id sid tid token lemma pos cord-354194-hf5ndv5f 1 1 key key NNP cord-354194-hf5ndv5f 1 2 : : : cord-354194-hf5ndv5f 1 3 cord-354194-hf5ndv5f cord-354194-hf5ndv5f DT cord-354194-hf5ndv5f 1 4 authors author NNS cord-354194-hf5ndv5f 1 5 : : : cord-354194-hf5ndv5f 1 6 Cook cook VB cord-354194-hf5ndv5f 1 7 , , , cord-354194-hf5ndv5f 1 8 Mackenzie Mackenzie NNP cord-354194-hf5ndv5f 1 9 ; ; : cord-354194-hf5ndv5f 1 10 Zonies Zonies NNP cord-354194-hf5ndv5f 1 11 , , , cord-354194-hf5ndv5f 1 12 David David NNP cord-354194-hf5ndv5f 1 13 ; ; : cord-354194-hf5ndv5f 1 14 Brasel Brasel NNP cord-354194-hf5ndv5f 1 15 , , , cord-354194-hf5ndv5f 1 16 Karen Karen NNP cord-354194-hf5ndv5f 1 17 title title NN cord-354194-hf5ndv5f 1 18 : : : cord-354194-hf5ndv5f 2 1 Prioritizing prioritize VBG cord-354194-hf5ndv5f 2 2 Communication Communication NNP cord-354194-hf5ndv5f 2 3 in in IN cord-354194-hf5ndv5f 2 4 the the DT cord-354194-hf5ndv5f 2 5 Provision Provision NNP cord-354194-hf5ndv5f 2 6 of of IN cord-354194-hf5ndv5f 2 7 Palliative Palliative NNP cord-354194-hf5ndv5f 2 8 Care Care NNP cord-354194-hf5ndv5f 2 9 for for IN cord-354194-hf5ndv5f 2 10 the the DT cord-354194-hf5ndv5f 2 11 Trauma Trauma NNP cord-354194-hf5ndv5f 2 12 Patient Patient NNP cord-354194-hf5ndv5f 2 13 date date NN cord-354194-hf5ndv5f 2 14 : : : cord-354194-hf5ndv5f 2 15 2020 2020 CD cord-354194-hf5ndv5f 2 16 - - SYM cord-354194-hf5ndv5f 2 17 10 10 CD cord-354194-hf5ndv5f 2 18 - - SYM cord-354194-hf5ndv5f 2 19 29 29 CD cord-354194-hf5ndv5f 2 20 journal journal NN cord-354194-hf5ndv5f 2 21 : : : cord-354194-hf5ndv5f 3 1 Curr Curr NNP cord-354194-hf5ndv5f 3 2 Trauma Trauma NNP cord-354194-hf5ndv5f 3 3 Rep Rep NNP cord-354194-hf5ndv5f 3 4 DOI DOI NNP cord-354194-hf5ndv5f 3 5 : : : cord-354194-hf5ndv5f 3 6 10.1007 10.1007 CD cord-354194-hf5ndv5f 3 7 / / SYM cord-354194-hf5ndv5f 3 8 s40719 s40719 NNP cord-354194-hf5ndv5f 3 9 - - HYPH cord-354194-hf5ndv5f 3 10 020 020 CD cord-354194-hf5ndv5f 4 1 -00201-x -00201-x NNP cord-354194-hf5ndv5f 5 1 sha sha NNP cord-354194-hf5ndv5f 5 2 : : : cord-354194-hf5ndv5f 6 1 343d2d4d48244b880c5e2febb8304d2b7bac7ab6 343d2d4d48244b880c5e2febb8304d2b7bac7ab6 NNP cord-354194-hf5ndv5f 6 2 doc_id doc_id CD cord-354194-hf5ndv5f 6 3 : : : cord-354194-hf5ndv5f 6 4 354194 354194 CD cord-354194-hf5ndv5f 6 5 cord_uid cord_uid NNS cord-354194-hf5ndv5f 6 6 : : : cord-354194-hf5ndv5f 6 7 hf5ndv5f hf5ndv5f DT cord-354194-hf5ndv5f 6 8 PURPOSE purpose NN cord-354194-hf5ndv5f 6 9 OF of IN cord-354194-hf5ndv5f 6 10 REVIEW review NN cord-354194-hf5ndv5f 6 11 : : : cord-354194-hf5ndv5f 7 1 Communication communication NN cord-354194-hf5ndv5f 7 2 skills skill NNS cord-354194-hf5ndv5f 7 3 in in IN cord-354194-hf5ndv5f 7 4 the the DT cord-354194-hf5ndv5f 7 5 ICU ICU NNP cord-354194-hf5ndv5f 7 6 are be VBP cord-354194-hf5ndv5f 7 7 an an DT cord-354194-hf5ndv5f 7 8 essential essential JJ cord-354194-hf5ndv5f 7 9 part part NN cord-354194-hf5ndv5f 7 10 of of IN cord-354194-hf5ndv5f 7 11 the the DT cord-354194-hf5ndv5f 7 12 care care NN cord-354194-hf5ndv5f 7 13 of of IN cord-354194-hf5ndv5f 7 14 trauma trauma NN cord-354194-hf5ndv5f 7 15 patients patient NNS cord-354194-hf5ndv5f 7 16 . . . cord-354194-hf5ndv5f 8 1 The the DT cord-354194-hf5ndv5f 8 2 goal goal NN cord-354194-hf5ndv5f 8 3 of of IN cord-354194-hf5ndv5f 8 4 this this DT cord-354194-hf5ndv5f 8 5 review review NN cord-354194-hf5ndv5f 8 6 is be VBZ cord-354194-hf5ndv5f 8 7 to to TO cord-354194-hf5ndv5f 8 8 summarize summarize VB cord-354194-hf5ndv5f 8 9 key key JJ cord-354194-hf5ndv5f 8 10 aspects aspect NNS cord-354194-hf5ndv5f 8 11 of of IN cord-354194-hf5ndv5f 8 12 our -PRON- PRP$ cord-354194-hf5ndv5f 8 13 understanding understanding NN cord-354194-hf5ndv5f 8 14 of of IN cord-354194-hf5ndv5f 8 15 communication communication NN cord-354194-hf5ndv5f 8 16 with with IN cord-354194-hf5ndv5f 8 17 injured injure VBN cord-354194-hf5ndv5f 8 18 patients patient NNS cord-354194-hf5ndv5f 8 19 in in IN cord-354194-hf5ndv5f 8 20 the the DT cord-354194-hf5ndv5f 8 21 ICU ICU NNP cord-354194-hf5ndv5f 8 22 . . . cord-354194-hf5ndv5f 9 1 RECENT recent JJ cord-354194-hf5ndv5f 9 2 FINDINGS finding NNS cord-354194-hf5ndv5f 9 3 : : : cord-354194-hf5ndv5f 10 1 The the DT cord-354194-hf5ndv5f 10 2 need need NN cord-354194-hf5ndv5f 10 3 to to TO cord-354194-hf5ndv5f 10 4 communicate communicate VB cord-354194-hf5ndv5f 10 5 effectively effectively RB cord-354194-hf5ndv5f 10 6 and and CC cord-354194-hf5ndv5f 10 7 empathetically empathetically RB cord-354194-hf5ndv5f 10 8 with with IN cord-354194-hf5ndv5f 10 9 patients patient NNS cord-354194-hf5ndv5f 10 10 and and CC cord-354194-hf5ndv5f 10 11 identify identify VB cord-354194-hf5ndv5f 10 12 primary primary JJ cord-354194-hf5ndv5f 10 13 goals goal NNS cord-354194-hf5ndv5f 10 14 of of IN cord-354194-hf5ndv5f 10 15 care care NN cord-354194-hf5ndv5f 10 16 is be VBZ cord-354194-hf5ndv5f 10 17 an an DT cord-354194-hf5ndv5f 10 18 essential essential JJ cord-354194-hf5ndv5f 10 19 part part NN cord-354194-hf5ndv5f 10 20 of of IN cord-354194-hf5ndv5f 10 21 trauma trauma NN cord-354194-hf5ndv5f 10 22 care care NN cord-354194-hf5ndv5f 10 23 in in IN cord-354194-hf5ndv5f 10 24 the the DT cord-354194-hf5ndv5f 10 25 ICU ICU NNP cord-354194-hf5ndv5f 10 26 . . . cord-354194-hf5ndv5f 11 1 The the DT cord-354194-hf5ndv5f 11 2 optimal optimal JJ cord-354194-hf5ndv5f 11 3 design design NN cord-354194-hf5ndv5f 11 4 to to TO cord-354194-hf5ndv5f 11 5 support support VB cord-354194-hf5ndv5f 11 6 complex complex JJ cord-354194-hf5ndv5f 11 7 communication communication NN cord-354194-hf5ndv5f 11 8 in in IN cord-354194-hf5ndv5f 11 9 the the DT cord-354194-hf5ndv5f 11 10 ICU ICU NNP cord-354194-hf5ndv5f 11 11 will will MD cord-354194-hf5ndv5f 11 12 be be VB cord-354194-hf5ndv5f 11 13 dependent dependent JJ cord-354194-hf5ndv5f 11 14 on on IN cord-354194-hf5ndv5f 11 15 institutional institutional JJ cord-354194-hf5ndv5f 11 16 experience experience NN cord-354194-hf5ndv5f 11 17 and and CC cord-354194-hf5ndv5f 11 18 resources resource NNS cord-354194-hf5ndv5f 11 19 . . . cord-354194-hf5ndv5f 12 1 The the DT cord-354194-hf5ndv5f 12 2 best good JJS cord-354194-hf5ndv5f 12 3 / / SYM cord-354194-hf5ndv5f 12 4 worst bad JJS cord-354194-hf5ndv5f 12 5 / / SYM cord-354194-hf5ndv5f 12 6 most most RBS cord-354194-hf5ndv5f 12 7 likely likely JJ cord-354194-hf5ndv5f 12 8 model model NN cord-354194-hf5ndv5f 12 9 provides provide VBZ cord-354194-hf5ndv5f 12 10 a a DT cord-354194-hf5ndv5f 12 11 structural structural JJ cord-354194-hf5ndv5f 12 12 model model NN cord-354194-hf5ndv5f 12 13 for for IN cord-354194-hf5ndv5f 12 14 communication communication NN cord-354194-hf5ndv5f 12 15 . . . cord-354194-hf5ndv5f 13 1 SUMMARY summary NN cord-354194-hf5ndv5f 13 2 : : : cord-354194-hf5ndv5f 14 1 We -PRON- PRP cord-354194-hf5ndv5f 14 2 have have VBP cord-354194-hf5ndv5f 14 3 an an DT cord-354194-hf5ndv5f 14 4 imperative imperative NN cord-354194-hf5ndv5f 14 5 to to TO cord-354194-hf5ndv5f 14 6 improve improve VB cord-354194-hf5ndv5f 14 7 the the DT cord-354194-hf5ndv5f 14 8 communication communication NN cord-354194-hf5ndv5f 14 9 for for IN cord-354194-hf5ndv5f 14 10 all all DT cord-354194-hf5ndv5f 14 11 patients patient NNS cord-354194-hf5ndv5f 14 12 , , , cord-354194-hf5ndv5f 14 13 not not RB cord-354194-hf5ndv5f 14 14 just just RB cord-354194-hf5ndv5f 14 15 those those DT cord-354194-hf5ndv5f 14 16 at at IN cord-354194-hf5ndv5f 14 17 the the DT cord-354194-hf5ndv5f 14 18 end end NN cord-354194-hf5ndv5f 14 19 of of IN cord-354194-hf5ndv5f 14 20 their -PRON- PRP$ cord-354194-hf5ndv5f 14 21 life life NN cord-354194-hf5ndv5f 14 22 . . . cord-354194-hf5ndv5f 15 1 A a DT cord-354194-hf5ndv5f 15 2 structured structured JJ cord-354194-hf5ndv5f 15 3 approach approach NN cord-354194-hf5ndv5f 15 4 is be VBZ cord-354194-hf5ndv5f 15 5 important important JJ cord-354194-hf5ndv5f 15 6 as as IN cord-354194-hf5ndv5f 15 7 is be VBZ cord-354194-hf5ndv5f 15 8 involving involve VBG cord-354194-hf5ndv5f 15 9 family family NN cord-354194-hf5ndv5f 15 10 at at IN cord-354194-hf5ndv5f 15 11 all all DT cord-354194-hf5ndv5f 15 12 stages stage NNS cord-354194-hf5ndv5f 15 13 of of IN cord-354194-hf5ndv5f 15 14 care care NN cord-354194-hf5ndv5f 15 15 . . . cord-354194-hf5ndv5f 16 1 Communication communication NN cord-354194-hf5ndv5f 16 2 skills skill NNS cord-354194-hf5ndv5f 16 3 can can MD cord-354194-hf5ndv5f 16 4 and and CC cord-354194-hf5ndv5f 16 5 should should MD cord-354194-hf5ndv5f 16 6 be be VB cord-354194-hf5ndv5f 16 7 taught teach VBN cord-354194-hf5ndv5f 16 8 to to IN cord-354194-hf5ndv5f 16 9 trainees trainee NNS cord-354194-hf5ndv5f 16 10 . . . cord-354194-hf5ndv5f 17 1 In in IN cord-354194-hf5ndv5f 17 2 2005 2005 CD cord-354194-hf5ndv5f 17 3 , , , cord-354194-hf5ndv5f 17 4 the the DT cord-354194-hf5ndv5f 17 5 American American NNP cord-354194-hf5ndv5f 17 6 College College NNP cord-354194-hf5ndv5f 17 7 of of IN cord-354194-hf5ndv5f 17 8 Surgeons Surgeons NNPS cord-354194-hf5ndv5f 17 9 called call VBD cord-354194-hf5ndv5f 17 10 upon upon IN cord-354194-hf5ndv5f 17 11 surgeons surgeon NNS cord-354194-hf5ndv5f 17 12 to to TO cord-354194-hf5ndv5f 17 13 provide provide VB cord-354194-hf5ndv5f 17 14 high high JJ cord-354194-hf5ndv5f 17 15 - - HYPH cord-354194-hf5ndv5f 17 16 quality quality NN cord-354194-hf5ndv5f 17 17 palliative palliative JJ cord-354194-hf5ndv5f 17 18 care care NN cord-354194-hf5ndv5f 17 19 to to IN cord-354194-hf5ndv5f 17 20 ALL all DT cord-354194-hf5ndv5f 17 21 patients patient NNS cord-354194-hf5ndv5f 17 22 with with IN cord-354194-hf5ndv5f 17 23 serious serious JJ cord-354194-hf5ndv5f 17 24 illness illness NN cord-354194-hf5ndv5f 17 25 , , , cord-354194-hf5ndv5f 17 26 not not RB cord-354194-hf5ndv5f 17 27 just just RB cord-354194-hf5ndv5f 17 28 those those DT cord-354194-hf5ndv5f 17 29 approaching approach VBG cord-354194-hf5ndv5f 17 30 the the DT cord-354194-hf5ndv5f 17 31 end end NN cord-354194-hf5ndv5f 17 32 of of IN cord-354194-hf5ndv5f 17 33 their -PRON- PRP$ cord-354194-hf5ndv5f 17 34 life life NN cord-354194-hf5ndv5f 17 35 [ [ -LRB- cord-354194-hf5ndv5f 17 36 1•• 1•• NN cord-354194-hf5ndv5f 17 37 ] ] -RRB- cord-354194-hf5ndv5f 17 38 . . . cord-354194-hf5ndv5f 18 1 Comprehensive comprehensive JJ cord-354194-hf5ndv5f 18 2 care care NN cord-354194-hf5ndv5f 18 3 of of IN cord-354194-hf5ndv5f 18 4 the the DT cord-354194-hf5ndv5f 18 5 acutely acutely RB cord-354194-hf5ndv5f 18 6 injured injured JJ cord-354194-hf5ndv5f 18 7 and and CC cord-354194-hf5ndv5f 18 8 critically critically RB cord-354194-hf5ndv5f 18 9 ill ill JJ cord-354194-hf5ndv5f 18 10 patient patient NN cord-354194-hf5ndv5f 18 11 is be VBZ cord-354194-hf5ndv5f 18 12 the the DT cord-354194-hf5ndv5f 18 13 defining define VBG cord-354194-hf5ndv5f 18 14 skill skill NN cord-354194-hf5ndv5f 18 15 set set VBN cord-354194-hf5ndv5f 18 16 of of IN cord-354194-hf5ndv5f 18 17 the the DT cord-354194-hf5ndv5f 18 18 acute acute JJ cord-354194-hf5ndv5f 18 19 care care NN cord-354194-hf5ndv5f 18 20 surgeon surgeon NN cord-354194-hf5ndv5f 18 21 and and CC cord-354194-hf5ndv5f 18 22 an an DT cord-354194-hf5ndv5f 18 23 essential essential JJ cord-354194-hf5ndv5f 18 24 part part NN cord-354194-hf5ndv5f 18 25 of of IN cord-354194-hf5ndv5f 18 26 that that DT cord-354194-hf5ndv5f 18 27 skill skill NN cord-354194-hf5ndv5f 18 28 set set NN cord-354194-hf5ndv5f 18 29 is be VBZ cord-354194-hf5ndv5f 18 30 the the DT cord-354194-hf5ndv5f 18 31 ability ability NN cord-354194-hf5ndv5f 18 32 to to TO cord-354194-hf5ndv5f 18 33 communicate communicate VB cord-354194-hf5ndv5f 18 34 clearly clearly RB cord-354194-hf5ndv5f 18 35 , , , cord-354194-hf5ndv5f 18 36 effectively effectively RB cord-354194-hf5ndv5f 18 37 , , , cord-354194-hf5ndv5f 18 38 and and CC cord-354194-hf5ndv5f 18 39 efficiently efficiently RB cord-354194-hf5ndv5f 18 40 with with IN cord-354194-hf5ndv5f 18 41 the the DT cord-354194-hf5ndv5f 18 42 patient patient NN cord-354194-hf5ndv5f 18 43 and and CC cord-354194-hf5ndv5f 18 44 their -PRON- PRP$ cord-354194-hf5ndv5f 18 45 family family NN cord-354194-hf5ndv5f 18 46 . . . cord-354194-hf5ndv5f 19 1 Communicating communicate VBG cord-354194-hf5ndv5f 19 2 clearly clearly RB cord-354194-hf5ndv5f 19 3 as as IN cord-354194-hf5ndv5f 19 4 part part NN cord-354194-hf5ndv5f 19 5 of of IN cord-354194-hf5ndv5f 19 6 providing provide VBG cord-354194-hf5ndv5f 19 7 high high JJ cord-354194-hf5ndv5f 19 8 - - HYPH cord-354194-hf5ndv5f 19 9 quality quality NN cord-354194-hf5ndv5f 19 10 palliative palliative JJ cord-354194-hf5ndv5f 19 11 care care NN cord-354194-hf5ndv5f 19 12 in in IN cord-354194-hf5ndv5f 19 13 the the DT cord-354194-hf5ndv5f 19 14 intensive intensive JJ cord-354194-hf5ndv5f 19 15 care care NN cord-354194-hf5ndv5f 19 16 unit unit NN cord-354194-hf5ndv5f 19 17 ( ( -LRB- cord-354194-hf5ndv5f 19 18 ICU ICU NNP cord-354194-hf5ndv5f 19 19 ) ) -RRB- cord-354194-hf5ndv5f 19 20 is be VBZ cord-354194-hf5ndv5f 19 21 about about IN cord-354194-hf5ndv5f 19 22 guiding guide VBG cord-354194-hf5ndv5f 19 23 difficult difficult JJ cord-354194-hf5ndv5f 19 24 decisions decision NNS cord-354194-hf5ndv5f 19 25 , , , cord-354194-hf5ndv5f 19 26 defining define VBG cord-354194-hf5ndv5f 19 27 goals goal NNS cord-354194-hf5ndv5f 19 28 of of IN cord-354194-hf5ndv5f 19 29 care care NN cord-354194-hf5ndv5f 19 30 , , , cord-354194-hf5ndv5f 19 31 explaining explain VBG cord-354194-hf5ndv5f 19 32 the the DT cord-354194-hf5ndv5f 19 33 impact impact NN cord-354194-hf5ndv5f 19 34 of of IN cord-354194-hf5ndv5f 19 35 acute acute JJ cord-354194-hf5ndv5f 19 36 surgical surgical JJ cord-354194-hf5ndv5f 19 37 problems problem NNS cord-354194-hf5ndv5f 19 38 on on IN cord-354194-hf5ndv5f 19 39 future future JJ cord-354194-hf5ndv5f 19 40 quality quality NN cord-354194-hf5ndv5f 19 41 of of IN cord-354194-hf5ndv5f 19 42 life life NN cord-354194-hf5ndv5f 19 43 , , , cord-354194-hf5ndv5f 19 44 and and CC cord-354194-hf5ndv5f 19 45 facilitating facilitate VBG cord-354194-hf5ndv5f 19 46 transitions transition NNS cord-354194-hf5ndv5f 19 47 to to TO cord-354194-hf5ndv5f 19 48 end end NN cord-354194-hf5ndv5f 19 49 of of IN cord-354194-hf5ndv5f 19 50 life life NN cord-354194-hf5ndv5f 19 51 care care NN cord-354194-hf5ndv5f 19 52 [ [ -LRB- cord-354194-hf5ndv5f 19 53 2 2 CD cord-354194-hf5ndv5f 19 54 , , , cord-354194-hf5ndv5f 19 55 3 3 CD cord-354194-hf5ndv5f 19 56 ] ] -RRB- cord-354194-hf5ndv5f 19 57 . . . cord-354194-hf5ndv5f 20 1 It -PRON- PRP cord-354194-hf5ndv5f 20 2 is be VBZ cord-354194-hf5ndv5f 20 3 critically critically RB cord-354194-hf5ndv5f 20 4 important important JJ cord-354194-hf5ndv5f 20 5 to to TO cord-354194-hf5ndv5f 20 6 understand understand VB cord-354194-hf5ndv5f 20 7 that that IN cord-354194-hf5ndv5f 20 8 essential essential JJ cord-354194-hf5ndv5f 20 9 communication communication NN cord-354194-hf5ndv5f 20 10 skills skill NNS cord-354194-hf5ndv5f 20 11 can can MD cord-354194-hf5ndv5f 20 12 be be VB cord-354194-hf5ndv5f 20 13 learned learn VBN cord-354194-hf5ndv5f 20 14 and and CC cord-354194-hf5ndv5f 20 15 taught teach VBN cord-354194-hf5ndv5f 20 16 [ [ -LRB- cord-354194-hf5ndv5f 20 17 4 4 CD cord-354194-hf5ndv5f 20 18 , , , cord-354194-hf5ndv5f 20 19 5 5 CD cord-354194-hf5ndv5f 20 20 ] ] -RRB- cord-354194-hf5ndv5f 20 21 . . . cord-354194-hf5ndv5f 21 1 The the DT cord-354194-hf5ndv5f 21 2 goal goal NN cord-354194-hf5ndv5f 21 3 of of IN cord-354194-hf5ndv5f 21 4 this this DT cord-354194-hf5ndv5f 21 5 review review NN cord-354194-hf5ndv5f 21 6 is be VBZ cord-354194-hf5ndv5f 21 7 to to TO cord-354194-hf5ndv5f 21 8 summarize