Palliative Care and Population Management Compassionate Extubation of the ICU Patient and the Use of the Respiratory Distress Observation Scale.

ABSTRACT

End of life (EOL) can be an extremely stressful experience for patients, their families, and health care staff. Critical care nurses are trained to help patients survive acute episodes and assist in restoring their health. Unfortunately, not all ICU patients are able to fully recover or obtain previous quality of life before hospitalization. In these situations, the focus moves to transitioning patients from restorative care to palliative care. This article will explain EOL care guidelines for critical care nurses using the Respiratory Distress Observation Scale to ensure patient comfort during compassionate extubation.