Regarding the provision of palliative care to ICU patients, outline the advantages and disadvantages of using:
a) A traditional Intensive care consultant - based approach (integrative palliative care).
b) Palliative care specialty involvement in the ICU by specific consultation (consultative palliative care). (50% marks)
Generally answered well by outlining the limitations of an ICM physician, especially time pressure, care of other critically ill patients and transition of care to the ward. There were multiple references to ICM physicians considering palliation as failure of ICU therapy or having "guilt" which impacts provision of palliative care. Virtually all candidates discussed specific clinical aspects, whereas other aspects such as resources, staffing, and model comparisons, were not addressed.
This answer would work better as a table. The use of the terms "integrative" and "consultative" is not unique but suggests that specific (largely North American) resources were used by the examiners to create this question.
|"Integrative" intensivist-led palliative care|
|"Consultative" palliative medicine referral|
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