Goal-Concordant Care, Palliative Care, and End-of-Life Care in the Older ICU Patient

Concurrent Session Moderator(s)

• 

  Fiona Winterbottom, CCRN, CNS, DNP, MSN (she/her/hers)

  Ochsner Medical Center
• JT

  Judith Tate, PhD, RN

  The Ohio State University College of Nursing

This session will present findings from key clinical trials on surrogate decision-making in the ICU. Speakers will make recommendations on how to apply these results and reflect on future directions for research. Recent studies show increasing use of mechanical ventilation among people with dementia, despite little evidence of benefit. Data will be presented on the use of mechanical ventilation among older ICU patients, and strategies will be discussed for achieving goal-concordant care in people with dementia. Time-limited trials may help navigate the uncertainty of critical illness, but definitions and implementation of time-limited trials are poorly understood. Speakers will discuss time-limited trials including definitions, implementation, and real-world examples.

Presentations:

• 11:05am – 11:20am Eastern Time

  Approaches to Provision of Palliative Care in the ICU for Older Adults
  

  Rebecca A. Aslakson, MD, PhD, FCCM (she/her/hers) – University of Vermont Medical Center
• 11:20am – 11:35am Eastern Time

  Advance Care Planning in Older ICU Patients With Dementia
  

  silvia E. Perez-Protto, MD, MS, MBA, FCCM (she/her/hers) – Anesthesia Institute at Cleveland Clinic
• 11:35am – 11:50am Eastern Time

  Time-Limited Trials in the ICU: Definitions, Implementation, and Real-World Examples
  

  Jacqueline M. Kruser, MD, MS (she/her/hers) – University of Wisconsin School of Medicine and Public Health