{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:43:07Z","timestamp":1780479787055,"version":"3.54.1"},"reference-count":12,"publisher":"AACN Publishing","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"\n Introduction<\/jats:title>\n Given the serious illness burden of patients in medical intensive care units, palliative care is a key element of their care. This case discussion highlights the role of the palliative care specialty registered nurse in an embedded palliative care model in medical intensive care units.<\/jats:p>\n <\/jats:sec>\n \n Clinical Findings<\/jats:title>\n A 44-year-old female patient with decompensated cirrhosis was transferred to the study hospital for liver transplant evaluation. Her hospital stay involved multiple complications.<\/jats:p>\n <\/jats:sec>\n \n Diagnosis<\/jats:title>\n The patient was determined to have palliative care needs. Multiple areas of intervention were identified.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n A model including a palliative care specialty registered nurse was initiated in the medical intensive care unit.<\/jats:p>\n <\/jats:sec>\n \n Outcomes<\/jats:title>\n The palliative care specialty registered nurse had 2 roles: (1) optimizing patient care by partnering with medical intensive care unit colleagues to develop a plan of care aligned with patient and family values and preferences and (2) supporting and enhancing critical care nursing excellence by helping bedside nurses advocate for the patient\u2019s palliative care needs. Nurses were also empowered with communication skills to engage with patients, family members, and primary team colleagues.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The palliative care specialty registered nurse model can be used in various intensive care unit settings. However, the complex care needs of critically ill patients, the unique nature and structural variations across critical care settings, and the resources required to implement this model are potential challenges.<\/jats:p>\n <\/jats:sec>","DOI":"10.4037\/ccn2025739","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:02:19Z","timestamp":1754006539000},"page":"43-48","source":"Crossref","is-referenced-by-count":1,"title":["Palliative Care Specialty Nursing in Medical Intensive Care Units"],"prefix":"10.4037","volume":"45","author":[{"given":"Amy","family":"Newman","sequence":"first","affiliation":[{"name":"Amy Newman is a palliative care nurse and a clinical coordinator, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Lasseigne","sequence":"additional","affiliation":[{"name":"Joshua Lasseigne is a palliative care nurse and a clinical coordinator, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Goldhirsch","sequence":"additional","affiliation":[{"name":"Suzanne Goldhirsch is a patient advocate, editor, and project coordinator for the Lilian and Benjamin Hertzberg Palliative Care Institute, Icahn School of Medicine at Mount Sinai."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Chai","sequence":"additional","affiliation":[{"name":"Emily Chai is a professor and the vice-chair for inpatient services in the Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Acquah","sequence":"additional","affiliation":[{"name":"Samuel Acquah is a professor, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, and the director of the medical critical care unit for The Mount Sinai Hospital, New York, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Davis","sequence":"additional","affiliation":[{"name":"Camille Davis is the nurse manager of the medical intensive care unit, The Mount Sinai Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Stanley","sequence":"additional","affiliation":[{"name":"Karen Stanley is a nurse practitioner in the medical intensive care unit, The Mount Sinai Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankita","family":"Mehta","sequence":"additional","affiliation":[{"name":"Ankita Mehta is an associate professor, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, and the system director of palliative care for the Institute for Critical Care Medicine, The Mount Sinai Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"key":"2025073120021091300_b1-0450043","unstructured":"Critical care statistics. 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