ICU

The ten barriers to appropriate management of patients at the end of their life

In the article published in Intensive Care Medicine by Hillamn y Cardona-Morell, the main barriers that hinder an appropriate management of patients at the end of life are described. It is becoming more common the dilemma of admitting and treat in ICU certain patients that intensive medicine no longer can offer them what they really… Continue reading The ten barriers to appropriate management of patients at the end of their life

Healthcare

The Intimacy Gap

I used to think that there was a communication gulf between doctors and patients. Somewhere in the hub-bub of of the harried office visit some secret sauce was missing. A divide that was so fundamental that both parties often left the room feeling disjointed and uneasy. Patients wondered if doctors truly heard them. Physicians wondered… Continue reading The Intimacy Gap

Healthcare, Humanity

The Human Factor at Emergency Department

Hola a tod@s, my dear friends. Something is changing in the hospital, specially at Emergency Department of the Hospital Universitario San Juan de Alicante. Montserrat Soler, auxiliary nurse, has edited "The Human Factor at Emergency Department," a guide to humanize care of patients and families in this area of the hospital. Source: alicanteactualidad.com In her… Continue reading The Human Factor at Emergency Department

Healthcare, ICU

The ICU of the Future

Yesterday I had dinner with Carles Calaf and Victor Úbeda, and we were talking about the future with a couple of beers. Philosophy of bar and brainstorming: probably the most creative combination. How will be the ICU of the Future? As we have thought before, for me it is clear: centered in persons and to… Continue reading The ICU of the Future

Healthcare, ICU

Moral Distress in the ICU Team

Hola a tod@s, my dear friends. A few days ago Dr. Vicente Gómez-Tello sent me this article published in Critical Care Medicine in December 2014, because he knew that it could interest us: A Qualitative Study Exploring Moral Distress in the ICU Team: The Importance of Unit Functionality and Intrateam Dynamics. Again the qualitative research… Continue reading Moral Distress in the ICU Team

Aging/Gerontology, Humanity

Eight Reflections on Seniors as Patients

Eight Reflections on Seniors as Patients List three older people that were in your life as a child. Of these, choose one of these persons to focus on for just a moment: Consider something important they shared with you at that time. How might that important message yet influence your care of elders now? What… Continue reading Eight Reflections on Seniors as Patients

Education, Healthcare, ICU

Listen to Patients First

Hello everybody, my dear friends: Recently, I published in this blog the post, Transforming Healtcare Through the Power of Listening , to inform you that from 30 to 31 October is going to celebrate the European Listening and Health Conference (ELAHC) in Nijmegen (The Netherlands). I thought that inscription fee was too expensive from someone from… Continue reading Listen to Patients First