Sudden Advanced Illness-Reference-Cited by-同舟云学术

Sudden Advanced Illness

Published:2014-12-29 Issue:4 Volume:33 Page:321-326
ISSN:1049-9091
Container-title:American Journal of Hospice and Palliative Medicine®
language:en
Short-container-title:Am J Hosp Palliat Care

Author:

Barnett Michael D.¹²³,Williams Beverly R.¹²⁴,Tucker Rodney O.¹²

Affiliation:

1. Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, USA

2. Division of Geriatrics, Gerontology, and Palliative Care, University of Alabama at Birmingham—Birmingham, AL, USA

3. Division of General Pediatrics and Adolescent Medicine, University of Alabama at Birmingham—Birmingham, AL, USA

4. Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center (GRECC), Birmingham VA Medical Center—Birmingham, AL, USA

Abstract

Background: End-of-life discussions in critically-ill patients with acute surgical conditions may be rushed and occur earlier during hospitalization. This study explores the concept of sudden advanced illness (SAI) and its relevance to patients requiring Palliative and Surgical Critical Care. Methods: Semi-structured interviews were completed with 16 physicians, querying each about (1) definitional components, (2) illustrative cases, and (3) comfort with SAI. Analysis was done by grounded theory. Results: SAI was characterized as unforeseen, emerging abruptly and producing devastating injury, often in healthy, younger patients. There is (1) prognostic uncertainty, (2) loss of capacity, and (3) unprepared surrogate decision-making. Cases are emotionally-charged and often personal. Conclusion: The emerging concept of SAI is important for understanding how Palliative Care can enhance care for this subset of patients.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1049909114565108

Reference23 articles.

1. Surgeons' Attitudes and Practices in the Utilization of Palliative and Supportive Care Services for Patients with a Sudden Advanced Illness

2. Trauma care and palliative care: time to integrate the two?

3. Use of intensive care at the end of life in the United States: An epidemiologic study*

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