A Case for the Use of Validated Physiological Mortality Metrics to Guide Early Family Intervention in Intensive Care Unit Patients

Contact Hours 1.00

CERP B 1.00

Expires Jan 01, 2018

Topics: Family-Centered Care, Palliative/End-of-life Care, Research

Population: Adult

Role: Staff

Fees
Member: Free
NonMember: $10.00

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Activity Summary

In the current health care climate a large portion of health care dollars are spent in the final months of life, so ensuring that care provided is in line with the wishes of patients and their families is more critical than ever. On the one hand, surviving families often report that they wish they had been given prognostic information earlier and that, in retrospect, they would have made different treatment decisions if they had been given prognostic information. On the other hand, providers often are reluctant to discuss prognosis for various reasons, not the least of which is the inherently uncertain nature of prognostication. To address this issue, this article reviews pertinent literature about provider reticence, family preference, and the move toward palliative care and includes a discussion of the various validated mortality-prediction models available. A case is made to use those validated metrics to guide early discussions of palliative or end-of-life care for patients who are critically ill. A suggested checklist to facilitate inclusion of prognosis discussions in family meetings is included as well as a case study to illustrate the problem, current practice, and a model for improvement.

Objectives

  • Identify pertinent literature about provider reticence, family preference, and the move toward palliative care.
  • Discuss the various validated mortality-prediction models available.
  • Demonstrate palliative care issues to facilitate early discussions of palliative or end-of-life care for critically ill patients.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.

Disclosure

This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. Approval of a continuing education activity does not imply endorsement by AACN or ANCC of any commercial products displayed or discussed in conjunction with the activity.

Accreditation

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC's) Commission on Accreditation, ANCC Provider Number 0012 (60 min contact hour). AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing, California Provider number CEP01036 for 1.2 contact hours (50 min contact hour).

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.