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Medline ® Abstract for Reference 81

of 'Palliative care: Issues in the intensive care unit in adults'

Going home from ICU to die: a celebration of life.
Ryder-Lewis M
Nurs Crit Care. 2005 May;10(3):116-21.
There is much literature regarding going home to die in terminally ill cancer patients however, little is written about withdrawing treatment at home in critical care. One intensive care unit's experience in New Zealand demonstrates how this can be done safely. The preparation of families and patients must be done with great care. There are challenges to be overcome including supportive resources in the community, staffing and safety of the patient and family. It is possible to withdraw/withhold treatment in a patient's home and this is highly valued by the families.
ICU, Wellington Hospital, New Zealand. michelle.ryder_lewis@ccdhb.org.nz