summarize VB cord-354194-hf5ndv5f 21 9 key key JJ cord-354194-hf5ndv5f 21 10 aspects aspect NNS cord-354194-hf5ndv5f 21 11 of of IN cord-354194-hf5ndv5f 21 12 our -PRON- PRP$ cord-354194-hf5ndv5f 21 13 understanding understanding NN cord-354194-hf5ndv5f 21 14 of of IN cord-354194-hf5ndv5f 21 15 communication communication NN cord-354194-hf5ndv5f 21 16 with with IN cord-354194-hf5ndv5f 21 17 injured injure VBN cord-354194-hf5ndv5f 21 18 patients patient NNS cord-354194-hf5ndv5f 21 19 in in IN cord-354194-hf5ndv5f 21 20 the the DT cord-354194-hf5ndv5f 21 21 ICU ICU NNP cord-354194-hf5ndv5f 21 22 . . . cord-354194-hf5ndv5f 22 1 We -PRON- PRP cord-354194-hf5ndv5f 22 2 will will MD cord-354194-hf5ndv5f 22 3 discuss discuss VB cord-354194-hf5ndv5f 22 4 communication communication NN cord-354194-hf5ndv5f 22 5 through through IN cord-354194-hf5ndv5f 22 6 all all DT cord-354194-hf5ndv5f 22 7 phases phase NNS cord-354194-hf5ndv5f 22 8 of of IN cord-354194-hf5ndv5f 22 9 trauma trauma NN cord-354194-hf5ndv5f 22 10 care care NN cord-354194-hf5ndv5f 22 11 , , , cord-354194-hf5ndv5f 22 12 review review VB cord-354194-hf5ndv5f 22 13 specific specific JJ cord-354194-hf5ndv5f 22 14 literature literature NN cord-354194-hf5ndv5f 22 15 on on IN cord-354194-hf5ndv5f 22 16 guiding guide VBG cord-354194-hf5ndv5f 22 17 family family NN cord-354194-hf5ndv5f 22 18 meetings meeting NNS cord-354194-hf5ndv5f 22 19 , , , cord-354194-hf5ndv5f 22 20 and and CC cord-354194-hf5ndv5f 22 21 discuss discuss VB cord-354194-hf5ndv5f 22 22 strategies strategy NNS cord-354194-hf5ndv5f 22 23 to to TO cord-354194-hf5ndv5f 22 24 teach teach VB cord-354194-hf5ndv5f 22 25 these these DT cord-354194-hf5ndv5f 22 26 skills skill NNS cord-354194-hf5ndv5f 22 27 . . . cord-354194-hf5ndv5f 23 1 The the DT cord-354194-hf5ndv5f 23 2 acuity acuity NN cord-354194-hf5ndv5f 23 3 of of IN cord-354194-hf5ndv5f 23 4 trauma trauma NN cord-354194-hf5ndv5f 23 5 patients patient NNS cord-354194-hf5ndv5f 23 6 admitted admit VBN cord-354194-hf5ndv5f 23 7 to to IN cord-354194-hf5ndv5f 23 8 ICUs ICUs NNP cord-354194-hf5ndv5f 23 9 in in IN cord-354194-hf5ndv5f 23 10 the the DT cord-354194-hf5ndv5f 23 11 USA USA NNP cord-354194-hf5ndv5f 23 12 is be VBZ cord-354194-hf5ndv5f 23 13 very very RB cord-354194-hf5ndv5f 23 14 high high JJ cord-354194-hf5ndv5f 23 15 , , , cord-354194-hf5ndv5f 23 16 with with IN cord-354194-hf5ndv5f 23 17 a a DT cord-354194-hf5ndv5f 23 18 diversity diversity NN cord-354194-hf5ndv5f 23 19 of of IN cord-354194-hf5ndv5f 23 20 pathologies pathology NNS cord-354194-hf5ndv5f 23 21 [ [ -LRB- cord-354194-hf5ndv5f 23 22 6 6 CD cord-354194-hf5ndv5f 23 23 ] ] -RRB- cord-354194-hf5ndv5f 23 24 . . . cord-354194-hf5ndv5f 24 1 Roughly roughly RB cord-354194-hf5ndv5f 24 2 one one CD cord-354194-hf5ndv5f 24 3 in in IN cord-354194-hf5ndv5f 24 4 five five CD cord-354194-hf5ndv5f 24 5 Americans Americans NNPS cord-354194-hf5ndv5f 24 6 will will MD cord-354194-hf5ndv5f 24 7 die die VB cord-354194-hf5ndv5f 24 8 in in IN cord-354194-hf5ndv5f 24 9 hospital hospital NN cord-354194-hf5ndv5f 24 10 after after IN cord-354194-hf5ndv5f 24 11 receiving receive VBG cord-354194-hf5ndv5f 24 12 ICU ICU NNP cord-354194-hf5ndv5f 24 13 level level NN cord-354194-hf5ndv5f 24 14 care care NN cord-354194-hf5ndv5f 24 15 [ [ -LRB- cord-354194-hf5ndv5f 24 16 7 7 CD cord-354194-hf5ndv5f 24 17 ] ] -RRB- cord-354194-hf5ndv5f 24 18 . . . cord-354194-hf5ndv5f 25 1 When when WRB cord-354194-hf5ndv5f 25 2 approaching approach VBG cord-354194-hf5ndv5f 25 3 the the DT cord-354194-hf5ndv5f 25 4 acutely acutely RB cord-354194-hf5ndv5f 25 5 injured injured JJ cord-354194-hf5ndv5f 25 6 and and CC cord-354194-hf5ndv5f 25 7 critically critically RB cord-354194-hf5ndv5f 25 8 ill ill JJ cord-354194-hf5ndv5f 25 9 trauma trauma NN cord-354194-hf5ndv5f 25 10 patient patient NN cord-354194-hf5ndv5f 25 11 , , , cord-354194-hf5ndv5f 25 12 it -PRON- PRP cord-354194-hf5ndv5f 25 13 is be VBZ cord-354194-hf5ndv5f 25 14 important important JJ cord-354194-hf5ndv5f 25 15 to to TO cord-354194-hf5ndv5f 25 16 keep keep VB cord-354194-hf5ndv5f 25 17 in in IN cord-354194-hf5ndv5f 25 18 mind mind NN cord-354194-hf5ndv5f 25 19 the the DT cord-354194-hf5ndv5f 25 20 general general JJ cord-354194-hf5ndv5f 25 21 observation observation NN cord-354194-hf5ndv5f 25 22 that that IN cord-354194-hf5ndv5f 25 23 the the DT cord-354194-hf5ndv5f 25 24 seriously seriously RB cord-354194-hf5ndv5f 25 25 ill ill JJ cord-354194-hf5ndv5f 25 26 often often RB cord-354194-hf5ndv5f 25 27 value value VBP cord-354194-hf5ndv5f 25 28 quality quality NN cord-354194-hf5ndv5f 25 29 of of IN cord-354194-hf5ndv5f 25 30 life life NN cord-354194-hf5ndv5f 25 31 over over IN cord-354194-hf5ndv5f 25 32 extending extend VBG cord-354194-hf5ndv5f 25 33 quantity quantity NN cord-354194-hf5ndv5f 25 34 of of IN cord-354194-hf5ndv5f 25 35 their -PRON- PRP$ cord-354194-hf5ndv5f 25 36 life life NN cord-354194-hf5ndv5f 25 37 [ [ -LRB- cord-354194-hf5ndv5f 25 38 8 8 CD cord-354194-hf5ndv5f 25 39 , , , cord-354194-hf5ndv5f 25 40 9 9 CD cord-354194-hf5ndv5f 25 41 ] ] -RRB- cord-354194-hf5ndv5f 25 42 . . . cord-354194-hf5ndv5f 26 1 While while IN cord-354194-hf5ndv5f 26 2 individual individual JJ cord-354194-hf5ndv5f 26 3 variation variation NN cord-354194-hf5ndv5f 26 4 is be VBZ cord-354194-hf5ndv5f 26 5 wide wide JJ cord-354194-hf5ndv5f 26 6 , , , cord-354194-hf5ndv5f 26 7 this this DT cord-354194-hf5ndv5f 26 8 point point NN cord-354194-hf5ndv5f 26 9 should should MD cord-354194-hf5ndv5f 26 10 guide guide VB cord-354194-hf5ndv5f 26 11 initial initial JJ cord-354194-hf5ndv5f 26 12 approaches approach NNS cord-354194-hf5ndv5f 26 13 to to IN cord-354194-hf5ndv5f 26 14 communication communication NN cord-354194-hf5ndv5f 26 15 with with IN cord-354194-hf5ndv5f 26 16 patients patient NNS cord-354194-hf5ndv5f 26 17 and and CC cord-354194-hf5ndv5f 26 18 their -PRON- PRP$ cord-354194-hf5ndv5f 26 19 surrogates surrogate NNS cord-354194-hf5ndv5f 26 20 . . . cord-354194-hf5ndv5f 27 1 There there EX cord-354194-hf5ndv5f 27 2 is be VBZ cord-354194-hf5ndv5f 27 3 a a DT cord-354194-hf5ndv5f 27 4 clear clear JJ cord-354194-hf5ndv5f 27 5 clinical clinical JJ cord-354194-hf5ndv5f 27 6 need need NN cord-354194-hf5ndv5f 27 7 to to TO cord-354194-hf5ndv5f 27 8 improve improve VB cord-354194-hf5ndv5f 27 9 our -PRON- PRP$ cord-354194-hf5ndv5f 27 10 communication communication NN cord-354194-hf5ndv5f 27 11 regarding regard VBG cord-354194-hf5ndv5f 27 12 goals goal NNS cord-354194-hf5ndv5f 27 13 and and CC cord-354194-hf5ndv5f 27 14 wishes wish NNS cord-354194-hf5ndv5f 27 15 ; ; : cord-354194-hf5ndv5f 27 16 as as RB cord-354194-hf5ndv5f 27 17 even even RB cord-354194-hf5ndv5f 27 18 in in IN cord-354194-hf5ndv5f 27 19 patients patient NNS cord-354194-hf5ndv5f 27 20 with with IN cord-354194-hf5ndv5f 27 21 a a DT cord-354194-hf5ndv5f 27 22 stated state VBN cord-354194-hf5ndv5f 27 23 desire desire NN cord-354194-hf5ndv5f 27 24 to to TO cord-354194-hf5ndv5f 27 25 favor favor VB cord-354194-hf5ndv5f 27 26 quality quality NN cord-354194-hf5ndv5f 27 27 over over IN cord-354194-hf5ndv5f 27 28 quantity quantity NN cord-354194-hf5ndv5f 27 29 of of IN cord-354194-hf5ndv5f 27 30 life life NN cord-354194-hf5ndv5f 27 31 , , , cord-354194-hf5ndv5f 27 32 preserving preserve VBG cord-354194-hf5ndv5f 27 33 quality quality NN cord-354194-hf5ndv5f 27 34 of of IN cord-354194-hf5ndv5f 27 35 life life NN cord-354194-hf5ndv5f 27 36 is be VBZ cord-354194-hf5ndv5f 27 37 not not RB cord-354194-hf5ndv5f 27 38 reliably reliably RB cord-354194-hf5ndv5f 27 39 honored honor VBN cord-354194-hf5ndv5f 27 40 [ [ -LRB- cord-354194-hf5ndv5f 27 41 10 10 CD cord-354194-hf5ndv5f 27 42 ] ] -RRB- cord-354194-hf5ndv5f 27 43 . . . cord-354194-hf5ndv5f 28 1 Even even RB cord-354194-hf5ndv5f 28 2 in in IN cord-354194-hf5ndv5f 28 3 patients patient NNS cord-354194-hf5ndv5f 28 4 with with IN cord-354194-hf5ndv5f 28 5 established establish VBN cord-354194-hf5ndv5f 28 6 living live VBG cord-354194-hf5ndv5f 28 7 wills will NNS cord-354194-hf5ndv5f 28 8 or or CC cord-354194-hf5ndv5f 28 9 advanced advanced JJ cord-354194-hf5ndv5f 28 10 directives directive NNS cord-354194-hf5ndv5f 28 11 , , , cord-354194-hf5ndv5f 28 12 fulfillment fulfillment NN cord-354194-hf5ndv5f 28 13 of of IN cord-354194-hf5ndv5f 28 14 end end NN cord-354194-hf5ndv5f 28 15 of of IN cord-354194-hf5ndv5f 28 16 life life NN cord-354194-hf5ndv5f 28 17 wishes wish VBZ cord-354194-hf5ndv5f 28 18 in in IN cord-354194-hf5ndv5f 28 19 the the DT cord-354194-hf5ndv5f 28 20 ICU ICU NNP cord-354194-hf5ndv5f 28 21 remains remain VBZ cord-354194-hf5ndv5f 28 22 inconsistent inconsistent JJ cord-354194-hf5ndv5f 28 23 [ [ -LRB- cord-354194-hf5ndv5f 28 24 11 11 CD cord-354194-hf5ndv5f 28 25 ] ] -RRB- cord-354194-hf5ndv5f 28 26 . . . cord-354194-hf5ndv5f 29 1 These these DT cord-354194-hf5ndv5f 29 2 data datum NNS cord-354194-hf5ndv5f 29 3 emphasize emphasize VBP cord-354194-hf5ndv5f 29 4 the the DT cord-354194-hf5ndv5f 29 5 imperative imperative NN cord-354194-hf5ndv5f 29 6 to to TO cord-354194-hf5ndv5f 29 7 improve improve VB cord-354194-hf5ndv5f 29 8 the the DT cord-354194-hf5ndv5f 29 9 communication communication NN cord-354194-hf5ndv5f 29 10 between between IN cord-354194-hf5ndv5f 29 11 patients patient NNS cord-354194-hf5ndv5f 29 12 , , , cord-354194-hf5ndv5f 29 13 their -PRON- PRP$ cord-354194-hf5ndv5f 29 14 families family NNS cord-354194-hf5ndv5f 29 15 , , , cord-354194-hf5ndv5f 29 16 and and CC cord-354194-hf5ndv5f 29 17 the the DT cord-354194-hf5ndv5f 29 18 care care NN cord-354194-hf5ndv5f 29 19 team team NN cord-354194-hf5ndv5f 29 20 through through IN cord-354194-hf5ndv5f 29 21 an an DT cord-354194-hf5ndv5f 29 22 earlier early JJR cord-354194-hf5ndv5f 29 23 consensus consensus NN cord-354194-hf5ndv5f 29 24 on on IN cord-354194-hf5ndv5f 29 25 goals goal NNS cord-354194-hf5ndv5f 29 26 of of IN cord-354194-hf5ndv5f 29 27 care care NN cord-354194-hf5ndv5f 29 28 ( ( -LRB- cord-354194-hf5ndv5f 29 29 GOC GOC NNP cord-354194-hf5ndv5f 29 30 ) ) -RRB- cord-354194-hf5ndv5f 29 31 [ [ -LRB- cord-354194-hf5ndv5f 29 32 12• 12• CD cord-354194-hf5ndv5f 29 33 ] ] -RRB- cord-354194-hf5ndv5f 29 34 . . . cord-354194-hf5ndv5f 30 1 Attending attend VBG cord-354194-hf5ndv5f 30 2 to to IN cord-354194-hf5ndv5f 30 3 and and CC cord-354194-hf5ndv5f 30 4 This this DT cord-354194-hf5ndv5f 30 5 article article NN cord-354194-hf5ndv5f 30 6 is be VBZ cord-354194-hf5ndv5f 30 7 part part NN cord-354194-hf5ndv5f 30 8 of of IN cord-354194-hf5ndv5f 30 9 the the DT cord-354194-hf5ndv5f 30 10 Topical Topical NNP cord-354194-hf5ndv5f 30 11 Collection Collection NNP cord-354194-hf5ndv5f 30 12 on on IN cord-354194-hf5ndv5f 30 13 Palliative Palliative NNP cord-354194-hf5ndv5f 30 14 Care Care NNP cord-354194-hf5ndv5f 30 15 in in IN cord-354194-hf5ndv5f 30 16 Trauma trauma NN cord-354194-hf5ndv5f 30 17 following follow VBG cord-354194-hf5ndv5f 30 18 a a DT cord-354194-hf5ndv5f 30 19 patient patient NN cord-354194-hf5ndv5f 30 20 's 's POS cord-354194-hf5ndv5f 30 21 GOC GOC NNP cord-354194-hf5ndv5f 30 22 , , , cord-354194-hf5ndv5f 30 23 even even RB cord-354194-hf5ndv5f 30 24 if if IN cord-354194-hf5ndv5f 30 25 that that DT cord-354194-hf5ndv5f 30 26 includes include VBZ cord-354194-hf5ndv5f 30 27 comfort comfort NN cord-354194-hf5ndv5f 30 28 measures measure NNS cord-354194-hf5ndv5f 30 29 only only RB cord-354194-hf5ndv5f 30 30 , , , cord-354194-hf5ndv5f 30 31 do do VBP cord-354194-hf5ndv5f 30 32 not not RB cord-354194-hf5ndv5f 30 33 negatively negatively RB cord-354194-hf5ndv5f 30 34 impact impact VB cord-354194-hf5ndv5f 30 35 mortality mortality NN cord-354194-hf5ndv5f 30 36 or or CC cord-354194-hf5ndv5f 30 37 length length NN cord-354194-hf5ndv5f 30 38 of of IN cord-354194-hf5ndv5f 30 39 stay stay NN cord-354194-hf5ndv5f 30 40 [ [ -LRB- cord-354194-hf5ndv5f 30 41 12 12 CD cord-354194-hf5ndv5f 30 42 , , , cord-354194-hf5ndv5f 30 43 13 13 CD cord-354194-hf5ndv5f 30 44 ] ] -RRB- cord-354194-hf5ndv5f 30 45 . . . cord-354194-hf5ndv5f 31 1 This this DT cord-354194-hf5ndv5f 31 2 clinical clinical JJ cord-354194-hf5ndv5f 31 3 need need NN cord-354194-hf5ndv5f 31 4 is be VBZ cord-354194-hf5ndv5f 31 5 matched match VBN cord-354194-hf5ndv5f 31 6 by by IN cord-354194-hf5ndv5f 31 7 an an DT cord-354194-hf5ndv5f 31 8 urgent urgent JJ cord-354194-hf5ndv5f 31 9 research research NN cord-354194-hf5ndv5f 31 10 need need NN cord-354194-hf5ndv5f 31 11 . . . cord-354194-hf5ndv5f 32 1 As as IN cord-354194-hf5ndv5f 32 2 our -PRON- PRP$ cord-354194-hf5ndv5f 32 3 ability ability NN cord-354194-hf5ndv5f 32 4 to to TO cord-354194-hf5ndv5f 32 5 care care VB cord-354194-hf5ndv5f 32 6 for for IN cord-354194-hf5ndv5f 32 7 patients patient NNS cord-354194-hf5ndv5f 32 8 through through IN cord-354194-hf5ndv5f 32 9 their -PRON- PRP$ cord-354194-hf5ndv5f 32 10 initial initial JJ cord-354194-hf5ndv5f 32 11 phases phase NNS cord-354194-hf5ndv5f 32 12 of of IN cord-354194-hf5ndv5f 32 13 injury injury NN cord-354194-hf5ndv5f 32 14 improves improve VBZ cord-354194-hf5ndv5f 32 15 , , , cord-354194-hf5ndv5f 32 16 the the DT cord-354194-hf5ndv5f 32 17 need need NN cord-354194-hf5ndv5f 32 18 to to TO cord-354194-hf5ndv5f 32 19 focus focus VB cord-354194-hf5ndv5f 32 20 on on IN cord-354194-hf5ndv5f 32 21 the the DT cord-354194-hf5ndv5f 32 22 key key JJ cord-354194-hf5ndv5f 32 23 communication communication NN cord-354194-hf5ndv5f 32 24 issues issue NNS cord-354194-hf5ndv5f 32 25 unique unique JJ cord-354194-hf5ndv5f 32 26 to to IN cord-354194-hf5ndv5f 32 27 trauma trauma NN cord-354194-hf5ndv5f 32 28 patients patient NNS cord-354194-hf5ndv5f 32 29 in in IN cord-354194-hf5ndv5f 32 30 the the DT cord-354194-hf5ndv5f 32 31 ICU ICU NNP cord-354194-hf5ndv5f 32 32 increases increase NNS cord-354194-hf5ndv5f 32 33 [ [ -LRB- cord-354194-hf5ndv5f 32 34 14• 14• CD cord-354194-hf5ndv5f 32 35 , , , cord-354194-hf5ndv5f 32 36 15• 15• CD cord-354194-hf5ndv5f 32 37 , , , cord-354194-hf5ndv5f 32 38 16• 16• CD cord-354194-hf5ndv5f 32 39 ] ] -RRB- cord-354194-hf5ndv5f 32 40 . . . cord-354194-hf5ndv5f 33 1 This this DT cord-354194-hf5ndv5f 33 2 was be VBD cord-354194-hf5ndv5f 33 3 recently recently RB cord-354194-hf5ndv5f 33 4 emphasized emphasize VBN cord-354194-hf5ndv5f 33 5 in in IN cord-354194-hf5ndv5f 33 6 2020 2020 CD cord-354194-hf5ndv5f 33 7 by by IN cord-354194-hf5ndv5f 33 8 the the DT cord-354194-hf5ndv5f 33 9 critical critical JJ cord-354194-hf5ndv5f 33 10 care care NN cord-354194-hf5ndv5f 33 11 committee committee NN cord-354194-hf5ndv5f 33 12 of of IN cord-354194-hf5ndv5f 33 13 the the DT cord-354194-hf5ndv5f 33 14 American American NNP cord-354194-hf5ndv5f 33 15 Association Association NNP cord-354194-hf5ndv5f 33 16 for for IN cord-354194-hf5ndv5f 33 17 the the DT cord-354194-hf5ndv5f 33 18 Surgery Surgery NNP cord-354194-hf5ndv5f 33 19 of of IN cord-354194-hf5ndv5f 33 20 Trauma Trauma NNP cord-354194-hf5ndv5f 33 21 ( ( -LRB- cord-354194-hf5ndv5f 33 22 AAST AAST NNP cord-354194-hf5ndv5f 33 23 ) ) -RRB- cord-354194-hf5ndv5f 33 24 . . . cord-354194-hf5ndv5f 34 1 Their -PRON- PRP$ cord-354194-hf5ndv5f 34 2 statement statement NN cord-354194-hf5ndv5f 34 3 on on IN cord-354194-hf5ndv5f 34 4 research research NN cord-354194-hf5ndv5f 34 5 priorities priority NNS cord-354194-hf5ndv5f 34 6 in in IN cord-354194-hf5ndv5f 34 7 adult adult NN cord-354194-hf5ndv5f 34 8 surgical surgical JJ cord-354194-hf5ndv5f 34 9 critical critical JJ cord-354194-hf5ndv5f 34 10 care care NN cord-354194-hf5ndv5f 34 11 highlighted highlight VBN cord-354194-hf5ndv5f 34 12 addressing address VBG cord-354194-hf5ndv5f 34 13 GOC GOC NNP