Ciccarello Gail P
Department of Adult Health Nursing, University of Maryland School of Nursing, USA.
Dimens Crit Care Nurs. 2003 Sep-Oct;22(5):216-22. doi: 10.1097/00003465-200309000-00005.
Death is a frequent occurrence in the intensive care unit (ICU). Critical care nurses often feel unprepared to deliver expert end-of-life care. This article proposes specific strategies for critical care nurses to improve the delivery of end-of-life care in the ICU. Critical care nurses can examine beliefs about death; recognize that cure and palliative care coexist; create an environment that supports dying as well as curing; improve communication among providers, patients, and families; provide "small things that make a big difference" at the end-of-life; and locate and utilize support for improving end-of-life care.
死亡在重症监护病房（ICU）中屡见不鲜。重症护理护士常常觉得自己没有准备好提供专业的临终关怀。本文提出了一些具体策略，以帮助重症护理护士改善在ICU中提供临终关怀的情况。重症护理护士可以审视对死亡的看法；认识到治愈和姑息治疗并存；营造一个既支持治愈又支持临终的环境；改善医护人员、患者和家属之间的沟通；在临终时提供“虽小却意义重大的事情”；以及寻找并利用支持来改善临终关怀。
