The role of palliative care in critical illness

A review of the literature

The lecture duration is 51min.

1 CPD Point, 1 CEU, 1 AMA PRA Category 1 Credit.
Accredited by CPDUK, CBRN and EB Medicine.

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James Downar
Critical Care Physician and Head of the Division of Palliative Care at the University of Ottawa
Lecture Summary

Advances in critical care over the past 70 years have led to an unprecedented ability to sustain organ function even in the most severe illness. Yet a substantial proportion of ICU patients ultimately die despite our best efforts, and a substantial proportion of the population in high-income countries will die during or soon after admission to an ICU. Palliative care is a field of medicine that focuses on (among other things) symptom management, and communication and support. Palliative care principles have relevance throughout the ICU continuum, from serious illness prior to ICU admission, to the ICU itself, and into the bereavement period. In this lecture, we will review the ways in which the principles of palliative care can be integrated into the care of the critically ill, and look at some of the important studies of palliative care interventions in the ICU environment.

Target Audience

Critical Care Doctors
Experienced or advanced Critical Care Nurses
Doctors & Nurses who work in Palliative Care

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Appreciate the role of palliative care throughout the continuum of critical illness
  • Describe the role of the rapid response team in discussing goals of care and providing symptom control for acutely deteriorating patients
  • Identify the importance of bereavement support for family members at risk of complicated grief

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

EB Medicine designates this internet-enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Needs Assessment

The need for this educational activity was determined by surveys of the target audience and experts in the specialty. Further assessment was provided by examining the topics of recently published evidence-based medicine reviews, national clinical guidelines, and specialty society recommendations, as well as suggestions from evaluations of previous learning programs to determine practice gaps.

CME Faculty Disclosure

It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME accreditation requirements and policies, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.

Earning Credit

In order to earn CME credit, the participant must take the pre-test, watch the course, take the CME post-test, and complete the post-test evaluation.

Hardware/Software Requirements

Online learners will need a computer or web-enabled device to access the podcast, additional learning materials, and CME test.

Commercial Support

This activity received no commercial support.