cord-354194-hf5ndv5f 34 14 in in IN cord-354194-hf5ndv5f 34 15 the the DT cord-354194-hf5ndv5f 34 16 acute acute JJ cord-354194-hf5ndv5f 34 17 care care NN cord-354194-hf5ndv5f 34 18 setting set VBG cord-354194-hf5ndv5f 34 19 as as IN cord-354194-hf5ndv5f 34 20 THE the DT cord-354194-hf5ndv5f 34 21 top top JJ cord-354194-hf5ndv5f 34 22 research research NN cord-354194-hf5ndv5f 34 23 priority priority NN cord-354194-hf5ndv5f 34 24 [ [ -LRB- cord-354194-hf5ndv5f 34 25 14• 14• CD cord-354194-hf5ndv5f 34 26 ] ] -RRB- cord-354194-hf5ndv5f 34 27 . . . cord-354194-hf5ndv5f 35 1 There there EX cord-354194-hf5ndv5f 35 2 is be VBZ cord-354194-hf5ndv5f 35 3 only only RB cord-354194-hf5ndv5f 35 4 limited limited JJ cord-354194-hf5ndv5f 35 5 data datum NNS cord-354194-hf5ndv5f 35 6 specific specific JJ cord-354194-hf5ndv5f 35 7 to to IN cord-354194-hf5ndv5f 35 8 the the DT cord-354194-hf5ndv5f 35 9 trauma trauma NN cord-354194-hf5ndv5f 35 10 population population NN cord-354194-hf5ndv5f 35 11 available available JJ cord-354194-hf5ndv5f 35 12 to to TO cord-354194-hf5ndv5f 35 13 review review VB cord-354194-hf5ndv5f 35 14 - - HYPH cord-354194-hf5ndv5f 35 15 with with IN cord-354194-hf5ndv5f 35 16 end end NN cord-354194-hf5ndv5f 35 17 of of IN cord-354194-hf5ndv5f 35 18 life life NN cord-354194-hf5ndv5f 35 19 / / SYM cord-354194-hf5ndv5f 35 20 GOC GOC NNP cord-354194-hf5ndv5f 35 21 articles article NNS cord-354194-hf5ndv5f 35 22 comprising comprise VBG cord-354194-hf5ndv5f 35 23 just just RB cord-354194-hf5ndv5f 35 24 1.4 1.4 CD cord-354194-hf5ndv5f 35 25 % % NN cord-354194-hf5ndv5f 35 26 of of IN cord-354194-hf5ndv5f 35 27 the the DT cord-354194-hf5ndv5f 35 28 articles article NNS cord-354194-hf5ndv5f 35 29 retrieved retrieve VBN cord-354194-hf5ndv5f 35 30 for for IN cord-354194-hf5ndv5f 35 31 the the DT cord-354194-hf5ndv5f 35 32 AAST AAST NNP cord-354194-hf5ndv5f 35 33 statement statement NN cord-354194-hf5ndv5f 35 34 of of IN cord-354194-hf5ndv5f 35 35 research research NN cord-354194-hf5ndv5f 35 36 priorities priority NNS cord-354194-hf5ndv5f 35 37 [ [ -LRB- cord-354194-hf5ndv5f 35 38 14• 14• CD cord-354194-hf5ndv5f 35 39 ] ] -RRB- cord-354194-hf5ndv5f 35 40 . . . cord-354194-hf5ndv5f 36 1 While while IN cord-354194-hf5ndv5f 36 2 frequently frequently RB cord-354194-hf5ndv5f 36 3 extrapolated extrapolate VBN cord-354194-hf5ndv5f 36 4 , , , cord-354194-hf5ndv5f 36 5 data datum NNS cord-354194-hf5ndv5f 36 6 generated generate VBN cord-354194-hf5ndv5f 36 7 on on IN cord-354194-hf5ndv5f 36 8 the the DT cord-354194-hf5ndv5f 36 9 optimal optimal JJ cord-354194-hf5ndv5f 36 10 communication communication NN cord-354194-hf5ndv5f 36 11 practices practice NNS cord-354194-hf5ndv5f 36 12 in in IN cord-354194-hf5ndv5f 36 13 elective elective JJ cord-354194-hf5ndv5f 36 14 surgical surgical JJ cord-354194-hf5ndv5f 36 15 patients patient NNS cord-354194-hf5ndv5f 36 16 and and CC cord-354194-hf5ndv5f 36 17 non non JJ cord-354194-hf5ndv5f 36 18 - - JJ cord-354194-hf5ndv5f 36 19 surgical surgical JJ cord-354194-hf5ndv5f 36 20 ICU ICU NNP cord-354194-hf5ndv5f 36 21 patients patient NNS cord-354194-hf5ndv5f 36 22 may may MD cord-354194-hf5ndv5f 36 23 have have VB cord-354194-hf5ndv5f 36 24 incomplete incomplete JJ cord-354194-hf5ndv5f 36 25 generalizability generalizability NN cord-354194-hf5ndv5f 36 26 to to IN cord-354194-hf5ndv5f 36 27 trauma trauma NN cord-354194-hf5ndv5f 36 28 . . . cord-354194-hf5ndv5f 37 1 Much much JJ cord-354194-hf5ndv5f 37 2 of of IN cord-354194-hf5ndv5f 37 3 the the DT cord-354194-hf5ndv5f 37 4 data datum NNS cord-354194-hf5ndv5f 37 5 available available JJ cord-354194-hf5ndv5f 37 6 on on IN cord-354194-hf5ndv5f 37 7 the the DT cord-354194-hf5ndv5f 37 8 GOC GOC NNP cord-354194-hf5ndv5f 37 9 discussions discussion NNS cord-354194-hf5ndv5f 37 10 pertained pertain VBD cord-354194-hf5ndv5f 37 11 to to IN cord-354194-hf5ndv5f 37 12 older old JJR cord-354194-hf5ndv5f 37 13 patients patient NNS cord-354194-hf5ndv5f 37 14 or or CC cord-354194-hf5ndv5f 37 15 those those DT cord-354194-hf5ndv5f 37 16 patients patient NNS cord-354194-hf5ndv5f 37 17 with with IN cord-354194-hf5ndv5f 37 18 a a DT cord-354194-hf5ndv5f 37 19 preexisting preexist VBG cord-354194-hf5ndv5f 37 20 life life NN cord-354194-hf5ndv5f 37 21 - - HYPH cord-354194-hf5ndv5f 37 22 limiting limit VBG cord-354194-hf5ndv5f 37 23 illness illness NN cord-354194-hf5ndv5f 37 24 . . . cord-354194-hf5ndv5f 38 1 There there EX cord-354194-hf5ndv5f 38 2 is be VBZ cord-354194-hf5ndv5f 38 3 a a DT cord-354194-hf5ndv5f 38 4 wide wide JJ cord-354194-hf5ndv5f 38 5 span span NN cord-354194-hf5ndv5f 38 6 of of IN cord-354194-hf5ndv5f 38 7 injured injure VBN cord-354194-hf5ndv5f 38 8 patients patient NNS cord-354194-hf5ndv5f 38 9 and and CC cord-354194-hf5ndv5f 39 1 indeed indeed RB cord-354194-hf5ndv5f 39 2 the the DT cord-354194-hf5ndv5f 39 3 leading leading JJ cord-354194-hf5ndv5f 39 4 cause cause NN cord-354194-hf5ndv5f 39 5 of of IN cord-354194-hf5ndv5f 39 6 death death NN cord-354194-hf5ndv5f 39 7 between between IN cord-354194-hf5ndv5f 39 8 1and 1and CD cord-354194-hf5ndv5f 39 9 44 44 CD cord-354194-hf5ndv5f 39 10 years year NNS cord-354194-hf5ndv5f 39 11 old old JJ cord-354194-hf5ndv5f 39 12 is be VBZ cord-354194-hf5ndv5f 39 13 injury injury NN cord-354194-hf5ndv5f 39 14 [ [ -LRB- cord-354194-hf5ndv5f 39 15 17 17 CD cord-354194-hf5ndv5f 39 16 ] ] -RRB- cord-354194-hf5ndv5f 39 17 . . . cord-354194-hf5ndv5f 40 1 In in IN cord-354194-hf5ndv5f 40 2 addition addition NN cord-354194-hf5ndv5f 40 3 to to IN cord-354194-hf5ndv5f 40 4 a a DT cord-354194-hf5ndv5f 40 5 wide wide JJ cord-354194-hf5ndv5f 40 6 span span NN cord-354194-hf5ndv5f 40 7 of of IN cord-354194-hf5ndv5f 40 8 ages age NNS cord-354194-hf5ndv5f 40 9 , , , cord-354194-hf5ndv5f 40 10 trauma trauma NN cord-354194-hf5ndv5f 40 11 patients patient NNS cord-354194-hf5ndv5f 40 12 may may MD cord-354194-hf5ndv5f 40 13 be be VB cord-354194-hf5ndv5f 40 14 socially socially RB cord-354194-hf5ndv5f 40 15 marginalized marginalize VBN cord-354194-hf5ndv5f 40 16 , , , cord-354194-hf5ndv5f 40 17 homeless homeless JJ cord-354194-hf5ndv5f 40 18 , , , cord-354194-hf5ndv5f 40 19 have have VBP cord-354194-hf5ndv5f 40 20 pre pre VBN cord-354194-hf5ndv5f 40 21 - - JJ cord-354194-hf5ndv5f 40 22 existing existing JJ cord-354194-hf5ndv5f 40 23 mental mental JJ cord-354194-hf5ndv5f 40 24 health health NN cord-354194-hf5ndv5f 40 25 and and CC cord-354194-hf5ndv5f 40 26 substance substance NN cord-354194-hf5ndv5f 40 27 abuse abuse NN cord-354194-hf5ndv5f 40 28 disorders disorder NNS cord-354194-hf5ndv5f 40 29 , , , cord-354194-hf5ndv5f 40 30 and and CC cord-354194-hf5ndv5f 40 31 be be VB cord-354194-hf5ndv5f 40 32 estranged estrange VBN cord-354194-hf5ndv5f 40 33 from from IN cord-354194-hf5ndv5f 40 34 their -PRON- PRP$ cord-354194-hf5ndv5f 40 35 family family NN cord-354194-hf5ndv5f 40 36 and and CC cord-354194-hf5ndv5f 40 37 surrogates surrogate NNS cord-354194-hf5ndv5f 40 38 . . . cord-354194-hf5ndv5f 41 1 The the DT cord-354194-hf5ndv5f 41 2 wide wide JJ cord-354194-hf5ndv5f 41 3 diversity diversity NN cord-354194-hf5ndv5f 41 4 of of IN cord-354194-hf5ndv5f 41 5 ages age NNS cord-354194-hf5ndv5f 41 6 and and CC cord-354194-hf5ndv5f 41 7 associated associate VBN cord-354194-hf5ndv5f 41 8 medical medical JJ cord-354194-hf5ndv5f 41 9 and and CC cord-354194-hf5ndv5f 41 10 social social JJ cord-354194-hf5ndv5f 41 11 challenges challenge NNS cord-354194-hf5ndv5f 41 12 faced face VBN cord-354194-hf5ndv5f 41 13 by by IN cord-354194-hf5ndv5f 41 14 trauma trauma NN cord-354194-hf5ndv5f 41 15 patients patient NNS cord-354194-hf5ndv5f 41 16 are be VBP cord-354194-hf5ndv5f 41 17 unique unique JJ cord-354194-hf5ndv5f 41 18 . . . cord-354194-hf5ndv5f 42 1 This this DT cord-354194-hf5ndv5f 42 2 raises raise VBZ cord-354194-hf5ndv5f 42 3 the the DT cord-354194-hf5ndv5f 42 4 importance importance NN cord-354194-hf5ndv5f 42 5 of of IN cord-354194-hf5ndv5f 42 6 an an DT cord-354194-hf5ndv5f 42 7 organized organized JJ cord-354194-hf5ndv5f 42 8 , , , cord-354194-hf5ndv5f 42 9 consistent consistent JJ cord-354194-hf5ndv5f 42 10 , , , cord-354194-hf5ndv5f 42 11 and and CC cord-354194-hf5ndv5f 42 12 transparent transparent JJ cord-354194-hf5ndv5f 42 13 approach approach NN cord-354194-hf5ndv5f 42 14 to to IN cord-354194-hf5ndv5f 42 15 communication communication NN cord-354194-hf5ndv5f 42 16 and and CC cord-354194-hf5ndv5f 42 17 palliative palliative JJ cord-354194-hf5ndv5f 42 18 care care NN cord-354194-hf5ndv5f 42 19 in in IN cord-354194-hf5ndv5f 42 20 the the DT cord-354194-hf5ndv5f 42 21 trauma trauma NN cord-354194-hf5ndv5f 42 22 ICU ICU NNP cord-354194-hf5ndv5f 42 23 . . . cord-354194-hf5ndv5f 43 1 Communication communication NN cord-354194-hf5ndv5f 43 2 with with IN cord-354194-hf5ndv5f 43 3 injured injure VBN cord-354194-hf5ndv5f 43 4 patients patient NNS cord-354194-hf5ndv5f 43 5 can can MD cord-354194-hf5ndv5f 43 6 be be VB cord-354194-hf5ndv5f 43 7 organized organize VBN cord-354194-hf5ndv5f 43 8 by by IN cord-354194-hf5ndv5f 43 9 phases phase NNS cord-354194-hf5ndv5f 43 10 of of IN cord-354194-hf5ndv5f 43 11 care care NN cord-354194-hf5ndv5f 43 12 and and CC cord-354194-hf5ndv5f 43 13 is be VBZ cord-354194-hf5ndv5f 43 14 an an DT cord-354194-hf5ndv5f 43 15 ethical ethical JJ cord-354194-hf5ndv5f 43 16 imperative imperative NN cord-354194-hf5ndv5f 43 17 that that WDT cord-354194-hf5ndv5f 43 18 must must MD cord-354194-hf5ndv5f 43 19 not not RB cord-354194-hf5ndv5f 43 20 be be VB cord-354194-hf5ndv5f 43 21 forgotten forget VBN cord-354194-hf5ndv5f 43 22 in in IN cord-354194-hf5ndv5f 43 23 the the DT cord-354194-hf5ndv5f 43 24 hustle hustle NN cord-354194-hf5ndv5f 43 25 of of IN cord-354194-hf5ndv5f 43 26 acute acute JJ cord-354194-hf5ndv5f 43 27 medical medical JJ cord-354194-hf5ndv5f 43 28 interventions intervention NNS cord-354194-hf5ndv5f 43 29 [ [ -LRB- cord-354194-hf5ndv5f 43 30 12• 12• CD cord-354194-hf5ndv5f 43 31 ] ] -RRB- cord-354194-hf5ndv5f 43 32 . . . cord-354194-hf5ndv5f 44 1 Perhaps perhaps RB cord-354194-hf5ndv5f 44 2 most most RBS cord-354194-hf5ndv5f 44 3 easily easily RB cord-354194-hf5ndv5f 44 4 organized organize VBN cord-354194-hf5ndv5f 44 5 by by IN cord-354194-hf5ndv5f 44 6 the the DT cord-354194-hf5ndv5f 44 7 physical physical JJ cord-354194-hf5ndv5f 44 8 location location NN cord-354194-hf5ndv5f 44 9 of of IN cord-354194-hf5ndv5f 44 10 the the DT cord-354194-hf5ndv5f 44 11 patient patient NN cord-354194-hf5ndv5f 44 12 ( ( -LRB- cord-354194-hf5ndv5f 44 13 prehospital prehospital JJ cord-354194-hf5ndv5f 44 14 setting setting NN cord-354194-hf5ndv5f 44 15 , , , cord-354194-hf5ndv5f 44 16 resuscitation resuscitation NN cord-354194-hf5ndv5f 44 17 bay bay NN cord-354194-hf5ndv5f 44 18 , , , cord-354194-hf5ndv5f 44 19 ICU ICU NNP cord-354194-hf5ndv5f 44 20 ) ) -RRB- cord-354194-hf5ndv5f 44 21 , , , cord-354194-hf5ndv5f 44 22 communication communication NN cord-354194-hf5ndv5f 44 23 challenges challenge NNS cord-354194-hf5ndv5f 44 24 and and CC cord-354194-hf5ndv5f 44 25 priorities priority NNS cord-354194-hf5ndv5f 44 26 during during IN cord-354194-hf5ndv5f 44 27 these these DT cord-354194-hf5ndv5f 44 28 phases phase NNS cord-354194-hf5ndv5f 44 29 are be VBP cord-354194-hf5ndv5f 44 30 distinct distinct JJ cord-354194-hf5ndv5f 44 31 and and CC cord-354194-hf5ndv5f 44 32 build build VB cord-354194-hf5ndv5f 44 33 upon upon IN cord-354194-hf5ndv5f 44 34 each each DT cord-354194-hf5ndv5f 44 35 other other JJ cord-354194-hf5ndv5f 44 36 . . . cord-354194-hf5ndv5f 45 1 A a DT cord-354194-hf5ndv5f 45 2 defining define VBG cord-354194-hf5ndv5f 45 3 feature feature NN cord-354194-hf5ndv5f 45 4 of of IN cord-354194-hf5ndv5f 45 5 trauma trauma NN cord-354194-hf5ndv5f 45 6 care care NN cord-354194-hf5ndv5f 45 7 is be VBZ cord-354194-hf5ndv5f 45 8 the the DT cord-354194-hf5ndv5f 45 9 unexpected unexpected JJ cord-354194-hf5ndv5f 45 10 nature nature NN cord-354194-hf5ndv5f 45 11 of of IN cord-354194-hf5ndv5f 45 12 injury injury NN cord-354194-hf5ndv5f 45 13 and and CC cord-354194-hf5ndv5f 45 14 the the DT cord-354194-hf5ndv5f 45 15 near near JJ cord-354194-hf5ndv5f 45 16 instantaneous instantaneous JJ cord-354194-hf5ndv5f 45 17 transition transition NN cord-354194-hf5ndv5f 45 18 between between IN cord-354194-hf5ndv5f 45 19 normal normal JJ cord-354194-hf5ndv5f 45 20 life life NN cord-354194-hf5ndv5f 45 21 and and CC cord-354194-hf5ndv5f 45 22 high high JJ cord-354194-hf5ndv5f 45 23 - - HYPH cord-354194-hf5ndv5f 45 24 intensity intensity NN cord-354194-hf5ndv5f 45 25 medical medical JJ cord-354194-hf5ndv5f 45 26 interventions intervention NNS cord-354194-hf5ndv5f 45 27 . . . cord-354194-hf5ndv5f 46 1 This this DT cord-354194-hf5ndv5f 46 2 temporal temporal JJ cord-354194-hf5ndv5f 46 3 uniqueness uniqueness NN cord-354194-hf5ndv5f 46 4 of of IN cord-354194-hf5ndv5f 46 5 trauma trauma NN cord-354194-hf5ndv5f 46 6 care care NN cord-354194-hf5ndv5f 46 7 poses pose VBZ cord-354194-hf5ndv5f 46 8 a a DT cord-354194-hf5ndv5f 46 9 challenge challenge NN cord-354194-hf5ndv5f 46 10 when when WRB cord-354194-hf5ndv5f 46 11 communicating communicate VBG cord-354194-hf5ndv5f 46 12 with with IN cord-354194-hf5ndv5f 46 13 families family NNS cord-354194-hf5ndv5f 46 14 and and CC cord-354194-hf5ndv5f 46 15 surrogates surrogate NNS cord-354194-hf5ndv5f 46 16 . . . cord-354194-hf5ndv5f 47 1 While while IN cord-354194-hf5ndv5f 47 2 everyone everyone NN cord-354194-hf5ndv5f 47 3 in in IN cord-354194-hf5ndv5f 47 4 medicine medicine NN cord-354194-hf5ndv5f 47 5 hopes hope NNS cord-354194-hf5ndv5f 47 6 that that IN cord-354194-hf5ndv5f 47 7 patients patient NNS cord-354194-hf5ndv5f 47 8 have have VBP cord-354194-hf5ndv5f 47 9 had have VBN cord-354194-hf5ndv5f 47 10 meaningful meaningful JJ cord-354194-hf5ndv5f 47 11 conversations conversation NNS cord-354194-hf5ndv5f 47 12 with with IN cord-354194-hf5ndv5f 47 13 their -PRON- PRP$ cord-354194-hf5ndv5f 47 14 surrogate surrogate JJ cord-354194-hf5ndv5f 47 15 decision decision NN cord-354194-hf5ndv5f 47 16 makers maker NNS cord-354194-hf5ndv5f 47 17 prior prior RB cord-354194-hf5ndv5f 47 18 to to IN cord-354194-hf5ndv5f 47 19 injury injury NN cord-354194-hf5ndv5f 47 20 , , , cord-354194-hf5ndv5f 47 21 the the DT cord-354194-hf5ndv5f 47 22 reality reality NN cord-354194-hf5ndv5f 47 23 is be VBZ cord-354194-hf5ndv5f 47 24 that that IN cord-354194-hf5ndv5f 47 25 few few JJ cord-354194-hf5ndv5f 47 26 have have VBP cord-354194-hf5ndv5f 47 27 [ [ -LRB- cord-354194-hf5ndv5f 47 28 18 18 CD cord-354194-hf5ndv5f 47 29 ] ] -RRB- cord-354194-hf5ndv5f 47 30 . . . cord-354194-hf5ndv5f 48 1 We -PRON- PRP cord-354194-hf5ndv5f 48 2 must must MD cord-354194-hf5ndv5f 48 3 help help VB cord-354194-hf5ndv5f 48 4 with with IN cord-354194-hf5ndv5f 48 5 the the DT cord-354194-hf5ndv5f 48 6 sudden sudden JJ cord-354194-hf5ndv5f 48 7 news news NN cord-354194-hf5ndv5f 48 8 of of IN cord-354194-hf5ndv5f 48 9 a a DT cord-354194-hf5ndv5f 48 10 major major JJ cord-354194-hf5ndv5f 48 11 injury injury NN cord-354194-hf5ndv5f 48 12 while while IN cord-354194-hf5ndv5f 48 13 coaching coach VBG cord-354194-hf5ndv5f 48 14 them -PRON- PRP cord-354194-hf5ndv5f 48 15 through through IN cord-354194-hf5ndv5f 48 16 a a DT cord-354194-hf5ndv5f 48 17 new new JJ cord-354194-hf5ndv5f 48 18 and and CC cord-354194-hf5ndv5f 48 19 potentially potentially RB cord-354194-hf5ndv5f 48 20 uncomfortable uncomfortable JJ cord-354194-hf5ndv5f 48 21 role role NN cord-354194-hf5ndv5f 48 22 as as IN cord-354194-hf5ndv5f 48 23 a a DT cord-354194-hf5ndv5f 48 24 surrogate surrogate NN cord-354194-hf5ndv5f 