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Báo cáo y học: "ICU Cornestone: A lecture that changed my practice"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: ICU Cornestone: A lecture that changed my practice. | Available online http ccforum.eom content 6 5 403 Commentary ICU Cornestone A lecture that changed my practice Malcolm Fisher Royal North Shore Hospital St Leonards Australia Correspondence Malcolm Fisher mfisher@med.usyd.edu.au Published online 9 July 2002 Critical Care 2002 6 403-404 This article is online at http ccforum.com content 6 5 403 2002 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract In 1982 the author attended a lecture by Professor Joseph Civetta dealing with the concept that at times the goal of care should be comfort rather than cure and that inappropriate care prolonged dying and suffering. Efforts to improve end-of-life care subsequent to this had effects on care at a local level and at a state level. Intensive care providers should be leaders in the provision of appropriate and compassionate care at the end of life. Keywords death terminal care It was in 1972 that I was first rostered to work in an intensive care unit. From the first day I never wanted to work anywhere else. The list of changes and improvements is enormous but one particular event and its consequence more than any other changed both my practice and my life. The event was a lecture by Professor Joe Civetta in 1982 in Sydney. In 1980 I heard Joe speak in San Antonio about ways of using nurses time better. I had just begun running a Continuing Education Meeting in Sydney that was to focus on things I believed we had not thought about enough. I invited Joe to speak at this meeting in 1981 and he informed me that the data and work was that of his wife Judy. She agreed to attend. Joe also wanted to come. I asked what he would like to talk about and he said he had a lecture on Stress Death and Dying . When I queried why anyone would want to listen to such a lecture Joe responded by suggesting that if 1 of my patients developed renal failure and 10 died then maybe I should know as much about dying as I knew about renal failure. Joe s lecture in March 1982 totally .