Merging Palliative and Critical Care Cultures in the Medical Intensive Care Unit
J. Andrew Billings, MD, Former Director, MGH Palliative Care Service; Associate Professor of Medicine; Co-Director, Harvard Medical School Center for Palliative Care
Adele Keeley, BSN, MA, RN, Nurse Manager, MGH Medical Intensive Care Unit
Co-Investigators and Study Staff
Joel Bauman, MD
Alexandra Cist, MD
Edward Coakley, RN
Constance Dahlin, MSN, ANP
Paul Montgomery, Ph.D.
Taylor Thompson, MD
Marilyn Wise, MSW, LICSW
Robert Wood Johnson Foundation, "PROMOTING PALLIATIVE CARE EXCELLENCE IN INTENSIVE CARE."
Specific Aims of the Project
This is a quality improvement demonstration project whose aims are to: 1) improve and standardize physical and psychosocial/spiritual care approaches to the alleviation of suffering for all patients in the Medical Intensive Care Unit (MICU) and their families; 2) strengthen staff education and support programs to assure that every trainee and practitioner in the MICU is exposed to state-of-the-art palliative care; and 3) generate, publish, and otherwise disseminate useful evaluation data about transferable improvements, thus allowing us to serve as a model for other ICUs. The study design is a pre-post intervention Quality Demonstration Project.
Our hypothesis is that a set of clinical and educational interventions will promote the integration of patient-and-family-centered palliative care practice into the medical intensive care unit (MICU).
Presentation to the AAHPM in February, 2006.
Documents developed during the Study
- Structured Family Meeting
- Family Meetings Bibliography
- Guide to Family Meetings (3 x 5 format)
- Palliative Care Nurse Champions
- Medical ICU Family Brochure
- Multidisciplinary Rounds
- House Officer daily Worksheet
- Vent Withdrawal Protocol
- "Get to Know Me" Poster©, used in the MICU, developed by the MGH "Ethics in Clinical Practice" (EICP) committee, a part of the collaborative governance structure in the Patient Care Services department. Ordering information and Guidelines for use are also available.
- "Preparing to be a Health Care Agent" brochure© (not printable). If you would like to purchase bulk copies of this brochure, please contact our print vendor Standard Register at 1-877-771-9063 and refer to item #84668.
- "Planning in Advance for Your Health Care" brochure© (not printable). If you would like to purchase bulk copies of this brochure, please contact our print vendor Standard Register at 1-877-771-9063 and refer to item #84669.
For more information, please call 617-724-9197.
MGH Palliative Care Service, 55 Fruit Street, Founders 600, Boston, MA 02114
Telephone: (617) 724-9197 Fax: (617) 724-8693