48 25 . . . cord-354194-hf5ndv5f 49 1 The the DT cord-354194-hf5ndv5f 49 2 prehospital prehospital JJ cord-354194-hf5ndv5f 49 3 care care NN cord-354194-hf5ndv5f 49 4 of of IN cord-354194-hf5ndv5f 49 5 an an DT cord-354194-hf5ndv5f 49 6 acutely acutely RB cord-354194-hf5ndv5f 49 7 injured injure VBN cord-354194-hf5ndv5f 49 8 patient patient NN cord-354194-hf5ndv5f 49 9 can can MD cord-354194-hf5ndv5f 49 10 be be VB cord-354194-hf5ndv5f 49 11 an an DT cord-354194-hf5ndv5f 49 12 extraordinarily extraordinarily RB cord-354194-hf5ndv5f 49 13 challenging challenging JJ cord-354194-hf5ndv5f 49 14 and and CC cord-354194-hf5ndv5f 49 15 time time NN cord-354194-hf5ndv5f 49 16 - - HYPH cord-354194-hf5ndv5f 49 17 pressured pressure VBN cord-354194-hf5ndv5f 49 18 phase phase NN cord-354194-hf5ndv5f 49 19 . . . cord-354194-hf5ndv5f 50 1 As as IN cord-354194-hf5ndv5f 50 2 physiology physiology NN cord-354194-hf5ndv5f 50 3 is be VBZ cord-354194-hf5ndv5f 50 4 assessed assess VBN cord-354194-hf5ndv5f 50 5 and and CC cord-354194-hf5ndv5f 50 6 stabilized stabilize VBN cord-354194-hf5ndv5f 50 7 , , , cord-354194-hf5ndv5f 50 8 in in IN cord-354194-hf5ndv5f 50 9 - - HYPH cord-354194-hf5ndv5f 50 10 depth depth NN cord-354194-hf5ndv5f 50 11 de de FW cord-354194-hf5ndv5f 50 12 novo novo NNP cord-354194-hf5ndv5f 50 13 discussions discussion NNS cord-354194-hf5ndv5f 50 14 are be VBP cord-354194-hf5ndv5f 50 15 neither neither RB cord-354194-hf5ndv5f 50 16 feasible feasible JJ cord-354194-hf5ndv5f 50 17 nor nor CC cord-354194-hf5ndv5f 50 18 appropriate appropriate JJ cord-354194-hf5ndv5f 50 19 . . . cord-354194-hf5ndv5f 51 1 It -PRON- PRP cord-354194-hf5ndv5f 51 2 is be VBZ cord-354194-hf5ndv5f 51 3 important important JJ cord-354194-hf5ndv5f 51 4 , , , cord-354194-hf5ndv5f 51 5 however however RB cord-354194-hf5ndv5f 51 6 , , , cord-354194-hf5ndv5f 51 7 that that IN cord-354194-hf5ndv5f 51 8 any any DT cord-354194-hf5ndv5f 51 9 pre pre JJ cord-354194-hf5ndv5f 51 10 - - JJ cord-354194-hf5ndv5f 51 11 established established JJ cord-354194-hf5ndv5f 51 12 advanced advanced JJ cord-354194-hf5ndv5f 51 13 directives directive NNS cord-354194-hf5ndv5f 51 14 are be VBP cord-354194-hf5ndv5f 51 15 retrieved retrieve VBN cord-354194-hf5ndv5f 51 16 . . . cord-354194-hf5ndv5f 52 1 This this DT cord-354194-hf5ndv5f 52 2 takes take VBZ cord-354194-hf5ndv5f 52 3 on on RP cord-354194-hf5ndv5f 52 4 critical critical JJ cord-354194-hf5ndv5f 52 5 importance importance NN cord-354194-hf5ndv5f 52 6 when when WRB cord-354194-hf5ndv5f 52 7 transporting transport VBG cord-354194-hf5ndv5f 52 8 patients patient NNS cord-354194-hf5ndv5f 52 9 from from IN cord-354194-hf5ndv5f 52 10 long long JJ cord-354194-hf5ndv5f 52 11 - - HYPH cord-354194-hf5ndv5f 52 12 term term NN cord-354194-hf5ndv5f 52 13 care care NN cord-354194-hf5ndv5f 52 14 facilities facility NNS cord-354194-hf5ndv5f 52 15 , , , cord-354194-hf5ndv5f 52 16 as as IN cord-354194-hf5ndv5f 52 17 trauma trauma NN cord-354194-hf5ndv5f 52 18 mortality mortality NN cord-354194-hf5ndv5f 52 19 in in IN cord-354194-hf5ndv5f 52 20 the the DT cord-354194-hf5ndv5f 52 21 frail frail JJ cord-354194-hf5ndv5f 52 22 elderly elderly JJ cord-354194-hf5ndv5f 52 23 can can MD cord-354194-hf5ndv5f 52 24 be be VB cord-354194-hf5ndv5f 52 25 quite quite RB cord-354194-hf5ndv5f 52 26 high high JJ cord-354194-hf5ndv5f 52 27 . . . cord-354194-hf5ndv5f 53 1 Prehospital prehospital JJ cord-354194-hf5ndv5f 53 2 personnel personnel NNS cord-354194-hf5ndv5f 53 3 can can MD cord-354194-hf5ndv5f 53 4 and and CC cord-354194-hf5ndv5f 53 5 do do VB cord-354194-hf5ndv5f 53 6 uphold uphold VB cord-354194-hf5ndv5f 53 7 advanced advanced JJ cord-354194-hf5ndv5f 53 8 directives directive NNS cord-354194-hf5ndv5f 53 9 and and CC cord-354194-hf5ndv5f 53 10 established establish VBN cord-354194-hf5ndv5f 53 11 end end NN cord-354194-hf5ndv5f 53 12 of of IN cord-354194-hf5ndv5f 53 13 life life NN cord-354194-hf5ndv5f 53 14 wishes wish VBZ cord-354194-hf5ndv5f 53 15 while while IN cord-354194-hf5ndv5f 53 16 managing manage VBG cord-354194-hf5ndv5f 53 17 family family NN cord-354194-hf5ndv5f 53 18 emotions emotion NNS cord-354194-hf5ndv5f 53 19 near near IN cord-354194-hf5ndv5f 53 20 death death NN cord-354194-hf5ndv5f 53 21 [ [ -LRB- cord-354194-hf5ndv5f 53 22 19 19 CD cord-354194-hf5ndv5f 53 23 , , , cord-354194-hf5ndv5f 53 24 20 20 CD cord-354194-hf5ndv5f 53 25 ] ] -RRB- cord-354194-hf5ndv5f 53 26 . . . cord-354194-hf5ndv5f 54 1 The the DT cord-354194-hf5ndv5f 54 2 role role NN cord-354194-hf5ndv5f 54 3 of of IN cord-354194-hf5ndv5f 54 4 the the DT cord-354194-hf5ndv5f 54 5 hospital hospital NN cord-354194-hf5ndv5f 54 6 trauma trauma NN cord-354194-hf5ndv5f 54 7 service service NN cord-354194-hf5ndv5f 54 8 and and CC cord-354194-hf5ndv5f 54 9 state state NN cord-354194-hf5ndv5f 54 10 trauma trauma NN cord-354194-hf5ndv5f 54 11 system system NN cord-354194-hf5ndv5f 54 12 at at IN cord-354194-hf5ndv5f 54 13 this this DT cord-354194-hf5ndv5f 54 14 point point NN cord-354194-hf5ndv5f 54 15 is be VBZ cord-354194-hf5ndv5f 54 16 to to TO cord-354194-hf5ndv5f 54 17 support support VB cord-354194-hf5ndv5f 54 18 the the DT cord-354194-hf5ndv5f 54 19 medics medic NNS cord-354194-hf5ndv5f 54 20 as as IN cord-354194-hf5ndv5f 54 21 they -PRON- PRP cord-354194-hf5ndv5f 54 22 seek seek VBP cord-354194-hf5ndv5f 54 23 to to TO cord-354194-hf5ndv5f 54 24 obtain obtain VB cord-354194-hf5ndv5f 54 25 and and CC cord-354194-hf5ndv5f 54 26 uphold uphold VB cord-354194-hf5ndv5f 54 27 established establish VBN cord-354194-hf5ndv5f 54 28 advanced advanced JJ cord-354194-hf5ndv5f 54 29 directives directive NNS cord-354194-hf5ndv5f 54 30 . . . cord-354194-hf5ndv5f 55 1 Having have VBG cord-354194-hf5ndv5f 55 2 access access NN cord-354194-hf5ndv5f 55 3 to to IN cord-354194-hf5ndv5f 55 4 an an DT cord-354194-hf5ndv5f 55 5 advanced advanced JJ cord-354194-hf5ndv5f 55 6 directive directive NN cord-354194-hf5ndv5f 55 7 on on IN cord-354194-hf5ndv5f 55 8 a a DT cord-354194-hf5ndv5f 55 9 patient patient NN cord-354194-hf5ndv5f 55 10 's 's POS cord-354194-hf5ndv5f 55 11 arrival arrival NN cord-354194-hf5ndv5f 55 12 , , , cord-354194-hf5ndv5f 55 13 or or CC cord-354194-hf5ndv5f 55 14 shortly shortly RB cord-354194-hf5ndv5f 55 15 thereafter thereafter RB cord-354194-hf5ndv5f 55 16 , , , cord-354194-hf5ndv5f 55 17 opens open VBZ cord-354194-hf5ndv5f 55 18 a a DT cord-354194-hf5ndv5f 55 19 door door NN cord-354194-hf5ndv5f 55 20 to to TO cord-354194-hf5ndv5f 55 21 address address VB cord-354194-hf5ndv5f 55 22 GOC GOC NNP cord-354194-hf5ndv5f 55 23 in in IN cord-354194-hf5ndv5f 55 24 the the DT cord-354194-hf5ndv5f 55 25 resuscitation resuscitation NN cord-354194-hf5ndv5f 55 26 area area NN cord-354194-hf5ndv5f 55 27 and and CC cord-354194-hf5ndv5f 55 28 potentially potentially RB cord-354194-hf5ndv5f 55 29 avoid avoid VB cord-354194-hf5ndv5f 55 30 high high JJ cord-354194-hf5ndv5f 55 31 - - HYPH cord-354194-hf5ndv5f 55 32 intensity intensity NN cord-354194-hf5ndv5f 55 33 interventions intervention NNS cord-354194-hf5ndv5f 55 34 that that WDT cord-354194-hf5ndv5f 55 35 a a DT cord-354194-hf5ndv5f 55 36 patient patient NN cord-354194-hf5ndv5f 55 37 has have VBZ cord-354194-hf5ndv5f 55 38 previously previously RB cord-354194-hf5ndv5f 55 39 decided decide VBN cord-354194-hf5ndv5f 55 40 are be VBP cord-354194-hf5ndv5f 55 41 not not RB cord-354194-hf5ndv5f 55 42 consistent consistent JJ cord-354194-hf5ndv5f 55 43 with with IN cord-354194-hf5ndv5f 55 44 their -PRON- PRP$ cord-354194-hf5ndv5f 55 45 goals goal NNS cord-354194-hf5ndv5f 55 46 [ [ -LRB- cord-354194-hf5ndv5f 55 47 21 21 CD cord-354194-hf5ndv5f 55 48 ] ] -RRB- cord-354194-hf5ndv5f 55 49 . . . cord-354194-hf5ndv5f 56 1 It -PRON- PRP cord-354194-hf5ndv5f 56 2 should should MD cord-354194-hf5ndv5f 56 3 come come VB cord-354194-hf5ndv5f 56 4 as as IN cord-354194-hf5ndv5f 56 5 no no DT cord-354194-hf5ndv5f 56 6 surprise surprise NN cord-354194-hf5ndv5f 56 7 that that IN cord-354194-hf5ndv5f 56 8 the the DT cord-354194-hf5ndv5f 56 9 presence presence NN cord-354194-hf5ndv5f 56 10 of of IN cord-354194-hf5ndv5f 56 11 a a DT cord-354194-hf5ndv5f 56 12 pre pre NN cord-354194-hf5ndv5f 56 13 - - NN cord-354194-hf5ndv5f 56 14 admission admission NN cord-354194-hf5ndv5f 56 15 Do do VBP cord-354194-hf5ndv5f 56 16 Not not RB cord-354194-hf5ndv5f 56 17 Resuscitate resuscitate VB cord-354194-hf5ndv5f 56 18 ( ( -LRB- cord-354194-hf5ndv5f 56 19 DNR DNR NNP cord-354194-hf5ndv5f 56 20 ) ) -RRB- cord-354194-hf5ndv5f 56 21 order order NN cord-354194-hf5ndv5f 56 22 is be VBZ cord-354194-hf5ndv5f 56 23 associated associate VBN cord-354194-hf5ndv5f 56 24 with with IN cord-354194-hf5ndv5f 56 25 a a DT cord-354194-hf5ndv5f 56 26 high high JJ cord-354194-hf5ndv5f 56 27 risk risk NN cord-354194-hf5ndv5f 56 28 of of IN cord-354194-hf5ndv5f 56 29 adverse adverse JJ cord-354194-hf5ndv5f 56 30 in in IN cord-354194-hf5ndv5f 56 31 hospital hospital NN cord-354194-hf5ndv5f 56 32 events event NNS cord-354194-hf5ndv5f 56 33 and and CC cord-354194-hf5ndv5f 56 34 death death NN cord-354194-hf5ndv5f 56 35 after after IN cord-354194-hf5ndv5f 56 36 injury injury NN cord-354194-hf5ndv5f 56 37 , , , cord-354194-hf5ndv5f 56 38 likely likely RB cord-354194-hf5ndv5f 56 39 reflecting reflect VBG cord-354194-hf5ndv5f 56 40 the the DT cord-354194-hf5ndv5f 56 41 high high JJ cord-354194-hf5ndv5f 56 42 - - HYPH cord-354194-hf5ndv5f 56 43 risk risk NN cord-354194-hf5ndv5f 56 44 nature nature NN cord-354194-hf5ndv5f 56 45 of of IN cord-354194-hf5ndv5f 56 46 injury injury NN cord-354194-hf5ndv5f 56 47 in in IN cord-354194-hf5ndv5f 56 48 patients patient NNS cord-354194-hf5ndv5f 56 49 who who WP cord-354194-hf5ndv5f 56 50 are be VBP cord-354194-hf5ndv5f 56 51 already already RB cord-354194-hf5ndv5f 56 52 nearing near VBG cord-354194-hf5ndv5f 56 53 the the DT cord-354194-hf5ndv5f 56 54 end end NN cord-354194-hf5ndv5f 56 55 of of IN cord-354194-hf5ndv5f 56 56 their -PRON- PRP$ cord-354194-hf5ndv5f 56 57 life life NN cord-354194-hf5ndv5f 56 58 [ [ -LRB- cord-354194-hf5ndv5f 56 59 22 22 CD cord-354194-hf5ndv5f 56 60 ] ] -RRB- cord-354194-hf5ndv5f 56 61 . . . cord-354194-hf5ndv5f 57 1 It -PRON- PRP cord-354194-hf5ndv5f 57 2 is be VBZ cord-354194-hf5ndv5f 57 3 far far RB cord-354194-hf5ndv5f 57 4 better well JJR cord-354194-hf5ndv5f 57 5 to to TO cord-354194-hf5ndv5f 57 6 find find VB cord-354194-hf5ndv5f 57 7 out out RP cord-354194-hf5ndv5f 57 8 that that IN cord-354194-hf5ndv5f 57 9 a a DT cord-354194-hf5ndv5f 57 10 patient patient NN cord-354194-hf5ndv5f 57 11 has have VBZ cord-354194-hf5ndv5f 57 12 an an DT cord-354194-hf5ndv5f 57 13 advanced advanced JJ cord-354194-hf5ndv5f 57 14 directive directive NN cord-354194-hf5ndv5f 57 15 limiting limit VBG cord-354194-hf5ndv5f 57 16 aggressive aggressive JJ cord-354194-hf5ndv5f 57 17 care care NN cord-354194-hf5ndv5f 57 18 before before IN cord-354194-hf5ndv5f 57 19 intubation intubation NN cord-354194-hf5ndv5f 57 20 , , , cord-354194-hf5ndv5f 57 21 and and CC cord-354194-hf5ndv5f 57 22 prehospital prehospital NN cord-354194-hf5ndv5f 57 23 personnel personnel NNS cord-354194-hf5ndv5f 57 24 can can MD cord-354194-hf5ndv5f 57 25 help help VB cord-354194-hf5ndv5f 57 26 set set VB cord-354194-hf5ndv5f 57 27 the the DT cord-354194-hf5ndv5f 57 28 trauma trauma NN cord-354194-hf5ndv5f 57 29 team team NN cord-354194-hf5ndv5f 57 30 up up RP cord-354194-hf5ndv5f 57 31 for for IN cord-354194-hf5ndv5f 57 32 success success NN cord-354194-hf5ndv5f 57 33 . . . cord-354194-hf5ndv5f 58 1 Advanced advanced JJ cord-354194-hf5ndv5f 58 2 care care NN cord-354194-hf5ndv5f 58 3 plans plan NNS cord-354194-hf5ndv5f 58 4 may may MD cord-354194-hf5ndv5f 58 5 be be VB cord-354194-hf5ndv5f 58 6 documented document VBN cord-354194-hf5ndv5f 58 7 in in IN cord-354194-hf5ndv5f 58 8 a a DT cord-354194-hf5ndv5f 58 9 variety variety NN cord-354194-hf5ndv5f 58 10 of of IN cord-354194-hf5ndv5f 58 11 different different JJ cord-354194-hf5ndv5f 58 12 ways way NNS cord-354194-hf5ndv5f 58 13 , , , cord-354194-hf5ndv5f 58 14 including include VBG cord-354194-hf5ndv5f 58 15 advanced advanced JJ cord-354194-hf5ndv5f 58 16 directives directive NNS cord-354194-hf5ndv5f 58 17 , , , cord-354194-hf5ndv5f 58 18 living live VBG cord-354194-hf5ndv5f 58 19 wills will NNS cord-354194-hf5ndv5f 58 20 , , , cord-354194-hf5ndv5f 58 21 and and CC cord-354194-hf5ndv5f 58 22 durable durable JJ cord-354194-hf5ndv5f 58 23 power power NN cord-354194-hf5ndv5f 58 24 of of IN cord-354194-hf5ndv5f 58 25 attorney attorney NN cord-354194-hf5ndv5f 58 26 of of IN cord-354194-hf5ndv5f 58 27 health health NN cord-354194-hf5ndv5f 58 28 care care NN cord-354194-hf5ndv5f 58 29 documents document NNS cord-354194-hf5ndv5f 58 30 . . . cord-354194-hf5ndv5f 59 1 It -PRON- PRP cord-354194-hf5ndv5f 59 2 is be VBZ cord-354194-hf5ndv5f 59 3 not not RB cord-354194-hf5ndv5f 59 4 feasible feasible JJ cord-354194-hf5ndv5f 59 5 for for IN cord-354194-hf5ndv5f 59 6 prehospital prehospital JJ cord-354194-hf5ndv5f 59 7 personnel personnel NNS cord-354194-hf5ndv5f 59 8 to to TO cord-354194-hf5ndv5f 59 9 read read VB cord-354194-hf5ndv5f 59 10 these these DT cord-354194-hf5ndv5f 59 11 documents document NNS cord-354194-hf5ndv5f 59 12 in in IN cord-354194-hf5ndv5f 59 13 the the DT cord-354194-hf5ndv5f 59 14 acute acute JJ cord-354194-hf5ndv5f 59 15 setting setting NN cord-354194-hf5ndv5f 59 16 , , , cord-354194-hf5ndv5f 59 17 although although IN cord-354194-hf5ndv5f 59 18 it -PRON- PRP cord-354194-hf5ndv5f 59 19 is be VBZ cord-354194-hf5ndv5f 59 20 helpful helpful JJ cord-354194-hf5ndv5f 59 21 to to TO cord-354194-hf5ndv5f 59 22 bring bring VB cord-354194-hf5ndv5f 59 23 them -PRON- PRP cord-354194-hf5ndv5f 59 24 with with IN cord-354194-hf5ndv5f 59 25 the the DT cord-354194-hf5ndv5f 59 26 patient patient NN cord-354194-hf5ndv5f 59 27 . . . cord-354194-hf5ndv5f 60 1 What what WP cord-354194-hf5ndv5f 60 2 may may MD cord-354194-hf5ndv5f 60 3 be be VB cord-354194-hf5ndv5f 60 4 applicable applicable JJ cord-354194-hf5ndv5f 60 5 in in IN cord-354194-hf5ndv5f 60 6 the the DT cord-354194-hf5ndv5f 60 7 acute acute JJ cord-354194-hf5ndv5f 60 8 prehospital prehospital NN cord-354194-hf5ndv5f 60 9 , , , cord-354194-hf5ndv5f 60 10 however however RB cord-354194-hf5ndv5f 60 11 , , , cord-354194-hf5ndv5f 60 12 and and CC cord-354194-hf5ndv5f 60 13 can can MD cord-354194-hf5ndv5f 60 14 change change VB cord-354194-hf5ndv5f 60 15 acute acute JJ cord-354194-hf5ndv5f 60 16 management management NN cord-354194-hf5ndv5f 60 17 is be VBZ cord-354194-hf5ndv5f 60 18 a a DT cord-354194-hf5ndv5f 60 19 form form NN cord-354194-hf5ndv5f 60 20 similar similar JJ cord-354194-hf5ndv5f 60 21 to to IN cord-354194-hf5ndv5f 60 22 the the DT cord-354194-hf5ndv5f 60 23 Physician Physician NNP cord-354194-hf5ndv5f 60 24 Orders Orders NNPS cord-354194-hf5ndv5f 60 25 of of IN cord-354194-hf5ndv5f 60 26 Life Life NNP cord-354194-hf5ndv5f 60 27 - - HYPH cord-354194-hf5ndv5f 60 28 Sustaining sustain VBG cord-354194-hf5ndv5f 60 29 Treatment Treatment NNP cord-354194-hf5ndv5f 60 30 ( ( -LRB- cord-354194-hf5ndv5f 60 31 POLST POLST NNP cord-354194-hf5ndv5f 60 32 ) ) -RRB- cord-354194-hf5ndv5f 60 33 form form NN cord-354194-hf5ndv5f 60 34 . . . cord-354194-hf5ndv5f 61 1 Designed design VBN cord-354194-hf5ndv5f 61 2 to to TO cord-354194-hf5ndv5f 61 3 be be VB cord-354194-hf5ndv5f 61 4 portable portable JJ cord-354194-hf5ndv5f 61 5 and and CC cord-354194-hf5ndv5f 61 6 applicable applicable JJ cord-354194-hf5ndv5f 61 7 across across IN cord-354194-hf5ndv5f 61 8 the the DT cord-354194-hf5ndv5f 61 9 spectrum spectrum