Family Perceptions of Palliative Care and Communication in the Surgical Intensive Care Unit

Paré, Kristina; Grudziak, Joanna; Lavin, Kyle; Sten, May-Britt; Huegerich, Anneka; Umble, Karl; Twer, Emma; Reid, Trista

Few data exist on palliative care for trauma and acute care surgery patients. This pilot study evaluated family perceptions and experiences around palliative care in a surgical intensive care unit (SICU) via mixed methods interviews conducted from February 1, 2020, to March 5, 2020, with 5 families of patients in the SICU. Families emphasized the importance of clear, honest communication, and inclusiveness in decision-making. Many interviewees were unable to recall whether goals-of-care discussions had occurred, and most lacked understanding of the patients’ illnesses. This study highlights the significance of frequent communication and goals-of-care discussions in the SICU.