. The intensive care unit may be run by various specialists: medical ICU is usually run by pulmonary critical care, cardiac ICU is run by cardiology, surgical ICU is run by anesthesiologists with surgical input, pediatric ICU and neonatal ICU are run by pediatric intensivists, neurological ICU is run by neurological intensivists. What ICU a patient ends up in depends on patient problem. ...Read more

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Palliative (Definition)

Palliative care is treatment focused on reducing the suffering of an individual rather than ...Read more