Domain 7 - Emotional & Organizational Support for ICU Clinicians
- Support health care team colleagues caring for dying patients:
- Inform team members about the imminent death of a patient to increase sensitivity
- Assist colleagues caring for dying patients by assisting in the care and/or management
of that colleague's other patient care responsibilities.
- Offer colleagues a break or respite following the death of a patient they had cared
- Adjust nursing staffing and medical rotation schedules to maximize continuity of
care providers for the dying patient.
- Communicate regularly with interdisciplinary team regarding goals of care:
- Develop interdisciplinary rounds.
- Establish a staff support group, based on the input and needs of ICU staff and experienced
group facilitators, and integrate meeting times into the routine of the ICU:
- Assist colleagues with grieving and feelings of loss after patients' deaths by formally
or informally acknowledging their feelings and taking time to engage in debriefing
- Ensure that ICU staffing schedules allow for flexibility and understanding if caregivers
become overwhelmed when caring for dying patients and their families.
- Enlist palliative care experts, pastoral care representatives and other consultants
to teach and model aspects of EOLC:
- Develop pathways to facilitate consultation with palliative care experts, pastoral
care representatives and other consultants to maximize palliative care.
- Facilitate rituals for the staff to mark the death of patients.
Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation
dedicated to long-term changes in health care institutions to substantially improve
care for dying people and their families.