NN cord-354194-hf5ndv5f 61 10 of of IN cord-354194-hf5ndv5f 61 11 care care NN cord-354194-hf5ndv5f 61 12 , , , cord-354194-hf5ndv5f 61 13 including include VBG cord-354194-hf5ndv5f 61 14 prehospital prehospital JJ cord-354194-hf5ndv5f 61 15 care care NN cord-354194-hf5ndv5f 61 16 , , , cord-354194-hf5ndv5f 61 17 POLST POLST NNP cord-354194-hf5ndv5f 61 18 forms form NNS cord-354194-hf5ndv5f 61 19 are be VBP cord-354194-hf5ndv5f 61 20 medical medical JJ cord-354194-hf5ndv5f 61 21 orders order NNS cord-354194-hf5ndv5f 61 22 and and CC cord-354194-hf5ndv5f 61 23 valid valid JJ cord-354194-hf5ndv5f 61 24 in in IN cord-354194-hf5ndv5f 61 25 the the DT cord-354194-hf5ndv5f 61 26 40 40 CD cord-354194-hf5ndv5f 61 27 states state NNS cord-354194-hf5ndv5f 61 28 where where WRB cord-354194-hf5ndv5f 61 29 programs program NNS cord-354194-hf5ndv5f 61 30 have have VBP cord-354194-hf5ndv5f 61 31 been be VBN cord-354194-hf5ndv5f 61 32 established establish VBN cord-354194-hf5ndv5f 61 33 [ [ -LRB- cord-354194-hf5ndv5f 61 34 23 23 CD cord-354194-hf5ndv5f 61 35 ] ] -RRB- cord-354194-hf5ndv5f 61 36 . . . cord-354194-hf5ndv5f 62 1 They -PRON- PRP cord-354194-hf5ndv5f 62 2 are be VBP cord-354194-hf5ndv5f 62 3 designed design VBN cord-354194-hf5ndv5f 62 4 to to TO cord-354194-hf5ndv5f 62 5 be be VB cord-354194-hf5ndv5f 62 6 easily easily RB cord-354194-hf5ndv5f 62 7 and and CC cord-354194-hf5ndv5f 62 8 rapidly rapidly RB cord-354194-hf5ndv5f 62 9 interpreted interpret VBN cord-354194-hf5ndv5f 62 10 and and CC cord-354194-hf5ndv5f 62 11 honored honor VBN cord-354194-hf5ndv5f 62 12 , , , cord-354194-hf5ndv5f 62 13 regardless regardless RB cord-354194-hf5ndv5f 62 14 of of IN cord-354194-hf5ndv5f 62 15 a a DT cord-354194-hf5ndv5f 62 16 patient patient NN cord-354194-hf5ndv5f 62 17 's 's POS cord-354194-hf5ndv5f 62 18 physical physical JJ cord-354194-hf5ndv5f 62 19 location location NN cord-354194-hf5ndv5f 62 20 [ [ -LRB- cord-354194-hf5ndv5f 62 21 24 24 CD cord-354194-hf5ndv5f 62 22 ] ] -RRB- cord-354194-hf5ndv5f 62 23 . . . cord-354194-hf5ndv5f 63 1 The the DT cord-354194-hf5ndv5f 63 2 state state NN cord-354194-hf5ndv5f 63 3 of of IN cord-354194-hf5ndv5f 63 4 Oregon Oregon NNP cord-354194-hf5ndv5f 63 5 has have VBZ cord-354194-hf5ndv5f 63 6 a a DT cord-354194-hf5ndv5f 63 7 robust robust JJ cord-354194-hf5ndv5f 63 8 and and CC cord-354194-hf5ndv5f 63 9 easily easily RB cord-354194-hf5ndv5f 63 10 searchable searchable JJ cord-354194-hf5ndv5f 63 11 POLST POLST NNP cord-354194-hf5ndv5f 63 12 registry registry NN cord-354194-hf5ndv5f 63 13 , , , cord-354194-hf5ndv5f 63 14 and and CC cord-354194-hf5ndv5f 63 15 the the DT cord-354194-hf5ndv5f 63 16 presence presence NN cord-354194-hf5ndv5f 63 17 of of IN cord-354194-hf5ndv5f 63 18 an an DT cord-354194-hf5ndv5f 63 19 active active JJ cord-354194-hf5ndv5f 63 20 POLST POLST NNP cord-354194-hf5ndv5f 63 21 form form NN cord-354194-hf5ndv5f 63 22 at at IN cord-354194-hf5ndv5f 63 23 the the DT cord-354194-hf5ndv5f 63 24 time time NN cord-354194-hf5ndv5f 63 25 of of IN cord-354194-hf5ndv5f 63 26 911 911 CD cord-354194-hf5ndv5f 63 27 contact contact NN cord-354194-hf5ndv5f 63 28 is be VBZ cord-354194-hf5ndv5f 63 29 associated associate VBN cord-354194-hf5ndv5f 63 30 with with IN cord-354194-hf5ndv5f 63 31 a a DT cord-354194-hf5ndv5f 63 32 higher high JJR cord-354194-hf5ndv5f 63 33 chance chance NN cord-354194-hf5ndv5f 63 34 of of IN cord-354194-hf5ndv5f 63 35 dying die VBG cord-354194-hf5ndv5f 63 36 not not RB cord-354194-hf5ndv5f 63 37 at at IN cord-354194-hf5ndv5f 63 38 a a DT cord-354194-hf5ndv5f 63 39 hospital hospital NN cord-354194-hf5ndv5f 63 40 ( ( -LRB- cord-354194-hf5ndv5f 63 41 i.e. i.e. FW cord-354194-hf5ndv5f 63 42 , , , cord-354194-hf5ndv5f 63 43 dying die VBG cord-354194-hf5ndv5f 63 44 in in IN cord-354194-hf5ndv5f 63 45 a a DT cord-354194-hf5ndv5f 63 46 way way NN cord-354194-hf5ndv5f 63 47 concordant concordant JJ cord-354194-hf5ndv5f 63 48 with with IN cord-354194-hf5ndv5f 63 49 wishes wish NNS cord-354194-hf5ndv5f 63 50 ) ) -RRB- cord-354194-hf5ndv5f 64 1 [ [ -LRB- cord-354194-hf5ndv5f 64 2 24 24 CD cord-354194-hf5ndv5f 64 3 ] ] -RRB- cord-354194-hf5ndv5f 64 4 [ [ -LRB- cord-354194-hf5ndv5f 64 5 25 25 CD cord-354194-hf5ndv5f 64 6 ] ] -RRB- cord-354194-hf5ndv5f 64 7 [ [ -LRB- cord-354194-hf5ndv5f 64 8 26 26 CD cord-354194-hf5ndv5f 64 9 ] ] -RRB- cord-354194-hf5ndv5f 64 10 [ [ -LRB- cord-354194-hf5ndv5f 64 11 27 27 CD cord-354194-hf5ndv5f 64 12 ] ] -RRB- cord-354194-hf5ndv5f 64 13 . . . cord-354194-hf5ndv5f 65 1 At at IN cord-354194-hf5ndv5f 65 2 our -PRON- PRP$ cord-354194-hf5ndv5f 65 3 institution institution NN cord-354194-hf5ndv5f 65 4 , , , cord-354194-hf5ndv5f 65 5 trauma trauma NN cord-354194-hf5ndv5f 65 6 activation activation NN cord-354194-hf5ndv5f 65 7 pages page NNS cord-354194-hf5ndv5f 65 8 may may MD cord-354194-hf5ndv5f 65 9 include include VB cord-354194-hf5ndv5f 65 10 information information NN cord-354194-hf5ndv5f 65 11 on on IN cord-354194-hf5ndv5f 65 12 a a DT cord-354194-hf5ndv5f 65 13 pre pre JJ cord-354194-hf5ndv5f 65 14 - - JJ cord-354194-hf5ndv5f 65 15 existing existing JJ cord-354194-hf5ndv5f 65 16 POLST POLST NNP cord-354194-hf5ndv5f 65 17 form form NN cord-354194-hf5ndv5f 65 18 , , , cord-354194-hf5ndv5f 65 19 and and CC cord-354194-hf5ndv5f 65 20 it -PRON- PRP cord-354194-hf5ndv5f 65 21 is be VBZ cord-354194-hf5ndv5f 65 22 not not RB cord-354194-hf5ndv5f 65 23 uncommon uncommon JJ cord-354194-hf5ndv5f 65 24 for for IN cord-354194-hf5ndv5f 65 25 a a DT cord-354194-hf5ndv5f 65 26 physical physical JJ cord-354194-hf5ndv5f 65 27 POSLT POSLT NNS cord-354194-hf5ndv5f 65 28 form form NN cord-354194-hf5ndv5f 65 29 to to TO cord-354194-hf5ndv5f 65 30 be be VB cord-354194-hf5ndv5f 65 31 given give VBN cord-354194-hf5ndv5f 65 32 to to IN cord-354194-hf5ndv5f 65 33 the the DT cord-354194-hf5ndv5f 65 34 attending attend VBG cord-354194-hf5ndv5f 65 35 surgeon surgeon NN cord-354194-hf5ndv5f 65 36 by by IN cord-354194-hf5ndv5f 65 37 the the DT cord-354194-hf5ndv5f 65 38 responding respond VBG cord-354194-hf5ndv5f 65 39 prehospital prehospital JJ cord-354194-hf5ndv5f 65 40 providers provider NNS cord-354194-hf5ndv5f 65 41 , , , cord-354194-hf5ndv5f 65 42 while while IN cord-354194-hf5ndv5f 65 43 the the DT cord-354194-hf5ndv5f 65 44 team team NN cord-354194-hf5ndv5f 65 45 is be VBZ cord-354194-hf5ndv5f 65 46 completing complete VBG cord-354194-hf5ndv5f 65 47 the the DT cord-354194-hf5ndv5f 65 48 primary primary JJ cord-354194-hf5ndv5f 65 49 survey survey NN cord-354194-hf5ndv5f 65 50 . . . cord-354194-hf5ndv5f 66 1 Even even RB cord-354194-hf5ndv5f 66 2 in in IN cord-354194-hf5ndv5f 66 3 the the DT cord-354194-hf5ndv5f 66 4 absence absence NN cord-354194-hf5ndv5f 66 5 of of IN cord-354194-hf5ndv5f 66 6 a a DT cord-354194-hf5ndv5f 66 7 physical physical JJ cord-354194-hf5ndv5f 66 8 POLST POLST NNP cord-354194-hf5ndv5f 66 9 form form NN cord-354194-hf5ndv5f 66 10 , , , cord-354194-hf5ndv5f 66 11 a a DT cord-354194-hf5ndv5f 66 12 social social JJ cord-354194-hf5ndv5f 66 13 worker worker NN cord-354194-hf5ndv5f 66 14 in in IN cord-354194-hf5ndv5f 66 15 the the DT cord-354194-hf5ndv5f 66 16 emergency emergency NN cord-354194-hf5ndv5f 66 17 department department NN cord-354194-hf5ndv5f 66 18 immediately immediately RB cord-354194-hf5ndv5f 66 19 searches search VBZ cord-354194-hf5ndv5f 66 20 the the DT cord-354194-hf5ndv5f 66 21 statewide statewide JJ cord-354194-hf5ndv5f 66 22 registry registry NN cord-354194-hf5ndv5f 66 23 and and CC cord-354194-hf5ndv5f 66 24 , , , cord-354194-hf5ndv5f 66 25 if if IN cord-354194-hf5ndv5f 66 26 a a DT cord-354194-hf5ndv5f 66 27 POLST POLST NNP cord-354194-hf5ndv5f 66 28 exists exist VBZ cord-354194-hf5ndv5f 66 29 , , , cord-354194-hf5ndv5f 66 30 it -PRON- PRP cord-354194-hf5ndv5f 66 31 is be VBZ cord-354194-hf5ndv5f 66 32 available available JJ cord-354194-hf5ndv5f 66 33 to to IN cord-354194-hf5ndv5f 66 34 the the DT cord-354194-hf5ndv5f 66 35 care care NN cord-354194-hf5ndv5f 66 36 team team NN cord-354194-hf5ndv5f 66 37 within within IN cord-354194-hf5ndv5f 66 38 10 10 CD cord-354194-hf5ndv5f 66 39 min min NN cord-354194-hf5ndv5f 66 40 of of IN cord-354194-hf5ndv5f 66 41 patient patient NN cord-354194-hf5ndv5f 66 42 's 's POS cord-354194-hf5ndv5f 66 43 arrival arrival NN cord-354194-hf5ndv5f 66 44 . . . cord-354194-hf5ndv5f 67 1 POLST POLST NNP cord-354194-hf5ndv5f 67 2 programs program NNS cord-354194-hf5ndv5f 67 3 fill fill VBP cord-354194-hf5ndv5f 67 4 an an DT cord-354194-hf5ndv5f 67 5 important important JJ cord-354194-hf5ndv5f 67 6 gap gap NN cord-354194-hf5ndv5f 67 7 where where WRB cord-354194-hf5ndv5f 67 8 other other JJ cord-354194-hf5ndv5f 67 9 advanced advanced JJ cord-354194-hf5ndv5f 67 10 directive directive NN cord-354194-hf5ndv5f 67 11 documents document NNS cord-354194-hf5ndv5f 67 12 fail fail VBP cord-354194-hf5ndv5f 67 13 , , , cord-354194-hf5ndv5f 67 14 namely namely RB cord-354194-hf5ndv5f 67 15 limiting limit VBG cord-354194-hf5ndv5f 67 16 unwanted unwanted JJ cord-354194-hf5ndv5f 67 17 resuscitative resuscitative JJ cord-354194-hf5ndv5f 67 18 measures measure NNS cord-354194-hf5ndv5f 67 19 in in IN cord-354194-hf5ndv5f 67 20 the the DT cord-354194-hf5ndv5f 67 21 urgent urgent JJ cord-354194-hf5ndv5f 67 22 / / SYM cord-354194-hf5ndv5f 67 23 emergent emergent JJ cord-354194-hf5ndv5f 67 24 setting setting NN cord-354194-hf5ndv5f 67 25 if if IN cord-354194-hf5ndv5f 67 26 patients patient NNS cord-354194-hf5ndv5f 67 27 are be VBP cord-354194-hf5ndv5f 67 28 unable unable JJ cord-354194-hf5ndv5f 67 29 to to TO cord-354194-hf5ndv5f 67 30 speak speak VB cord-354194-hf5ndv5f 67 31 for for IN cord-354194-hf5ndv5f 67 32 themselves -PRON- PRP cord-354194-hf5ndv5f 67 33 [ [ -LRB- cord-354194-hf5ndv5f 67 34 24 24 CD cord-354194-hf5ndv5f 67 35 , , , cord-354194-hf5ndv5f 67 36 28 28 CD cord-354194-hf5ndv5f 67 37 ] ] -RRB- cord-354194-hf5ndv5f 67 38 . . . cord-354194-hf5ndv5f 68 1 Advanced Advanced NNP cord-354194-hf5ndv5f 68 2 Trauma Trauma NNP cord-354194-hf5ndv5f 68 3 Life Life NNP cord-354194-hf5ndv5f 68 4 Support Support NNP cord-354194-hf5ndv5f 68 5 ( ( -LRB- cord-354194-hf5ndv5f 68 6 ATLS ATLS NNP cord-354194-hf5ndv5f 68 7 ) ) -RRB- cord-354194-hf5ndv5f 68 8 principles principle NNS cord-354194-hf5ndv5f 68 9 are be VBP cord-354194-hf5ndv5f 68 10 an an DT cord-354194-hf5ndv5f 68 11 essential essential JJ cord-354194-hf5ndv5f 68 12 part part NN cord-354194-hf5ndv5f 68 13 of of IN cord-354194-hf5ndv5f 68 14 trauma trauma NN cord-354194-hf5ndv5f 68 15 care care NN cord-354194-hf5ndv5f 68 16 , , , cord-354194-hf5ndv5f 68 17 and and CC cord-354194-hf5ndv5f 68 18 when when WRB cord-354194-hf5ndv5f 68 19 a a DT cord-354194-hf5ndv5f 68 20 patient patient NN cord-354194-hf5ndv5f 68 21 arrives arrive VBZ cord-354194-hf5ndv5f 68 22 at at IN cord-354194-hf5ndv5f 68 23 a a DT cord-354194-hf5ndv5f 68 24 trauma trauma NN cord-354194-hf5ndv5f 68 25 hospital hospital NN cord-354194-hf5ndv5f 68 26 , , , cord-354194-hf5ndv5f 68 27 efforts effort NNS cord-354194-hf5ndv5f 68 28 should should MD cord-354194-hf5ndv5f 68 29 be be VB cord-354194-hf5ndv5f 68 30 focused focus VBN cord-354194-hf5ndv5f 68 31 on on IN cord-354194-hf5ndv5f 68 32 efficiently efficiently RB cord-354194-hf5ndv5f 68 33 completing complete VBG cord-354194-hf5ndv5f 68 34 the the DT cord-354194-hf5ndv5f 68 35 primary primary JJ cord-354194-hf5ndv5f 68 36 and and CC cord-354194-hf5ndv5f 68 37 secondary secondary JJ cord-354194-hf5ndv5f 68 38 survey survey NN cord-354194-hf5ndv5f 68 39 . . . cord-354194-hf5ndv5f 69 1 As as RB cord-354194-hf5ndv5f 69 2 much much RB cord-354194-hf5ndv5f 69 3 as as IN cord-354194-hf5ndv5f 69 4 possible possible JJ cord-354194-hf5ndv5f 69 5 , , , cord-354194-hf5ndv5f 69 6 subject subject JJ cord-354194-hf5ndv5f 69 7 to to IN cord-354194-hf5ndv5f 69 8 available available JJ cord-354194-hf5ndv5f 69 9 resources resource NNS cord-354194-hf5ndv5f 69 10 , , , cord-354194-hf5ndv5f 69 11 communication communication NN cord-354194-hf5ndv5f 69 12 with with IN cord-354194-hf5ndv5f 69 13 the the DT cord-354194-hf5ndv5f 69 14 patient patient NN cord-354194-hf5ndv5f 69 15 , , , cord-354194-hf5ndv5f 69 16 family family NN cord-354194-hf5ndv5f 69 17 , , , cord-354194-hf5ndv5f 69 18 and and CC cord-354194-hf5ndv5f 69 19 surrogate surrogate JJ cord-354194-hf5ndv5f 69 20 decision decision NN cord-354194-hf5ndv5f 69 21 makers maker NNS cord-354194-hf5ndv5f 69 22 should should MD cord-354194-hf5ndv5f 69 23 proceed proceed VB cord-354194-hf5ndv5f 69 24 in in IN cord-354194-hf5ndv5f 69 25 parallel parallel NN cord-354194-hf5ndv5f 69 26 with with IN cord-354194-hf5ndv5f 69 27 the the DT cord-354194-hf5ndv5f 69 28 trauma trauma NN cord-354194-hf5ndv5f 69 29 resuscitation resuscitation NN cord-354194-hf5ndv5f 69 30 . . . cord-354194-hf5ndv5f 70 1 This this DT cord-354194-hf5ndv5f 70 2 is be VBZ cord-354194-hf5ndv5f 70 3 easier easy JJR cord-354194-hf5ndv5f 70 4 to to TO cord-354194-hf5ndv5f 70 5 support support VB cord-354194-hf5ndv5f 70 6 with with IN cord-354194-hf5ndv5f 70 7 the the DT cord-354194-hf5ndv5f 70 8 increasingly increasingly RB cord-354194-hf5ndv5f 70 9 robust robust JJ cord-354194-hf5ndv5f 70 10 data datum NNS cord-354194-hf5ndv5f 70 11 on on IN cord-354194-hf5ndv5f 70 12 family family NN cord-354194-hf5ndv5f 70 13 presence presence NN cord-354194-hf5ndv5f 70 14 during during IN cord-354194-hf5ndv5f 70 15 a a DT cord-354194-hf5ndv5f 70 16 trauma trauma NN cord-354194-hf5ndv5f 70 17 resuscitation resuscitation NN cord-354194-hf5ndv5f 70 18 . . . cord-354194-hf5ndv5f 71 1 Having have VBG cord-354194-hf5ndv5f 71 2 families family NNS cord-354194-hf5ndv5f 71 3 observe observe VB cord-354194-hf5ndv5f 71 4 trauma trauma NN cord-354194-hf5ndv5f 71 5 evaluations evaluation NNS cord-354194-hf5ndv5f 71 6 can can MD cord-354194-hf5ndv5f 71 7 result result VB cord-354194-hf5ndv5f 71 8 in in IN cord-354194-hf5ndv5f 71 9 reduced reduce VBN cord-354194-hf5ndv5f 71 10 family family NN cord-354194-hf5ndv5f 71 11 anxiety anxiety NN cord-354194-hf5ndv5f 71 12 and and CC cord-354194-hf5ndv5f 71 13 stress stress NN cord-354194-hf5ndv5f 71 14 in in IN cord-354194-hf5ndv5f 71 15 the the DT cord-354194-hf5ndv5f 71 16 short short JJ cord-354194-hf5ndv5f 71 17 term term NN cord-354194-hf5ndv5f 71 18 [ [ -LRB- cord-354194-hf5ndv5f 71 19 29 29 CD cord-354194-hf5ndv5f 71 20 ] ] -RRB- cord-354194-hf5ndv5f 71 21 . . . cord-354194-hf5ndv5f 72 1 Importantly importantly RB cord-354194-hf5ndv5f 72 2 , , , cord-354194-hf5ndv5f 72 3 there there EX cord-354194-hf5ndv5f 72 4 were be VBD cord-354194-hf5ndv5f 72 5 no no DT cord-354194-hf5ndv5f 72 6 long long JJ cord-354194-hf5ndv5f 72 7 - - HYPH cord-354194-hf5ndv5f 72 8 term term NN cord-354194-hf5ndv5f 72 9 psychological psychological JJ cord-354194-hf5ndv5f 72 10 effects effect NNS cord-354194-hf5ndv5f 72 11 from from IN cord-354194-hf5ndv5f 72 12 being be VBG cord-354194-hf5ndv5f 72 13 at at IN cord-354194-hf5ndv5f 72 14 trauma trauma NN cord-354194-hf5ndv5f 72 15 resuscitations resuscitation NNS cord-354194-hf5ndv5f 72 16 , , , cord-354194-hf5ndv5f 72 17 and and CC cord-354194-hf5ndv5f 73 1 high high JJ cord-354194-hf5ndv5f 73 2 - - HYPH cord-354194-hf5ndv5f 73 3 quality quality NN cord-354194-hf5ndv5f 73 4 trauma trauma NN cord-354194-hf5ndv5f 73 5 care care NN cord-354194-hf5ndv5f 73 6 was be VBD cord-354194-hf5ndv5f 73 7 able able JJ cord-354194-hf5ndv5f 73 8 to to TO cord-354194-hf5ndv5f 73 9 be be VB cord-354194-hf5ndv5f 73 10 provided provide VBN cord-354194-hf5ndv5f 73 11 with with IN cord-354194-hf5ndv5f 73 12 families family NNS cord-354194-hf5ndv5f 