Withdrawal of life-sustaining treatment: a case study.
نویسنده
چکیده
Withdrawal of life support is an option for patients with prolonged mechanical ventilation when all attempts at weaning have failed and it is deemed futile to continue the therapy, when quality of life is unacceptable, or when it is perceived that the patient is suffering. The purpose of this article is to present the nursing aspects of managing an adult patient undergoing the withdrawal of mechanical ventilation as an end-of-life procedure. Withdrawal of mechanical ventilation is a complex and difficult process that requires meticulous planning and management. Conferences with the patient and the patient's family are critical to addressing emotional support and ensuring that everyone understands the process and is provided an opportunity to gather information. Clear communication with patients and their families can ensure that the process goes smoothly. Having an organized approach can ensure that patients experience a peaceful death and staff experience closure regarding the event.
منابع مشابه
نگرش و عملکرد پزشکان اطفال و زنان و زایمان شهرستانهای ساری و بابل در مورد قطع اقدامات احیا در نوزادان بسیار بدحال
Background and purpose: There are some debates with decision making for withdrawal/ withholding of life sustaining treatment in infants with adverse prognoses and incurable conditions. This study is conducted to review attitudes and practice of pediatrics and gynecology physicians in this field. Materials and methods: This survey was conducted during 2009 in Sari and Babol. A total of 140 pe...
متن کاملWithdrawal of life-support in paediatric intensive care - a study of time intervals between discussion, decision and death
BACKGROUND Scant information exists about the time-course of events during withdrawal of life-sustaining treatment. We investigated the time required for end-of-life decisions, subsequent withdrawal of life-sustaining treatment and the time to death. METHODS Prospective, observational study in the ICU of a tertiary paediatric hospital. RESULTS Data on 38 cases of withdrawal of life-sustaini...
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BACKGROUND In severe stroke, a decision to withdraw life-sustaining treatment is sometimes made in cooperation with the family. The aim of this study was to study the time from withdrawing life-sustaining treatment to death in patients with severe ischemic or hemorrhagic stroke. METHODS In total, 2,506 patients with stroke admitted to Haukeland University Hospital between 2006 and 2011 were p...
متن کاملThe sequence of withdrawing life-sustaining treatment from patients.
PURPOSE To describe the observed sequence of withdrawal of eight different forms of life-sustaining treatment and to determine whether aspects of those treatments determine the order of withdrawal. SUBJECTS AND METHODS We observed 211 consecutive patients dying in four midwestern US hospitals from whom at least one of eight specific life-sustaining treatments was or could have been withdrawn....
متن کاملWithdrawal of Life-Sustaining Therapy in Patients With Intracranial Hemorrhage: Self-Fulfilling Prophecy or Accurate Prediction of Outcome?
OBJECTIVES Withdrawal of life-sustaining therapy may lead to premature limitations of life-saving treatments among patients with intracranial hemorrhage, representing a self-fulfilling prophecy. We aimed to determine whether our algorithm for the withdrawal of life-sustaining therapy decision would accurately identify patients with a high probability of poor outcome, despite aggressive treatmen...
متن کاملConstruction of a parent-derived questionnaire to measure end-of-life care after withdrawal of life-sustaining treatment in the neonatal intensive care unit.
OBJECTIVES The objective of this study was to develop and pretest a questionnaire to assess the practice of withdrawal of life-sustaining treatment in the NICU on the basis of the experiences of bereaved parents. METHODS We conducted semistructured interviews with 11 parents whose infants had undergone withdrawal of life-sustaining treatment in the NICU at McMaster University Medical Centre t...
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ورودعنوان ژورنال:
- Critical care nurse
دوره 32 3 شماره
صفحات -
تاریخ انتشار 2012