Palliative Care Challenges in the ICU

Concurrent Session Moderator(s)

• 

  Andrew Macfadyen, MD

  Medical Director PICU
  Children's Hospital & Medical Center
  Omaha, NE

  No relevant financial relationship(s) to disclose

This session will cover challenging cases of primary palliative care in the ICU and best practices for integration with palliative medicine. Speakers will review causes of conflict and moral distress among the ICU team, family surrogates, and other medical consultants. The session will also cover communication strategies for optimizing family-centered meetings to discuss goals of care and minimize conflict, along with the differences and similarities in providing palliative care for adult versus pediatric populations through case-based presentation (diagnosis, treatment, and communication). Active small group workshops on communication skills for discussing goals of care, empathy, and conflict resolution will allow skills practice for clinicians.

Presentations:

• Moral Injury: Resolving Individual and Team Distress
  

  Concurrent Session Faculty: Joshua Kayser, MD, MPH, MBE – University of Pennsylvania Perelman School of Medicine
• Conflict Management
  

  Concurrent Session Faculty: Lauren R. Sorce, PhD, RN – Ann and Robert H. Lurie Children's Hospital of Chicago
• Challenging Palliative Critical Care Case: Skill Integration
  

  Concurrent Session Faculty: Naomi George, MD, MPH – University of New Mexico
• Including the Child's Voice in Pediatric End-of-Life Care
  

  Concurrent Session Faculty: Tessie October, MD, MPH – National Institutes of Health