Predictors of patient wishes and influence of family and clinicians are discussed. Research
findings on patient decision-making relating to preferences in end-of-life care are described …

Even though good communication among clinicians, patients, and family members is
identified as the most important factor in end-of-life care in ICUs, it is the least accomplished …

Objective. To describe the substitute decision-makers' perspectives related to decision-
making in the intensive care unit (ICU) and to determine those variables associated with …

Background: Empathy is an indispensable skill in medicine and is an integral part of
'professionalism'. Yet, there is still increasing concern among medical educators and …

Objective To evaluate physicians' reasoning, considerations and possible difficulties in end-
of-life decision-making for patients in European intensive care units (ICUs). Design A …

Physicians often assume that conflict is undesirable and destructive, yet conflict handled
well can be productive, and the clarity that results can lead to clearer decision making and …

Background: Moral distress is a pervasive reality of palliative care practice. An existing
framework for understanding it has been proposed as a way to begin to address moral …

Methods We performed literature searches with PubMed using the index terms for critical
care (“critical care” or “intensive care” or “mechanical ventilation”) and palliative care …

This volume explains how to develop a set of patient and physician goals for improving
quality of life, resolving end of life issues, and treating dying patients. The author, Dr. Joseph …

Purpose The purpose of this study is to understand conflicts in the ICU setting as
experienced by clinicians and administrators and explore methods currently used to resolve …