Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel

Using Technology to Create a More Humanistic Approach to Integrating Palliative Care into the Intensive Care Unit.

Publication ,  Journal Article
Cox, CE; Curtis, JR
Published in: Am J Respir Crit Care Med
February 1, 2016

A decade ago, the major obstacles to integration of palliative care into the intensive care unit (ICU) were the limited number of providers trained in palliative care, an immature evidence base, and a lack of appreciation for the importance of palliative care in the ICU. In 2016, the palliative care workforce has expanded markedly and there is growing appreciation of the benefits of palliative care, whether provided by a generalist (intensivist, nurse, social worker) or palliative care specialist. However, there is evidence that the quality of ICU-based palliative care is often suboptimal. A major barrier to more broadly addressing this quality problem is the lack of scalable ICU-based palliative care models that use technology to deliver efficient, collaborative palliative care in the ICU setting to the right patient at the right time. To address these challenges, we first review strengths and limitations of current care models as the basis for our novel conceptual framework that uses the electronic health record as a platform on which external innovations can be built, including: (1) screening for patients at risk for poor outcomes, (2) integrating patient- and family-reported needs, (3) personalizing care, and (4) directing generalist versus specialist triage algorithms. In the approaches considered, we describe current challenges and propose specific solutions that use technology to improve the quality of the human interaction in a stressful, complex environment.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Respir Crit Care Med

DOI

EISSN

1535-4970

Publication Date

February 1, 2016

Volume

193

Issue

3

Start / End Page

242 / 250

Location

United States

Related Subject Headings

  • Triage
  • Respiratory System
  • Prognosis
  • Patient-Centered Care
  • Palliative Care
  • Intensive Care Units
  • Health Workforce
  • Electronic Health Records
  • Critical Illness
  • Biomedical Technology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cox, C. E., & Curtis, J. R. (2016). Using Technology to Create a More Humanistic Approach to Integrating Palliative Care into the Intensive Care Unit. Am J Respir Crit Care Med, 193(3), 242–250. https://doi.org/10.1164/rccm.201508-1628CP
Cox, Christopher E., and J Randall Curtis. “Using Technology to Create a More Humanistic Approach to Integrating Palliative Care into the Intensive Care Unit.Am J Respir Crit Care Med 193, no. 3 (February 1, 2016): 242–50. https://doi.org/10.1164/rccm.201508-1628CP.
Cox, Christopher E., and J. Randall Curtis. “Using Technology to Create a More Humanistic Approach to Integrating Palliative Care into the Intensive Care Unit.Am J Respir Crit Care Med, vol. 193, no. 3, Feb. 2016, pp. 242–50. Pubmed, doi:10.1164/rccm.201508-1628CP.

Published In

Am J Respir Crit Care Med

DOI

EISSN

1535-4970

Publication Date

February 1, 2016

Volume

193

Issue

3

Start / End Page

242 / 250

Location

United States

Related Subject Headings

  • Triage
  • Respiratory System
  • Prognosis
  • Patient-Centered Care
  • Palliative Care
  • Intensive Care Units
  • Health Workforce
  • Electronic Health Records
  • Critical Illness
  • Biomedical Technology