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01-10-2017 | Ethical Matters

Palliative Care Needs Assessment in the Neuro-ICU: Effect on Family

Authors: Claire J. Creutzfeldt, Marina G. Hanna, C. Sherry Cheever, Abhijit V. Lele, Charles Spiekerman, Ruth A. Engelberg, J. Randall Curtis

Published in: Neurocritical Care | Issue 2/2017

Abstract

Background

Examine the association of a daily palliative care needs checklist on outcomes for family members of patients discharged from the neurosciences intensive care unit (neuro-ICU).

Methods

We conducted a prospective, longitudinal cohort study in a single, thirty-bed neuro-ICU in a regional comprehensive stroke and level 1 trauma center. One of two neuro-ICU services that admit patients to the same ICU on alternating days used a palliative care needs checklist during morning work rounds. Between March and October, 2015, surveys were mailed to family members of patients discharged from the neuro-ICU.

Results

Nearly half of surveys (n = 91, 48.1%) were returned at a median of 4.7 months. At the time of survey completion, mean Modified rankin scale score (mRS) of neuro-ICU patients was 3.1 (SD 2). Overall ratings of quality of care were relatively high (82.2 on a 0–100 scale) with 32% of family members meeting screening criteria for depressive syndrome. The primary outcome measuring family satisfaction, consisting of eight items from the Family Satisfaction in the ICU questionnaire, did not differ significantly between families of patients from either ICU service nor did family ratings of depression (PHQ-8) and post-traumatic stress (PCL-17).

Conclusions

Among families of patients discharged from the neuro-ICU, the daily use of a palliative care needs checklist had no measurable effect on family satisfaction scores or long-term psychological outcomes. Further research is needed to identify optimal interventions to meet the palliative care needs specific to family members of patients treated in the neuro-ICU.

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Title: Palliative Care Needs Assessment in the Neuro-ICU: Effect on Family
Authors: Claire J. Creutzfeldt
Marina G. Hanna
C. Sherry Cheever
Abhijit V. Lele
Charles Spiekerman
Ruth A. Engelberg
J. Randall Curtis
Publication date: 01-10-2017
Publisher: Springer US
Published in: Neurocritical Care / Issue 2/2017
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-017-0426-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Palliative Care Needs Assessment in the Neuro-ICU: Effect on Family

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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