Ethical Issues and Palliative Care in the Cardiovascular Intensive Care Unit

被引：23
作者：
Swetz, Keith M. [1 ,2 ]
Mansel, J. Keith [1 ,2 ]
机构：
[1] Mayo Clin, Coll Med, Dept Med, Div Gen Internal Med,Sect Palliat Med, Rochester, MN 55905 USA
[2] Mayo Clin, Coll Med, Program Professionalism & Eth, Rochester, MN 55905 USA
来源：
CARDIOLOGY CLINICS | 2013年 / 31卷 / 04期
关键词：
Medical ethics; Bioethics; Palliative care; Advanced heart failure; Medical technology; End of life; OF-LIFE CARE; VENTRICULAR ASSIST DEVICE; END; COMMUNICATION; SEDATION; DECISIONS; FUTILITY; TRENDS; ICU;
D O I：
10.1016/j.ccl.2013.07.013
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Medical advances over the past 50 years have helped countless patients with advanced cardiac disease or who are critically ill in the intensive care unit (ICU), but have added to the ethical complexity of the care provided by clinicians, particularly at the end of life. Palliative care has the primary aim of improving symptom burden, quality of life, and the congruence of the medical plan with a patient's goals of care. This article explores ethical issues encountered in the cardiac ICU, discusses key analyses of these issues, and addresses how palliative care might assist medical teams in approaching these challenges.
引用
收藏
页码：657 / +
页数：13
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