Withdrawal of Intensive Care Treatment at Home – ‘a Good Death’

Withdrawal of intensive care treatment at home--'a good death'.

A patient with end-stage congestive cardiac failure and acute renal failure was admitted to the intensive care unit for inotropic support. Following no improvement with treatment, the focus of care shifted to the patient's comfort, palliative care and family support. She wished to die at home and therefore all efforts were made to fulfil her desire. This was achieved and she was discharged from...

Lingering death after treatment withdrawal in the neonatal intensive care unit.

OBJECTIVE To explore parents' perceptions of treatment withdrawal and the dying process. DESIGN Face to face interviews with 59 sets of parents of 62 babies in the East of Scotland three months and 13 months after death. RESULTS 22% of the parents expressed reservations about the length of the dying process, which they reported in these instances had taken from three to 36 hours. Deaths tha...

intensive care at home: an opportunity or threat

Intensive care nurses' experiences of providing end-of-life care after treatment withdrawal: a qualitative study.

AIMS AND OBJECTIVES To explore the experiences of intensive care nurses who provided end-of-life care to adult patients and their families after a decision had been taken to withdraw treatment. BACKGROUND End-of-life care following treatment withdrawal is a common phenomenon in intensive care. Less is known about nurses' experiences of providing care for the dying patient and their family in ...

Theory of Infants' Transition Management from the Neonatal Intensive Care Unit to Home: a Qualitative Study

Background: Infant's transition is a challenge for parents and the health system that requires ongoing assessment and management to improve each newborn`s growth and development. The purpose of this study was to explore the management of infant` transition from neonatal intensive care unit (NICU) to home.Materials and Methods: We used a grounded theory study to explore and describe the manageme...