Ott Barbara B
College of Nursing, Villanova University, Villanova, Pennsylvania 19085, USA.
Dimens Crit Care Nurs. 2010 Mar-Apr;29(2):73-80. doi: 10.1097/DCC.0b013e3181c9301a.
Practitioners in critical care have made a significant progress in caring for dying patients in critical care by taking advantage of the suggestions from their professional groups. Progress has been made in responding to and controlling patients' pain. Major initiatives from the Joint Commission and the American Pain Society have helped direct this improvement. Palliative care consultations as well as ethics consultations have improved symptom control in the critically ill. Issues of consent have been problematic for dying patients in critical care especially in the area of discontinuing therapies. But, better policies related to advance directives have been developed to ensure good care. Spiritual care has received more attention, and now chaplains are recognized by the Society for Critical Care Medicine as integral to the critical care team. The American Association of Critical-Care Nurses has been a leader in improving end-of-life issues and continues to spearhead many projects to improve end-of-life care.
重症监护领域的从业者通过借鉴专业团体的建议，在重症监护中照顾临终患者方面取得了重大进展。在应对和控制患者疼痛方面取得了进展。联合委员会和美国疼痛协会的主要倡议有助于推动这一改善。姑息治疗咨询以及伦理咨询改善了重症患者的症状控制。对于重症监护中的临终患者，同意问题一直存在争议，尤其是在停止治疗方面。但是，已经制定了与预先指示相关的更好政策，以确保良好的护理。精神关怀受到了更多关注，现在，重症监护医学协会认可牧师是重症监护团队不可或缺的一部分。美国重症护理护士协会一直是改善临终问题的领导者，并继续带头开展许多改善临终护理的项目。