73 13 present present JJ cord-354194-hf5ndv5f 73 14 ; ; : cord-354194-hf5ndv5f 73 15 indeed indeed RB cord-354194-hf5ndv5f 73 16 , , , cord-354194-hf5ndv5f 73 17 all all DT cord-354194-hf5ndv5f 73 18 family family NN cord-354194-hf5ndv5f 73 19 members member NNS cord-354194-hf5ndv5f 73 20 present present JJ cord-354194-hf5ndv5f 73 21 for for IN cord-354194-hf5ndv5f 73 22 a a DT cord-354194-hf5ndv5f 73 23 trauma trauma NN cord-354194-hf5ndv5f 73 24 resuscitation resuscitation NN cord-354194-hf5ndv5f 73 25 in in IN cord-354194-hf5ndv5f 73 26 one one CD cord-354194-hf5ndv5f 73 27 study study NN cord-354194-hf5ndv5f 73 28 reported report VBD cord-354194-hf5ndv5f 73 29 they -PRON- PRP cord-354194-hf5ndv5f 73 30 would would MD cord-354194-hf5ndv5f 73 31 choose choose VB cord-354194-hf5ndv5f 73 32 to to TO cord-354194-hf5ndv5f 73 33 be be VB cord-354194-hf5ndv5f 73 34 present present JJ cord-354194-hf5ndv5f 73 35 again again RB cord-354194-hf5ndv5f 73 36 [ [ -LRB- cord-354194-hf5ndv5f 73 37 30 30 CD cord-354194-hf5ndv5f 73 38 , , , cord-354194-hf5ndv5f 73 39 31 31 CD cord-354194-hf5ndv5f 73 40 ] ] -RRB- cord-354194-hf5ndv5f 73 41 . . . cord-354194-hf5ndv5f 74 1 Having have VBG cord-354194-hf5ndv5f 74 2 families family NNS cord-354194-hf5ndv5f 74 3 at at IN cord-354194-hf5ndv5f 74 4 the the DT cord-354194-hf5ndv5f 74 5 bedside bedside NN cord-354194-hf5ndv5f 74 6 for for IN cord-354194-hf5ndv5f 74 7 trauma trauma NN cord-354194-hf5ndv5f 74 8 resuscitations resuscitation NNS cord-354194-hf5ndv5f 74 9 can can MD cord-354194-hf5ndv5f 74 10 actually actually RB cord-354194-hf5ndv5f 74 11 build build VB cord-354194-hf5ndv5f 74 12 trust trust NN cord-354194-hf5ndv5f 74 13 in in IN cord-354194-hf5ndv5f 74 14 the the DT cord-354194-hf5ndv5f 74 15 health health NN cord-354194-hf5ndv5f 74 16 care care NN cord-354194-hf5ndv5f 74 17 team team NN cord-354194-hf5ndv5f 74 18 as as RB cord-354194-hf5ndv5f 74 19 well well RB cord-354194-hf5ndv5f 74 20 as as IN cord-354194-hf5ndv5f 74 21 fill fill NN cord-354194-hf5ndv5f 74 22 information information NN cord-354194-hf5ndv5f 74 23 needs need VBZ cord-354194-hf5ndv5f 74 24 [ [ -LRB- cord-354194-hf5ndv5f 74 25 32 32 CD cord-354194-hf5ndv5f 74 26 ] ] -RRB- cord-354194-hf5ndv5f 74 27 . . . cord-354194-hf5ndv5f 75 1 These these DT cord-354194-hf5ndv5f 75 2 are be VBP cord-354194-hf5ndv5f 75 3 concordant concordant JJ cord-354194-hf5ndv5f 75 4 data datum NNS cord-354194-hf5ndv5f 75 5 with with IN cord-354194-hf5ndv5f 75 6 the the DT cord-354194-hf5ndv5f 75 7 findings finding NNS cord-354194-hf5ndv5f 75 8 on on IN cord-354194-hf5ndv5f 75 9 family family NN cord-354194-hf5ndv5f 75 10 presence presence NN cord-354194-hf5ndv5f 75 11 during during IN cord-354194-hf5ndv5f 75 12 resuscitation resuscitation NN cord-354194-hf5ndv5f 75 13 from from IN cord-354194-hf5ndv5f 75 14 cardiac cardiac JJ cord-354194-hf5ndv5f 75 15 arrest arrest NN cord-354194-hf5ndv5f 75 16 and and CC cord-354194-hf5ndv5f 75 17 in in IN cord-354194-hf5ndv5f 75 18 pediatric pediatric JJ cord-354194-hf5ndv5f 75 19 trauma trauma NN cord-354194-hf5ndv5f 75 20 [ [ -LRB- cord-354194-hf5ndv5f 75 21 33 33 CD cord-354194-hf5ndv5f 75 22 , , , cord-354194-hf5ndv5f 75 23 34 34 CD cord-354194-hf5ndv5f 75 24 ] ] -RRB- cord-354194-hf5ndv5f 75 25 . . . cord-354194-hf5ndv5f 76 1 Protocols protocol NNS cord-354194-hf5ndv5f 76 2 to to TO cord-354194-hf5ndv5f 76 3 allow allow VB cord-354194-hf5ndv5f 76 4 families family NNS cord-354194-hf5ndv5f 76 5 to to TO cord-354194-hf5ndv5f 76 6 be be VB cord-354194-hf5ndv5f 76 7 present present JJ cord-354194-hf5ndv5f 76 8 during during IN cord-354194-hf5ndv5f 76 9 trauma trauma NN cord-354194-hf5ndv5f 76 10 resuscitation resuscitation NN cord-354194-hf5ndv5f 76 11 do do VBP cord-354194-hf5ndv5f 76 12 require require VB cord-354194-hf5ndv5f 76 13 an an DT cord-354194-hf5ndv5f 76 14 institutional institutional JJ cord-354194-hf5ndv5f 76 15 commitment commitment NN cord-354194-hf5ndv5f 76 16 as as RB cord-354194-hf5ndv5f 76 17 well well RB cord-354194-hf5ndv5f 76 18 as as IN cord-354194-hf5ndv5f 76 19 support support NN cord-354194-hf5ndv5f 76 20 from from IN cord-354194-hf5ndv5f 76 21 the the DT cord-354194-hf5ndv5f 76 22 physician physician NN cord-354194-hf5ndv5f 76 23 and and CC cord-354194-hf5ndv5f 76 24 nursing nursing NN cord-354194-hf5ndv5f 76 25 staff staff NN cord-354194-hf5ndv5f 76 26 . . . cord-354194-hf5ndv5f 77 1 A a DT cord-354194-hf5ndv5f 77 2 designated designate VBN cord-354194-hf5ndv5f 77 3 person person NN cord-354194-hf5ndv5f 77 4 , , , cord-354194-hf5ndv5f 77 5 most most RBS cord-354194-hf5ndv5f 77 6 frequently frequently RB cord-354194-hf5ndv5f 77 7 a a DT cord-354194-hf5ndv5f 77 8 social social JJ cord-354194-hf5ndv5f 77 9 worker worker NN cord-354194-hf5ndv5f 77 10 , , , cord-354194-hf5ndv5f 77 11 should should MD cord-354194-hf5ndv5f 77 12 be be VB cord-354194-hf5ndv5f 77 13 present present JJ cord-354194-hf5ndv5f 77 14 to to TO cord-354194-hf5ndv5f 77 15 provide provide VB cord-354194-hf5ndv5f 77 16 context context NN cord-354194-hf5ndv5f 77 17 , , , cord-354194-hf5ndv5f 77 18 guidance guidance NN cord-354194-hf5ndv5f 77 19 , , , cord-354194-hf5ndv5f 77 20 and and CC cord-354194-hf5ndv5f 77 21 support support NN cord-354194-hf5ndv5f 77 22 . . . cord-354194-hf5ndv5f 78 1 The the DT cord-354194-hf5ndv5f 78 2 trauma trauma NN cord-354194-hf5ndv5f 78 3 resuscitation resuscitation NN cord-354194-hf5ndv5f 78 4 is be VBZ cord-354194-hf5ndv5f 78 5 also also RB cord-354194-hf5ndv5f 78 6 a a DT cord-354194-hf5ndv5f 78 7 moment moment NN cord-354194-hf5ndv5f 78 8 to to TO cord-354194-hf5ndv5f 78 9 review review VB cord-354194-hf5ndv5f 78 10 POLST POLST NNP cord-354194-hf5ndv5f 78 11 forms form NNS cord-354194-hf5ndv5f 78 12 and and CC cord-354194-hf5ndv5f 78 13 assure assure VBP cord-354194-hf5ndv5f 78 14 that that IN cord-354194-hf5ndv5f 78 15 the the DT cord-354194-hf5ndv5f 78 16 care care NN cord-354194-hf5ndv5f 78 17 plan plan NN cord-354194-hf5ndv5f 78 18 is be VBZ cord-354194-hf5ndv5f 78 19 concordant concordant JJ cord-354194-hf5ndv5f 78 20 with with IN cord-354194-hf5ndv5f 78 21 pre pre JJ cord-354194-hf5ndv5f 78 22 - - JJ cord-354194-hf5ndv5f 78 23 existing existing JJ cord-354194-hf5ndv5f 78 24 wishes wish NNS cord-354194-hf5ndv5f 78 25 . . . cord-354194-hf5ndv5f 79 1 Geriatric geriatric JJ cord-354194-hf5ndv5f 79 2 trauma trauma NN cord-354194-hf5ndv5f 79 3 patients patient NNS cord-354194-hf5ndv5f 79 4 with with IN cord-354194-hf5ndv5f 79 5 a a DT cord-354194-hf5ndv5f 79 6 POLST POLST NNP cord-354194-hf5ndv5f 79 7 specifying specify VBG cord-354194-hf5ndv5f 79 8 limited limited JJ cord-354194-hf5ndv5f 79 9 intervention intervention NN cord-354194-hf5ndv5f 79 10 that that WDT cord-354194-hf5ndv5f 79 11 was be VBD cord-354194-hf5ndv5f 79 12 available available JJ cord-354194-hf5ndv5f 79 13 on on IN cord-354194-hf5ndv5f 79 14 admission admission NN cord-354194-hf5ndv5f 79 15 spent spend VBD cord-354194-hf5ndv5f 79 16 fewer few JJR cord-354194-hf5ndv5f 79 17 ICU ICU NNP cord-354194-hf5ndv5f 79 18 days day NNS cord-354194-hf5ndv5f 79 19 with with IN cord-354194-hf5ndv5f 79 20 no no DT cord-354194-hf5ndv5f 79 21 change change NN cord-354194-hf5ndv5f 79 22 in in IN cord-354194-hf5ndv5f 79 23 in in IN cord-354194-hf5ndv5f 79 24 - - HYPH cord-354194-hf5ndv5f 79 25 hospital hospital NN cord-354194-hf5ndv5f 79 26 mortality mortality NN cord-354194-hf5ndv5f 79 27 , , , cord-354194-hf5ndv5f 79 28 compared compare VBN cord-354194-hf5ndv5f 79 29 to to IN cord-354194-hf5ndv5f 79 30 age age NN cord-354194-hf5ndv5f 79 31 - - HYPH cord-354194-hf5ndv5f 79 32 matched match VBN cord-354194-hf5ndv5f 79 33 controls control NNS cord-354194-hf5ndv5f 79 34 without without IN cord-354194-hf5ndv5f 79 35 limitations limitation NNS cord-354194-hf5ndv5f 79 36 on on IN cord-354194-hf5ndv5f 79 37 care care NN cord-354194-hf5ndv5f 79 38 [ [ -LRB- cord-354194-hf5ndv5f 79 39 35• 35• CD cord-354194-hf5ndv5f 79 40 ] ] -RRB- cord-354194-hf5ndv5f 79 41 . . . cord-354194-hf5ndv5f 80 1 Presumably presumably RB cord-354194-hf5ndv5f 80 2 this this DT cord-354194-hf5ndv5f 80 3 comes come VBZ cord-354194-hf5ndv5f 80 4 from from IN cord-354194-hf5ndv5f 80 5 limiting limit VBG cord-354194-hf5ndv5f 80 6 / / SYM cord-354194-hf5ndv5f 80 7 focusing focus VBG cord-354194-hf5ndv5f 80 8 ICU ICU NNP cord-354194-hf5ndv5f 80 9 utilization utilization NN cord-354194-hf5ndv5f 80 10 and and CC cord-354194-hf5ndv5f 80 11 care care NN cord-354194-hf5ndv5f 80 12 based base VBN cord-354194-hf5ndv5f 80 13 on on IN cord-354194-hf5ndv5f 80 14 a a DT cord-354194-hf5ndv5f 80 15 patient patient NN cord-354194-hf5ndv5f 80 16 's 's POS cord-354194-hf5ndv5f 80 17 pre pre JJ cord-354194-hf5ndv5f 80 18 - - JJ cord-354194-hf5ndv5f 80 19 injury injury JJ cord-354194-hf5ndv5f 80 20 goals goal NNS cord-354194-hf5ndv5f 80 21 of of IN cord-354194-hf5ndv5f 80 22 care care NN cord-354194-hf5ndv5f 80 23 and and CC cord-354194-hf5ndv5f 80 24 reflects reflect VBZ cord-354194-hf5ndv5f 80 25 the the DT cord-354194-hf5ndv5f 80 26 sizeable sizeable JJ cord-354194-hf5ndv5f 80 27 mortality mortality NN cord-354194-hf5ndv5f 80 28 of of IN cord-354194-hf5ndv5f 80 29 patients patient NNS cord-354194-hf5ndv5f 80 30 admitted admit VBN cord-354194-hf5ndv5f 80 31 to to IN cord-354194-hf5ndv5f 80 32 the the DT cord-354194-hf5ndv5f 80 33 trauma trauma NN cord-354194-hf5ndv5f 80 34 system system NN cord-354194-hf5ndv5f 80 35 with with IN cord-354194-hf5ndv5f 80 36 pre pre JJ cord-354194-hf5ndv5f 80 37 - - JJ cord-354194-hf5ndv5f 80 38 established establish VBN cord-354194-hf5ndv5f 80 39 limitations limitation NNS cord-354194-hf5ndv5f 80 40 on on IN cord-354194-hf5ndv5f 80 41 medical medical JJ cord-354194-hf5ndv5f 80 42 interventions intervention NNS cord-354194-hf5ndv5f 80 43 . . . cord-354194-hf5ndv5f 81 1 In in IN cord-354194-hf5ndv5f 81 2 the the DT cord-354194-hf5ndv5f 81 3 absence absence NN cord-354194-hf5ndv5f 81 4 of of IN cord-354194-hf5ndv5f 81 5 a a DT cord-354194-hf5ndv5f 81 6 POLST POLST NNP cord-354194-hf5ndv5f 81 7 , , , cord-354194-hf5ndv5f 81 8 a a DT cord-354194-hf5ndv5f 81 9 well well RB cord-354194-hf5ndv5f 81 10 informed informed JJ cord-354194-hf5ndv5f 81 11 and and CC cord-354194-hf5ndv5f 81 12 empowered empower VBN cord-354194-hf5ndv5f 81 13 surrogate surrogate NN cord-354194-hf5ndv5f 81 14 or or CC cord-354194-hf5ndv5f 81 15 otherwise otherwise RB cord-354194-hf5ndv5f 81 16 well well RB cord-354194-hf5ndv5f 81 17 - - HYPH cord-354194-hf5ndv5f 81 18 established establish VBN cord-354194-hf5ndv5f 81 19 preinjury preinjury NN cord-354194-hf5ndv5f 81 20 wishes wish NNS cord-354194-hf5ndv5f 81 21 , , , cord-354194-hf5ndv5f 81 22 trauma trauma NN cord-354194-hf5ndv5f 81 23 bay bay NN cord-354194-hf5ndv5f 81 24 communication communication NN cord-354194-hf5ndv5f 81 25 with with IN cord-354194-hf5ndv5f 81 26 the the DT cord-354194-hf5ndv5f 81 27 family family NN cord-354194-hf5ndv5f 81 28 is be VBZ cord-354194-hf5ndv5f 81 29 often often RB cord-354194-hf5ndv5f 81 30 focused focus VBN cord-354194-hf5ndv5f 81 31 " " `` cord-354194-hf5ndv5f 81 32 just just RB cord-354194-hf5ndv5f 81 33 " " '' cord-354194-hf5ndv5f 81 34 on on IN cord-354194-hf5ndv5f 81 35 delivering deliver VBG cord-354194-hf5ndv5f 81 36 bad bad JJ cord-354194-hf5ndv5f 81 37 news news NN cord-354194-hf5ndv5f 81 38 about about IN cord-354194-hf5ndv5f 81 39 the the DT cord-354194-hf5ndv5f 81 40 nature nature NN cord-354194-hf5ndv5f 81 41 of of IN cord-354194-hf5ndv5f 81 42 the the DT cord-354194-hf5ndv5f 81 43 injury injury NN cord-354194-hf5ndv5f 81 44 and and CC cord-354194-hf5ndv5f 81 45 further further JJ cord-354194-hf5ndv5f 81 46 planning planning NN cord-354194-hf5ndv5f 81 47 is be VBZ cord-354194-hf5ndv5f 81 48 left leave VBN cord-354194-hf5ndv5f 81 49 to to IN cord-354194-hf5ndv5f 81 50 the the DT cord-354194-hf5ndv5f 81 51 ICU ICU NNP cord-354194-hf5ndv5f 81 52 team team NN cord-354194-hf5ndv5f 81 53 . . . cord-354194-hf5ndv5f 82 1 The the DT cord-354194-hf5ndv5f 82 2 paucity paucity NN cord-354194-hf5ndv5f 82 3 of of IN cord-354194-hf5ndv5f 82 4 data datum NNS cord-354194-hf5ndv5f 82 5 on on IN cord-354194-hf5ndv5f 82 6 the the DT cord-354194-hf5ndv5f 82 7 provision provision NN cord-354194-hf5ndv5f 82 8 of of IN cord-354194-hf5ndv5f 82 9 high high JJ cord-354194-hf5ndv5f 82 10 - - HYPH cord-354194-hf5ndv5f 82 11 quality quality NN cord-354194-hf5ndv5f 82 12 palliative palliative JJ cord-354194-hf5ndv5f 82 13 care care NN cord-354194-hf5ndv5f 82 14 in in IN cord-354194-hf5ndv5f 82 15 the the DT cord-354194-hf5ndv5f 82 16 ICU ICU NNP cord-354194-hf5ndv5f 82 17 is be VBZ cord-354194-hf5ndv5f 82 18 even even RB cord-354194-hf5ndv5f 82 19 more more RBR cord-354194-hf5ndv5f 82 20 significant significant JJ cord-354194-hf5ndv5f 82 21 when when WRB cord-354194-hf5ndv5f 82 22 the the DT cord-354194-hf5ndv5f 82 23 injured injured JJ cord-354194-hf5ndv5f 82 24 patient patient NN cord-354194-hf5ndv5f 82 25 is be VBZ cord-354194-hf5ndv5f 82 26 considered consider VBN cord-354194-hf5ndv5f 82 27 [ [ -LRB- cord-354194-hf5ndv5f 82 28 14 14 CD cord-354194-hf5ndv5f 82 29 , , , cord-354194-hf5ndv5f 82 30 36 36 CD cord-354194-hf5ndv5f 82 31 ] ] -RRB- cord-354194-hf5ndv5f 82 32 . . . cord-354194-hf5ndv5f 83 1 Three three CD cord-354194-hf5ndv5f 83 2 key key JJ cord-354194-hf5ndv5f 83 3 points point NNS cord-354194-hf5ndv5f 83 4 warrant warrant VBP cord-354194-hf5ndv5f 83 5 close close JJ cord-354194-hf5ndv5f 83 6 attention attention NN cord-354194-hf5ndv5f 83 7 : : : cord-354194-hf5ndv5f 83 8 clarifying clarify VBG cord-354194-hf5ndv5f 83 9 GOC GOC NNP cord-354194-hf5ndv5f 83 10 , , , cord-354194-hf5ndv5f 83 11 providing provide VBG cord-354194-hf5ndv5f 83 12 goal goal NN cord-354194-hf5ndv5f 83 13 concordant concordant JJ cord-354194-hf5ndv5f 83 14 care care NN cord-354194-hf5ndv5f 83 15 and and CC cord-354194-hf5ndv5f 83 16 transitioning transition VBG cord-354194-hf5ndv5f 83 17 goals goal NNS cord-354194-hf5ndv5f 83 18 to to TO cord-354194-hf5ndv5f 83 19 comfort comfort VB cord-354194-hf5ndv5f 83 20 measures measure NNS cord-354194-hf5ndv5f 83 21 only only RB cord-354194-hf5ndv5f 83 22 . . . cord-354194-hf5ndv5f 84 1 Given give VBN cord-354194-hf5ndv5f 84 2 that that IN cord-354194-hf5ndv5f 84 3 the the DT cord-354194-hf5ndv5f 84 4 vast vast JJ cord-354194-hf5ndv5f 84 5 majority majority NN cord-354194-hf5ndv5f 84 6 of of IN cord-354194-hf5ndv5f 84 7 severely severely RB cord-354194-hf5ndv5f 84 8 injured injure VBN cord-354194-hf5ndv5f 84 9 trauma trauma NN cord-354194-hf5ndv5f 84 10 patients patient NNS cord-354194-hf5ndv5f 84 11 in in IN cord-354194-hf5ndv5f 84 12 the the DT cord-354194-hf5ndv5f 84 13 ICU ICU NNP cord-354194-hf5ndv5f 84 14 have have VBP cord-354194-hf5ndv5f 84 15 limited limit VBN cord-354194-hf5ndv5f 84 16 abilities ability NNS cord-354194-hf5ndv5f 84 17 to to TO cord-354194-hf5ndv5f 84 18 function function VB cord-354194-hf5ndv5f 84 19 as as IN cord-354194-hf5ndv5f 84 20 their -PRON- PRP$ cord-354194-hf5ndv5f 84 21 own own JJ cord-354194-hf5ndv5f 84 22 decision decision NN cord-354194-hf5ndv5f 84 23 makers maker NNS cord-354194-hf5ndv5f 84 24 , , , cord-354194-hf5ndv5f 84 25 this this DT cord-354194-hf5ndv5f 84 26 discussion discussion NN cord-354194-hf5ndv5f 84 27 will will MD cord-354194-hf5ndv5f 84 28 primarily primarily RB cord-354194-hf5ndv5f 84 29 focus focus VB cord-354194-hf5ndv5f 84 30 on on IN cord-354194-hf5ndv5f 84 31 the the DT cord-354194-hf5ndv5f 84 32 interactions interaction NNS cord-354194-hf5ndv5f 84 33 with with IN cord-354194-hf5ndv5f 84 34 family family NN cord-354194-hf5ndv5f 84 