id author title date pages extension mime words sentences flesch summary cache txt cord-354194-hf5ndv5f Cook, Mackenzie Prioritizing Communication in the Provision of Palliative Care for the Trauma Patient 2020-10-29 .txt text/plain 7933 359 45 Communicating clearly as part of providing high-quality palliative care in the intensive care unit (ICU) is about guiding difficult decisions, defining goals of care, explaining the impact of acute surgical problems on future quality of life, and facilitating transitions to end of life care [2, 3] . Given that the vast majority of severely injured trauma patients in the ICU have limited abilities to function as their own decision makers, this discussion will primarily focus on the interactions with family and surrogate decision makers as this is the group most in need of high-quality communication [6, 37] . The routine integration of trained palliative care subspecialists in the ICU has been associated with improved quality of life, higher rates of formal advance directives, and greater utilization of hospice service as well as less frequent use of certain non-beneficial life-prolonging treatments for critically ill patients at the end of life [49] . ./cache/cord-354194-hf5ndv5f.txt ./txt/cord-354194-hf5ndv5f.txt