Table 3.
Intensive Care Unit Palliative Care Processes in the Voluntary Hospital Association, Inc “Care and Communication Bundle”a
| By ICU day 1 |
| Identify medical decisionmaker |
| Address advance directive status |
| Address resuscitation status |
| Distribute family information leaflet |
| Assess pain regularly |
| Manage pain optimally |
| By ICU day 3 |
| Offer social work (emotional/practical) support |
| Offer spiritual support |
| By ICU day 5 |
| Conduct interdisciplinary family meeting |
ICU, intensive care unit.
a
Processes are to be performed no later than the specified day in the ICU; day of ICU admission is day 0. Detailed criteria have been developed for evaluation of performance (28).