35 and and CC cord-354194-hf5ndv5f 84 36 surrogate surrogate NN cord-354194-hf5ndv5f 84 37 decision decision NN cord-354194-hf5ndv5f 84 38 makers maker NNS cord-354194-hf5ndv5f 84 39 as as IN cord-354194-hf5ndv5f 84 40 this this DT cord-354194-hf5ndv5f 84 41 is be VBZ cord-354194-hf5ndv5f 84 42 the the DT cord-354194-hf5ndv5f 84 43 group group NN cord-354194-hf5ndv5f 84 44 most most RBS cord-354194-hf5ndv5f 84 45 in in IN cord-354194-hf5ndv5f 84 46 need need NN cord-354194-hf5ndv5f 84 47 of of IN cord-354194-hf5ndv5f 84 48 high high JJ cord-354194-hf5ndv5f 84 49 - - HYPH cord-354194-hf5ndv5f 84 50 quality quality NN cord-354194-hf5ndv5f 84 51 communication communication NN cord-354194-hf5ndv5f 84 52 [ [ -LRB- cord-354194-hf5ndv5f 84 53 6 6 CD cord-354194-hf5ndv5f 84 54 , , , cord-354194-hf5ndv5f 84 55 37 37 CD cord-354194-hf5ndv5f 84 56 ] ] -RRB- cord-354194-hf5ndv5f 84 57 . . . cord-354194-hf5ndv5f 85 1 The the DT cord-354194-hf5ndv5f 85 2 principles principle NNS cord-354194-hf5ndv5f 85 3 outlined outline VBN cord-354194-hf5ndv5f 85 4 below below RB cord-354194-hf5ndv5f 85 5 , , , cord-354194-hf5ndv5f 85 6 however however RB cord-354194-hf5ndv5f 85 7 , , , cord-354194-hf5ndv5f 85 8 would would MD cord-354194-hf5ndv5f 85 9 apply apply VB cord-354194-hf5ndv5f 85 10 if if IN cord-354194-hf5ndv5f 85 11 a a DT cord-354194-hf5ndv5f 85 12 patient patient NN cord-354194-hf5ndv5f 85 13 was be VBD cord-354194-hf5ndv5f 85 14 competent competent JJ cord-354194-hf5ndv5f 85 15 to to IN cord-354194-hf5ndv5f 85 16 and and CC cord-354194-hf5ndv5f 85 17 able able JJ cord-354194-hf5ndv5f 85 18 to to TO cord-354194-hf5ndv5f 85 19 make make VB cord-354194-hf5ndv5f 85 20 their -PRON- PRP$ cord-354194-hf5ndv5f 85 21 own own JJ cord-354194-hf5ndv5f 85 22 decisions decision NNS cord-354194-hf5ndv5f 85 23 . . . cord-354194-hf5ndv5f 86 1 It -PRON- PRP cord-354194-hf5ndv5f 86 2 is be VBZ cord-354194-hf5ndv5f 86 3 important important JJ cord-354194-hf5ndv5f 86 4 to to TO cord-354194-hf5ndv5f 86 5 recognize recognize VB cord-354194-hf5ndv5f 86 6 that that IN cord-354194-hf5ndv5f 86 7 efforts effort NNS cord-354194-hf5ndv5f 86 8 to to TO cord-354194-hf5ndv5f 86 9 prioritize prioritize VB cord-354194-hf5ndv5f 86 10 communication communication NN cord-354194-hf5ndv5f 86 11 in in IN cord-354194-hf5ndv5f 86 12 the the DT cord-354194-hf5ndv5f 86 13 ICU ICU NNP cord-354194-hf5ndv5f 86 14 are be VBP cord-354194-hf5ndv5f 86 15 difficult difficult JJ cord-354194-hf5ndv5f 86 16 and and CC cord-354194-hf5ndv5f 86 17 multi multi JJ cord-354194-hf5ndv5f 86 18 - - JJ cord-354194-hf5ndv5f 86 19 faceted faceted JJ cord-354194-hf5ndv5f 86 20 with with IN cord-354194-hf5ndv5f 86 21 potentially potentially RB cord-354194-hf5ndv5f 86 22 disparate disparate JJ cord-354194-hf5ndv5f 86 23 effects effect NNS cord-354194-hf5ndv5f 86 24 on on IN cord-354194-hf5ndv5f 86 25 patients patient NNS cord-354194-hf5ndv5f 86 26 and and CC cord-354194-hf5ndv5f 86 27 their -PRON- PRP$ cord-354194-hf5ndv5f 86 28 families family NNS cord-354194-hf5ndv5f 86 29 . . . cord-354194-hf5ndv5f 87 1 As as IN cord-354194-hf5ndv5f 87 2 an an DT cord-354194-hf5ndv5f 87 3 example example NN cord-354194-hf5ndv5f 87 4 , , , cord-354194-hf5ndv5f 87 5 among among IN cord-354194-hf5ndv5f 87 6 critically critically RB cord-354194-hf5ndv5f 87 7 ill ill JJ cord-354194-hf5ndv5f 87 8 patients patient NNS cord-354194-hf5ndv5f 87 9 and and CC cord-354194-hf5ndv5f 87 10 their -PRON- PRP$ cord-354194-hf5ndv5f 87 11 surrogates surrogate NNS cord-354194-hf5ndv5f 87 12 , , , cord-354194-hf5ndv5f 87 13 a a DT cord-354194-hf5ndv5f 87 14 family family NN cord-354194-hf5ndv5f 87 15 - - HYPH cord-354194-hf5ndv5f 87 16 support support NN cord-354194-hf5ndv5f 87 17 intervention intervention NN cord-354194-hf5ndv5f 87 18 delivered deliver VBN cord-354194-hf5ndv5f 87 19 by by IN cord-354194-hf5ndv5f 87 20 the the DT cord-354194-hf5ndv5f 87 21 ICU ICU NNP cord-354194-hf5ndv5f 87 22 team team NN cord-354194-hf5ndv5f 87 23 did do VBD cord-354194-hf5ndv5f 87 24 not not RB cord-354194-hf5ndv5f 87 25 significantly significantly RB cord-354194-hf5ndv5f 87 26 affect affect VB cord-354194-hf5ndv5f 87 27 the the DT cord-354194-hf5ndv5f 87 28 surrogates surrogate NNS cord-354194-hf5ndv5f 87 29 ' ' POS cord-354194-hf5ndv5f 87 30 burden burden NN cord-354194-hf5ndv5f 87 31 of of IN cord-354194-hf5ndv5f 87 32 psychological psychological JJ cord-354194-hf5ndv5f 87 33 symptoms symptom NNS cord-354194-hf5ndv5f 87 34 , , , cord-354194-hf5ndv5f 87 35 but but CC cord-354194-hf5ndv5f 87 36 their -PRON- PRP$ cord-354194-hf5ndv5f 87 37 ratings rating NNS cord-354194-hf5ndv5f 87 38 of of IN cord-354194-hf5ndv5f 87 39 the the DT cord-354194-hf5ndv5f 87 40 quality quality NN cord-354194-hf5ndv5f 87 41 of of IN cord-354194-hf5ndv5f 87 42 communication communication NN cord-354194-hf5ndv5f 87 43 were be VBD cord-354194-hf5ndv5f 87 44 higher high JJR cord-354194-hf5ndv5f 87 45 and and CC cord-354194-hf5ndv5f 87 46 the the DT cord-354194-hf5ndv5f 87 47 length length NN cord-354194-hf5ndv5f 87 48 of of IN cord-354194-hf5ndv5f 87 49 stay stay NN cord-354194-hf5ndv5f 87 50 in in IN cord-354194-hf5ndv5f 87 51 the the DT cord-354194-hf5ndv5f 87 52 ICU ICU NNP cord-354194-hf5ndv5f 87 53 was be VBD cord-354194-hf5ndv5f 87 54 shorter short JJR cord-354194-hf5ndv5f 87 55 with with IN cord-354194-hf5ndv5f 87 56 the the DT cord-354194-hf5ndv5f 87 57 intervention intervention NN cord-354194-hf5ndv5f 87 58 than than IN cord-354194-hf5ndv5f 87 59 with with IN cord-354194-hf5ndv5f 87 60 usual usual JJ cord-354194-hf5ndv5f 87 61 care care NN cord-354194-hf5ndv5f 87 62 [ [ -LRB- cord-354194-hf5ndv5f 87 63 38• 38• CD cord-354194-hf5ndv5f 87 64 ] ] -RRB- cord-354194-hf5ndv5f 87 65 . . . cord-354194-hf5ndv5f 88 1 In in IN cord-354194-hf5ndv5f 88 2 a a DT cord-354194-hf5ndv5f 88 3 similar similar JJ cord-354194-hf5ndv5f 88 4 study study NN cord-354194-hf5ndv5f 88 5 , , , cord-354194-hf5ndv5f 88 6 the the DT cord-354194-hf5ndv5f 88 7 use use NN cord-354194-hf5ndv5f 88 8 of of IN cord-354194-hf5ndv5f 88 9 palliative palliative JJ cord-354194-hf5ndv5f 88 10 care care NN cord-354194-hf5ndv5f 88 11 - - HYPH cord-354194-hf5ndv5f 88 12 led lead VBN cord-354194-hf5ndv5f 88 13 informational informational JJ cord-354194-hf5ndv5f 88 14 and and CC cord-354194-hf5ndv5f 88 15 emotional emotional JJ cord-354194-hf5ndv5f 88 16 support support NN cord-354194-hf5ndv5f 88 17 meetings meeting NNS cord-354194-hf5ndv5f 88 18 compared compare VBN cord-354194-hf5ndv5f 88 19 with with IN cord-354194-hf5ndv5f 88 20 usual usual JJ cord-354194-hf5ndv5f 88 21 care care NN cord-354194-hf5ndv5f 88 22 did do VBD cord-354194-hf5ndv5f 88 23 not not RB cord-354194-hf5ndv5f 88 24 reduce reduce VB cord-354194-hf5ndv5f 88 25 anxiety anxiety NN cord-354194-hf5ndv5f 88 26 or or CC cord-354194-hf5ndv5f 88 27 depression depression NN cord-354194-hf5ndv5f 88 28 symptoms symptom NNS cord-354194-hf5ndv5f 88 29 and and CC cord-354194-hf5ndv5f 88 30 may may MD cord-354194-hf5ndv5f 88 31 have have VB cord-354194-hf5ndv5f 88 32 increased increase VBN cord-354194-hf5ndv5f 88 33 posttraumatic posttraumatic JJ cord-354194-hf5ndv5f 88 34 stress stress NN cord-354194-hf5ndv5f 88 35 disorder disorder NN cord-354194-hf5ndv5f 88 36 symptoms symptom NNS cord-354194-hf5ndv5f 88 37 [ [ -LRB- cord-354194-hf5ndv5f 88 38 39 39 CD cord-354194-hf5ndv5f 88 39 ] ] -RRB- cord-354194-hf5ndv5f 88 40 . . . cord-354194-hf5ndv5f 89 1 As as IN cord-354194-hf5ndv5f 89 2 we -PRON- PRP cord-354194-hf5ndv5f 89 3 seek seek VBP cord-354194-hf5ndv5f 89 4 to to TO cord-354194-hf5ndv5f 89 5 advocate advocate VB cord-354194-hf5ndv5f 89 6 for for IN cord-354194-hf5ndv5f 89 7 the the DT cord-354194-hf5ndv5f 89 8 patient patient NN cord-354194-hf5ndv5f 89 9 and and CC cord-354194-hf5ndv5f 89 10 aim aim VB cord-354194-hf5ndv5f 89 11 for for IN cord-354194-hf5ndv5f 89 12 providing provide VBG cord-354194-hf5ndv5f 89 13 goal goal NN cord-354194-hf5ndv5f 89 14 concordant concordant JJ cord-354194-hf5ndv5f 89 15 care care NN cord-354194-hf5ndv5f 89 16 , , , cord-354194-hf5ndv5f 89 17 it -PRON- PRP cord-354194-hf5ndv5f 89 18 is be VBZ cord-354194-hf5ndv5f 89 19 essential essential JJ cord-354194-hf5ndv5f 89 20 to to TO cord-354194-hf5ndv5f 89 21 realize realize VB cord-354194-hf5ndv5f 89 22 that that IN cord-354194-hf5ndv5f 89 23 the the DT cord-354194-hf5ndv5f 89 24 families family NNS cord-354194-hf5ndv5f 89 25 and and CC cord-354194-hf5ndv5f 89 26 surrogates surrogate NNS cord-354194-hf5ndv5f 89 27 are be VBP cord-354194-hf5ndv5f 89 28 under under IN cord-354194-hf5ndv5f 89 29 tremendous tremendous JJ cord-354194-hf5ndv5f 89 30 stress stress NN cord-354194-hf5ndv5f 89 31 and and CC cord-354194-hf5ndv5f 89 32 a a DT cord-354194-hf5ndv5f 89 33 consistent consistent JJ cord-354194-hf5ndv5f 89 34 , , , cord-354194-hf5ndv5f 89 35 organized organized JJ cord-354194-hf5ndv5f 89 36 , , , cord-354194-hf5ndv5f 89 37 and and CC cord-354194-hf5ndv5f 89 38 empathetic empathetic JJ cord-354194-hf5ndv5f 89 39 approach approach NN cord-354194-hf5ndv5f 89 40 is be VBZ cord-354194-hf5ndv5f 89 41 likely likely RB cord-354194-hf5ndv5f 89 42 the the DT cord-354194-hf5ndv5f 89 43 optimal optimal JJ cord-354194-hf5ndv5f 89 44 approach approach NN cord-354194-hf5ndv5f 89 45 to to IN cord-354194-hf5ndv5f 89 46 decision decision NN cord-354194-hf5ndv5f 89 47 - - HYPH cord-354194-hf5ndv5f 89 48 making making NN cord-354194-hf5ndv5f 89 49 . . . cord-354194-hf5ndv5f 90 1 One one CD cord-354194-hf5ndv5f 90 2 of of IN cord-354194-hf5ndv5f 90 3 the the DT cord-354194-hf5ndv5f 90 4 first first JJ cord-354194-hf5ndv5f 90 5 questions question NNS cord-354194-hf5ndv5f 90 6 that that WDT cord-354194-hf5ndv5f 90 7 must must MD cord-354194-hf5ndv5f 90 8 be be VB cord-354194-hf5ndv5f 90 9 addressed address VBN cord-354194-hf5ndv5f 90 10 as as IN cord-354194-hf5ndv5f 90 11 we -PRON- PRP cord-354194-hf5ndv5f 90 12 think think VBP cord-354194-hf5ndv5f 90 13 about about IN cord-354194-hf5ndv5f 90 14 communication communication NN cord-354194-hf5ndv5f 90 15 in in IN cord-354194-hf5ndv5f 90 16 the the DT cord-354194-hf5ndv5f 90 17 ICU ICU NNP cord-354194-hf5ndv5f 90 18 setting setting NN cord-354194-hf5ndv5f 90 19 is be VBZ cord-354194-hf5ndv5f 90 20 who who WP cord-354194-hf5ndv5f 90 21 will will MD cord-354194-hf5ndv5f 90 22 be be VB cord-354194-hf5ndv5f 90 23 primarily primarily RB cord-354194-hf5ndv5f 90 24 responsible responsible JJ cord-354194-hf5ndv5f 90 25 for for IN cord-354194-hf5ndv5f 90 26 family family NN cord-354194-hf5ndv5f 90 27 facing face VBG cord-354194-hf5ndv5f 90 28 communication communication NN cord-354194-hf5ndv5f 90 29 , , , cord-354194-hf5ndv5f 90 30 clarifying clarify VBG cord-354194-hf5ndv5f 90 31 GOC GOC NNP cord-354194-hf5ndv5f 90 32 , , , cord-354194-hf5ndv5f 90 33 guiding guide VBG cord-354194-hf5ndv5f 90 34 goal goal NN cord-354194-hf5ndv5f 90 35 concordant concordant JJ cord-354194-hf5ndv5f 90 36 care care NN cord-354194-hf5ndv5f 90 37 , , , cord-354194-hf5ndv5f 90 38 and and CC cord-354194-hf5ndv5f 90 39 transitioning transition VBG cord-354194-hf5ndv5f 90 40 goals goal NNS cord-354194-hf5ndv5f 90 41 as as IN cord-354194-hf5ndv5f 90 42 warranted warrant VBN cord-354194-hf5ndv5f 90 43 . . . cord-354194-hf5ndv5f 91 1 This this DT cord-354194-hf5ndv5f 91 2 can can MD cord-354194-hf5ndv5f 91 3 be be VB cord-354194-hf5ndv5f 91 4 thought think VBN cord-354194-hf5ndv5f 91 5 of of IN cord-354194-hf5ndv5f 91 6 both both DT cord-354194-hf5ndv5f 91 7 at at IN cord-354194-hf5ndv5f 91 8 the the DT cord-354194-hf5ndv5f 91 9 team team NN cord-354194-hf5ndv5f 91 10 level level NN cord-354194-hf5ndv5f 91 11 ( ( -LRB- cord-354194-hf5ndv5f 91 12 trauma trauma NN cord-354194-hf5ndv5f 91 13 surgery surgery NN cord-354194-hf5ndv5f 91 14 , , , cord-354194-hf5ndv5f 91 15 neurosurgery neurosurgery NNP cord-354194-hf5ndv5f 91 16 , , , cord-354194-hf5ndv5f 91 17 orthopedics orthopedics NNP cord-354194-hf5ndv5f 91 18 , , , cord-354194-hf5ndv5f 91 19 etc etc FW cord-354194-hf5ndv5f 91 20 . . . cord-354194-hf5ndv5f 91 21 ) ) -RRB- cord-354194-hf5ndv5f 92 1 and and CC cord-354194-hf5ndv5f 92 2 the the DT cord-354194-hf5ndv5f 92 3 individual individual JJ cord-354194-hf5ndv5f 92 4 level level NN cord-354194-hf5ndv5f 92 5 ( ( -LRB- cord-354194-hf5ndv5f 92 6 attending attend VBG cord-354194-hf5ndv5f 92 7 , , , cord-354194-hf5ndv5f 92 8 fellow fellow NN cord-354194-hf5ndv5f 92 9 , , , cord-354194-hf5ndv5f 92 10 resident resident NN cord-354194-hf5ndv5f 92 11 , , , cord-354194-hf5ndv5f 92 12 advanced advanced JJ cord-354194-hf5ndv5f 92 13 practice practice NN cord-354194-hf5ndv5f 92 14 provider provider NN cord-354194-hf5ndv5f 92 15 , , , cord-354194-hf5ndv5f 92 16 etc etc FW cord-354194-hf5ndv5f 92 17 . . . cord-354194-hf5ndv5f 92 18 ) ) -RRB- cord-354194-hf5ndv5f 92 19 . . . cord-354194-hf5ndv5f 93 1 The the DT cord-354194-hf5ndv5f 93 2 individual individual NN cord-354194-hf5ndv5f 93 3 tasked task VBN cord-354194-hf5ndv5f 93 4 as as IN cord-354194-hf5ndv5f 93 5 primary primary JJ cord-354194-hf5ndv5f 93 6 communication communication NN cord-354194-hf5ndv5f 93 7 point point NN cord-354194-hf5ndv5f 93 8 for for IN cord-354194-hf5ndv5f 93 9 the the DT cord-354194-hf5ndv5f 93 10 family family NN cord-354194-hf5ndv5f 93 11 should should MD cord-354194-hf5ndv5f 93 12 be be VB cord-354194-hf5ndv5f 93 13 experienced experience VBN cord-354194-hf5ndv5f 93 14 enough enough RB cord-354194-hf5ndv5f 93 15 to to TO cord-354194-hf5ndv5f 93 16 provide provide VB cord-354194-hf5ndv5f 93 17 compassionate compassionate JJ cord-354194-hf5ndv5f 93 18 , , , cord-354194-hf5ndv5f 93 19 meaningful meaningful JJ cord-354194-hf5ndv5f 93 20 , , , cord-354194-hf5ndv5f 93 21 and and CC cord-354194-hf5ndv5f 93 22 nuanced nuanced JJ cord-354194-hf5ndv5f 93 23 updates update NNS cord-354194-hf5ndv5f 93 24 . . . cord-354194-hf5ndv5f 94 1 It -PRON- PRP cord-354194-hf5ndv5f 94 2 is be VBZ cord-354194-hf5ndv5f 94 3 , , , cord-354194-hf5ndv5f 94 4 furthermore furthermore RB cord-354194-hf5ndv5f 94 5 , , , cord-354194-hf5ndv5f 94 6 our -PRON- PRP$ cord-354194-hf5ndv5f 94 7 belief belief NN cord-354194-hf5ndv5f 94 8 that that IN cord-354194-hf5ndv5f 94 9 the the DT cord-354194-hf5ndv5f 94 10 primary primary JJ cord-354194-hf5ndv5f 94 11 trauma trauma NN cord-354194-hf5ndv5f 94 12 ICU ICU NNP cord-354194-hf5ndv5f 94 13 team team NN cord-354194-hf5ndv5f 94 14 should should MD cord-354194-hf5ndv5f 94 15 be be VB cord-354194-hf5ndv5f 94 16 in in IN cord-354194-hf5ndv5f 94 17 charge charge NN cord-354194-hf5ndv5f 94 18 of of IN cord-354194-hf5ndv5f 94 19 overall overall JJ cord-354194-hf5ndv5f 94 20 communication communication NN cord-354194-hf5ndv5f 94 21 with with IN cord-354194-hf5ndv5f 94 22 the the DT cord-354194-hf5ndv5f 94 23 family family NN cord-354194-hf5ndv5f 94 24 as as IN cord-354194-hf5ndv5f 94 25 they -PRON- PRP cord-354194-hf5ndv5f 94 26 have have VBP cord-354194-hf5ndv5f 94 27 the the DT cord-354194-hf5ndv5f 94 28 perspective perspective NN cord-354194-hf5ndv5f 94 29 to to TO cord-354194-hf5ndv5f 94 30 integrate integrate VB cord-354194-hf5ndv5f 94 31 multiple multiple JJ cord-354194-hf5ndv5f 94 32 organ organ NN cord-354194-hf5ndv5f 94 33 system system NN cord-354194-hf5ndv5f 94 34 problems problem NNS cord-354194-hf5ndv5f 94 35 and and CC cord-354194-hf5ndv5f 94 36 the the DT cord-354194-hf5ndv5f 94 37 recommendations recommendation NNS cord-354194-hf5ndv5f 94 38 of of IN cord-354194-hf5ndv5f 94 39 the the DT cord-354194-hf5ndv5f 94 40 whole whole JJ cord-354194-hf5ndv5f 94 41 care care NN cord-354194-hf5ndv5f 94 42 team team NN cord-354194-hf5ndv5f 94 43 . . . cord-354194-hf5ndv5f 95 1 There there EX cord-354194-hf5ndv5f 95 2 are be VBP cord-354194-hf5ndv5f 95 3 essentially essentially RB cord-354194-hf5ndv5f 95 4 three three CD cord-354194-hf5ndv5f 95 5 structural structural JJ cord-354194-hf5ndv5f 95 6 options option NNS cord-354194-hf5ndv5f 95 7 : : : cord-354194-hf5ndv5f 95 8 primary primary JJ cord-354194-hf5ndv5f 95 9 palliative palliative JJ cord-354194-hf5ndv5f 95 10 care care NN cord-354194-hf5ndv5f 95 11 by by IN cord-354194-hf5ndv5f 95 12 the the DT cord-354194-hf5ndv5f 95 13 ICU ICU NNP cord-354194-hf5ndv5f 95 14 team team NN cord-354194-hf5ndv5f 95 15 , , , cord-354194-hf5ndv5f 95 16 integrated integrate VBD cord-354194-hf5ndv5f 95 17 subspecialty subspecialty JJ cord-354194-hf5ndv5f 95 18 palliative palliative JJ cord-354194-hf5ndv5f 95 19 care care NN cord-354194-hf5ndv5f 95 20 into into IN cord-354194-hf5ndv5f 95 21 the the DT cord-354194-hf5ndv5f 95 22 ICU ICU NNP cord-354194-hf5ndv5f 95 23 setting setting NN cord-354194-hf5ndv5f 95 24 , , , cord-354194-hf5ndv5f 95 25 and and CC cord-354194-hf5ndv5f 95 26 consult consult VB cord-354194-hf5ndv5f 95 27 only only RB cord-354194-hf5ndv5f 95 28 subspecialty subspecialty JJ cord-354194-hf5ndv5f 95 29 palliative palliative JJ cord-354194-hf5ndv5f 95 30 care care NN cord-354194-hf5ndv5f 95 31 . . . cord-354194-hf5ndv5f 96 1 There there EX cord-354194-hf5ndv5f 96 2 are be VBP cord-354194-hf5ndv5f 96 3 strengths strength NNS cord-354194-hf5ndv5f 96 4 and and CC cord-354194-hf5ndv5f 96 5 weaknesses weakness NNS cord-354194-hf5ndv5f 96 6 to to IN cord-354194-hf5ndv5f 96 7 each each DT cord-354194-hf5ndv5f 96 8 of of IN cord-354194-hf5ndv5f 96 9 these these DT cord-354194-hf5ndv5f 96 10 designs design NNS cord-354194-hf5ndv5f 96 11 , , , cord-354194-hf5ndv5f 96 12 and and CC cord-354194-hf5ndv5f 96 13 it -PRON- PRP cord-354194-hf5ndv5f 96 14 is be VBZ cord-354194-hf5ndv5f 96 15 likely likely JJ cord-354194-hf5ndv5f 96 16 that that IN cord-354194-hf5ndv5f 96 17 the the DT cord-354194-hf5ndv5f 96 18 optimal optimal JJ cord-354194-hf5ndv5f 96 19 design design NN cord-354194-hf5ndv5f 96 20 for for IN cord-354194-hf5ndv5f 96 21 any any DT cord-354194-hf5ndv5f 96 22 given give VBN cord-354194-hf5ndv5f 96 23 ICU ICU NNP cord-354194-hf5ndv5f 96 24 will will MD cord-354194-hf5ndv5f 96 25 be be VB cord-354194-hf5ndv5f 96 26 dependent dependent JJ cord-354194-hf5ndv5f 96 27 upon upon IN cord-354194-hf5ndv5f 96 28 institutional institutional JJ cord-354194-hf5ndv5f 96 29 level level NN cord-354194-hf5ndv5f 96 30 resources resource NNS cord-354194-hf5ndv5f 96 31 and and CC cord-354194-hf5ndv5f 96 32 culture culture NN cord-354194-hf5ndv5f 96 33 . . . cord-354194-hf5ndv5f 97 1 With with IN cord-354194-hf5ndv5f 97 2 that that DT cord-354194-hf5ndv5f 97 3 in in IN cord-354194-hf5ndv5f 97 4 mind mind NN cord-354194-hf5ndv5f 97 5 , , , cord-354194-hf5ndv5f 97 6 we -PRON- PRP cord-354194-hf5ndv5f 97 7 attempt attempt VBP cord-354194-hf5ndv5f 97 8 to to TO cord-354194-hf5ndv5f 97 9 outline outline VB cord-354194-hf5ndv5f 97 10 potential potential JJ cord-354194-hf5ndv5f 97 11 benefits benefit NNS cord-354194-hf5ndv5f 97 12 and and CC cord-354194-hf5ndv5f 97 13 challenges challenge NNS cord-354194-hf5ndv5f 97 14 associated associate VBN cord-354194-hf5ndv5f 97 15 with with IN cord-354194-hf5ndv5f 97 16 each each DT cord-354194-hf5ndv5f 97 17 model model NN cord-354194-hf5ndv5f 97 18 . . . cord-354194-hf5ndv5f 98 1 Primary primary JJ cord-354194-hf5ndv5f 98 2 palliative palliative JJ cord-354194-hf5ndv5f 98 3 care care NN cord-354194-hf5ndv5f 98 4 ( ( -LRB- cord-354194-hf5ndv5f 98 5 PPC PPC NNP cord-354194-hf5ndv5f 98 6 ) ) -RRB- cord-354194-hf5ndv5f 98 7 is be VBZ cord-354194-hf5ndv5f 98 8 defined define VBN cord-354194-hf5ndv5f 98 9 as as IN cord-354194-hf5ndv5f 98 10 palliative palliative JJ cord-354194-hf5ndv5f 98 11 care care NN cord-354194-hf5ndv5f 98 12 provided provide VBN cord-354194-hf5ndv5f 98 13 by by IN cord-354194-hf5ndv5f 98 14 the the DT cord-354194-hf5ndv5f 98 15 primary primary JJ cord-354194-hf5ndv5f 98 16 treating treating NN cord-354194-hf5ndv5f 98 17 service service NN cord-354194-hf5ndv5f 98 18 . . . cord-354194-hf5ndv5f 99 1 This this DT cord-354194-hf5ndv5f 99 2 approach approach NN cord-354194-hf5ndv5f 99 3 emphasizes emphasize VBZ cord-354194-hf5ndv5f 99 4 the the DT cord-354194-hf5ndv5f 99 5 co co NN cord-354194-hf5ndv5f 99 6 - - NN cord-354194-hf5ndv5f 99 7 provision provision NN cord-354194-hf5ndv5f 99 8 of of IN cord-354194-hf5ndv5f 99 9 palliative palliative JJ cord-354194-hf5ndv5f 99 10 intensive intensive JJ cord-354194-hf5ndv5f 99 11 care care NN cord-354194-hf5ndv5f 99 12 and and CC cord-354194-hf5ndv5f 99 13 may may MD cord-354194-hf5ndv5f 99 14 best best RB cord-354194-hf5ndv5f 99 15 integrate integrate VB cord-354194-hf5ndv5f 99 16 palliative palliative JJ cord-354194-hf5ndv5f 99 17 communication communication NN cord-354194-hf5ndv5f 99 18 principles principle NNS cord-354194-hf5ndv5f 99 19 into into IN cord-354194-hf5ndv5f 99 20 the the DT cord-354194-hf5ndv5f 99 21 ICU ICU NNP cord-354194-hf5ndv5f 99 22 [ [ -LRB- cord-354194-hf5ndv5f 99 23 2 2 CD cord-354194-hf5ndv5f 99 24 ] ] -RRB- cord-354194-hf5ndv5f 99 25 . . . cord-354194-hf5ndv5f 100 1 Increasingly increasingly RB cord-354194-hf5ndv5f 100 2 , , , cord-354194-hf5ndv5f 100 3 this this DT cord-354194-hf5ndv5f 100 4 is be VBZ cord-354194-hf5ndv5f 100 5 being be VBG cord-354194-hf5ndv5f 100 6 viewed view VBN cord-354194-hf5ndv5f 100 7 as as IN cord-354194-hf5ndv5f 100 8 part part NN cord-354194-hf5ndv5f 100 9 of of IN cord-354194-hf5ndv5f 100 10 the the DT cord-354194-hf5ndv5f 100 11 routine routine JJ cord-354194-hf5ndv5f 100 12 job job NN cord-354194-hf5ndv5f 100 13 description description NN cord-354194-hf5ndv5f 100 14 of of IN cord-354194-hf5ndv5f 100 15 an an DT cord-354194-hf5ndv5f 100 16 acute acute JJ cord-354194-hf5ndv5f 100 17 care care NN cord-354194-hf5ndv5f 100 18 surgeon surgeon NN cord-354194-hf5ndv5f 100 19 [ [ -LRB- cord-354194-hf5ndv5f 100 20 3 3 CD cord-354194-hf5ndv5f 100 21 ] ] -RRB- cord-354194-hf5ndv5f 100 22 . . . cord-354194-hf5ndv5f 101 1 Primary primary JJ cord-354194-hf5ndv5f 101 2 palliative palliative JJ cord-354194-hf5ndv5f 101 3 care care NN cord-354194-hf5ndv5f 101 4 has have VBZ cord-354194-hf5ndv5f 101 5 been be VBN cord-354194-hf5ndv5f 101 6 shown show VBN cord-354194-hf5ndv5f 101 7 to to TO cord-354194-hf5ndv5f 101 8 promote promote VB cord-354194-hf5ndv5f 101 9 stronger strong JJR cord-354194-hf5ndv5f 101 10 clinician clinician NN cord-354194-hf5ndv5f 101 11 and and CC cord-354194-hf5ndv5f 101 12 patient patient JJ cord-354194-hf5ndv5f 101 13 relationships relationship NNS cord-354194-hf5ndv5f 101 14 and and CC cord-354194-hf5ndv5f 101 15 reduce reduce VB cord-354194-hf5ndv5f 101 16 the the DT cord-354194-hf5ndv5f 101 17 fragmentation fragmentation NN cord-354194-hf5ndv5f 101 18 of of IN cord-354194-hf5ndv5f 101 19 care care NN cord-354194-hf5ndv5f 101 20 and and CC cord-354194-hf5ndv5f 101 21 can can MD cord-354194-hf5ndv5f 101 22 be be VB cord-354194-hf5ndv5f 101 23 integrated integrate VBN cord-354194-hf5ndv5f 101 24 with with IN cord-354194-hf5ndv5f 101 25 other other JJ cord-354194-hf5ndv5f 101 26 critical critical JJ cord-354194-hf5ndv5f 101 27 care care NN cord-354194-hf5ndv5f 101 28 interventions intervention NNS cord-354194-hf5ndv5f 101 29 and and CC cord-354194-hf5ndv5f 101 30 therapy therapy NN cord-354194-hf5ndv5f 101 31 [ [ -LRB- cord-354194-hf5ndv5f 101 32 40 40 CD cord-354194-hf5ndv5f 101 33 ] ] -RRB- cord-354194-hf5ndv5f 101 34 [ [ -LRB- cord-354194-hf5ndv5f 101 35 41 41 CD cord-354194-hf5ndv5f 101 36 ] ] -RRB- cord-354194-hf5ndv5f 101 37 [ [ -LRB- cord-354194-hf5ndv5f 101 38 42 42 CD cord-354194-hf5ndv5f 101 39 ] ] -RRB- cord-354194-hf5ndv5f 101 40 . . . cord-354194-hf5ndv5f 102 1 The the DT cord-354194-hf5ndv5f 102 2 details detail NNS cord-354194-hf5ndv5f 102 3 of of IN cord-354194-hf5ndv5f 102 4 how how WRB cord-354194-hf5ndv5f 102 5 PPC PPC NNP cord-354194-hf5ndv5f 102 6 is be VBZ cord-354194-hf5ndv5f 102 7 integrated integrate VBN cord-354194-hf5ndv5f 102 8 into into IN cord-354194-hf5ndv5f 102 9 routine routine JJ cord-354194-hf5ndv5f 102 10 ICU ICU NNP cord-354194-hf5ndv5f 102 11 care care NN cord-354194-hf5ndv5f 102 12 remain remain VBP cord-354194-hf5ndv5f 102 13 an an DT cord-354194-hf5ndv5f 102 14 area area NN cord-354194-hf5ndv5f 102 15 of of IN cord-354194-hf5ndv5f 102 16 active active JJ cord-354194-hf5ndv5f 102 17 research research NN cord-354194-hf5ndv5f 102 18 , , , cord-354194-hf5ndv5f 102 19 and and CC cord-354194-hf5ndv5f 102 20 defining define VBG cord-354194-hf5ndv5f 102 21 therapeutic therapeutic JJ cord-354194-hf5ndv5f 102 22 goals goal NNS cord-354194-hf5ndv5f 102 23 in in IN cord-354194-hf5ndv5f 102 24 a a DT cord-354194-hf5ndv5f 102 25 nuanced nuanced JJ cord-354194-hf5ndv5f 102 26 and and CC cord-354194-hf5ndv5f 102 27 sensitive sensitive JJ cord-354194-hf5ndv5f 102 28 way way NN cord-354194-hf5ndv5f 102 29 is be VBZ cord-354194-hf5ndv5f 102 30 essential essential JJ cord-354194-hf5ndv5f 102 31 [ [ -LRB- cord-354194-hf5ndv5f 102 32 40 40 CD cord-354194-hf5ndv5f 102 33 , , , cord-354194-hf5ndv5f 102 34 41 41 CD cord-354194-hf5ndv5f 102 35 ] ] -RRB- cord-354194-hf5ndv5f 102 36 . . . cord-354194-hf5ndv5f 103 1 The the DT cord-354194-hf5ndv5f 103 2 primary primary JJ cord-354194-hf5ndv5f 103 3 benefit benefit NN cord-354194-hf5ndv5f 103 4 to to IN cord-354194-hf5ndv5f 103 5 the the DT cord-354194-hf5ndv5f 103 6 PPC ppc NN cord-354194-hf5ndv5f 103 7 model model NN cord-354194-hf5ndv5f 103 8 is be VBZ cord-354194-hf5ndv5f 103 9 that that IN cord-354194-hf5ndv5f 103 10 , , , cord-354194-hf5ndv5f 103 11 at at IN cord-354194-hf5ndv5f 103 12 least least JJS cord-354194-hf5ndv5f 103 13 theoretically theoretically RB cord-354194-hf5ndv5f 103 14 , , , cord-354194-hf5ndv5f 103 15 all all DT cord-354194-hf5ndv5f 103 16 patients patient NNS cord-354194-hf5ndv5f 103 17 have have VBP cord-354194-hf5ndv5f 103 18 their -PRON- PRP$ cord-354194-hf5ndv5f 103 19 palliative palliative JJ cord-354194-hf5ndv5f 103 20 needs need NNS cord-354194-hf5ndv5f 103 21 , , , cord-354194-hf5ndv5f 103 22 including include VBG cord-354194-hf5ndv5f 103 23 communication communication NN cord-354194-hf5ndv5f 103 24 , , , cord-354194-hf5ndv5f 103 25 addressed address VBD cord-354194-hf5ndv5f 103 26 on on IN cord-354194-hf5ndv5f 103 27 a a DT cord-354194-hf5ndv5f 103 28 daily daily JJ cord-354194-hf5ndv5f 103 29 basis basis NN cord-354194-hf5ndv5f 103 30 . . . cord-354194-hf5ndv5f 104 1 The the DT cord-354194-hf5ndv5f 104 2 primarily primarily JJ cord-354194-hf5ndv5f 104 3 limitation limitation NN cord-354194-hf5ndv5f 104 4 to to IN cord-354194-hf5ndv5f 104 5 the the DT cord-354194-hf5ndv5f 104 6 PPC ppc NN cord-354194-hf5ndv5f 104 7 model model NN cord-354194-hf5ndv5f 104 8 is be VBZ cord-354194-hf5ndv5f 104 9 that that IN cord-354194-hf5ndv5f 104 10 at at IN cord-354194-hf5ndv5f 104 11 times time NNS cord-354194-hf5ndv5f 104 12 of of IN cord-354194-hf5ndv5f 104 13 high high JJ cord-354194-hf5ndv5f 104 14 ICU ICU NNP cord-354194-hf5ndv5f 104 15 acuity acuity NN cord-354194-hf5ndv5f 104 16 or or CC cord-354194-hf5ndv5f 104 17 with with IN cord-354194-hf5ndv5f 104 18 an an DT cord-354194-hf5ndv5f 104 19 intensive intensive JJ cord-354194-hf5ndv5f 104 20 care care NN cord-354194-hf5ndv5f 104 21 team team NN cord-354194-hf5ndv5f 104 22 with with IN cord-354194-hf5ndv5f 104 23 less less JJR cord-354194-hf5ndv5f 104 24 experience experience NN cord-354194-hf5ndv5f 104 25 in in IN cord-354194-hf5ndv5f 104 26 complex complex JJ cord-354194-hf5ndv5f 104 27 communication communication NN cord-354194-hf5ndv5f 104 28 , , , cord-354194-hf5ndv5f 104 29 family family NN cord-354194-hf5ndv5f 104 30 communication communication NN cord-354194-hf5ndv5f 104 31 may may MD cord-354194-hf5ndv5f 104 32 suffer suffer VB cord-354194-hf5ndv5f 104 33 . . . cord-354194-hf5ndv5f 105 1 A a DT cord-354194-hf5ndv5f 105 2 particular particular JJ cord-354194-hf5ndv5f 105 3 challenge challenge NN cord-354194-hf5ndv5f 105 4 may may MD cord-354194-hf5ndv5f 105 5 be be VB cord-354194-hf5ndv5f 105 6 encountered encounter VBN cord-354194-hf5ndv5f 105 7 when when WRB cord-354194-hf5ndv5f 105 8 interacting interact VBG cord-354194-hf5ndv5f 105 9 with with IN cord-354194-hf5ndv5f 105 10 non non JJ cord-354194-hf5ndv5f 105 11 - - JJ cord-354194-hf5ndv5f 105 12 critical critical JJ cord-354194-hf5ndv5f 105 13 care care NN cord-354194-hf5ndv5f 105 14 surgical surgical JJ cord-354194-hf5ndv5f 105 15 colleagues colleague NNS cord-354194-hf5ndv5f 105 16 with with IN cord-354194-hf5ndv5f 105 17 different different JJ cord-354194-hf5ndv5f 105 18 understandings understanding NNS cord-354194-hf5ndv5f 105 19 of of IN cord-354194-hf5ndv5f 105 20 the the DT cord-354194-hf5ndv5f 105 21 patient patient NN cord-354194-hf5ndv5f 105 22 's 's POS cord-354194-hf5ndv5f 105 23 goals goal NNS cord-354194-hf5ndv5f 105 24 and and CC cord-354194-hf5ndv5f 105 25 the the DT cord-354194-hf5ndv5f 105 26 attendant attendant JJ cord-354194-hf5ndv5f 105 27 conflict conflict NN cord-354194-hf5ndv5f 105 28 [ [ -LRB- cord-354194-hf5ndv5f 105 29 43 43 CD cord-354194-hf5ndv5f 105 30 , , , cord-354194-hf5ndv5f 105 31 44 44 CD cord-354194-hf5ndv5f 105 32 ] ] -RRB- cord-354194-hf5ndv5f 105 33 . . . cord-354194-hf5ndv5f 106 1 This this DT cord-354194-hf5ndv5f 106 2 highlights highlight VBZ cord-354194-hf5ndv5f 106 3 the the DT cord-354194-hf5ndv5f 106 4 need need NN cord-354194-hf5ndv5f 106 5 for for IN cord-354194-hf5ndv5f 106 6 additional additional JJ cord-354194-hf5ndv5f 106 7 subspecialty subspecialty JJ cord-354194-hf5ndv5f 106 8 input input NN cord-354194-hf5ndv5f 106 9 which which WDT cord-354194-hf5ndv5f 106 10 can can MD cord-354194-hf5ndv5f 106 11 be be VB cord-354194-hf5ndv5f 106 12 accomplished accomplish VBN cord-354194-hf5ndv5f 106 13 in in IN cord-354194-hf5ndv5f 106 14 one one CD cord-354194-hf5ndv5f 106 15 of of IN cord-354194-hf5ndv5f 106 16 two two CD cord-354194-hf5ndv5f 106 17 ways way NNS cord-354194-hf5ndv5f 106 18 . . . cord-354194-hf5ndv5f 107 1 The the DT cord-354194-hf5ndv5f 107 2 first first JJ cord-354194-hf5ndv5f 107 3 model model NN cord-354194-hf5ndv5f 107 4 for for IN cord-354194-hf5ndv5f 107 5 providing provide VBG cord-354194-hf5ndv5f 107 6 subspecialty subspecialty JJ cord-354194-hf5ndv5f 107 7 palliative palliative JJ cord-354194-hf5ndv5f 107 8 care care NN cord-354194-hf5ndv5f 107 9 input input NN cord-354194-hf5ndv5f 107 10 in in IN cord-354194-hf5ndv5f 107 11 the the DT cord-354194-hf5ndv5f 107 12 ICU ICU NNP cord-354194-hf5ndv5f 107 13 is be VBZ cord-354194-hf5ndv5f 107 14 integrated integrate VBN cord-354194-hf5ndv5f 107 15 subspecialty subspecialty JJ cord-354194-hf5ndv5f 107 16 palliative palliative JJ cord-354194-hf5ndv5f 107 17 care care NN cord-354194-hf5ndv5f 107 18 in in IN cord-354194-hf5ndv5f 107 19 the the DT cord-354194-hf5ndv5f 107 20 ICU ICU NNP cord-354194-hf5ndv5f 107 21 [ [ -LRB- cord-354194-hf5ndv5f 107 22 45 45 CD cord-354194-hf5ndv5f 107 23 ] ] -RRB- cord-354194-hf5ndv5f 107 24 . . . cord-354194-hf5ndv5f 108 1 This this DT cord-354194-hf5ndv5f 108 2 is be VBZ cord-354194-hf5ndv5f 108 3 most most RBS cord-354194-hf5ndv5f 108 4 commonly commonly RB cord-354194-hf5ndv5f 108 5 framed frame VBN cord-354194-hf5ndv5f 108 6 as as IN cord-354194-hf5ndv5f 108 7 a a DT cord-354194-hf5ndv5f 108 8 subspecialty subspecialty JJ cord-354194-hf5ndv5f 108 9 trained train VBN cord-354194-hf5ndv5f 108 10 palliative palliative JJ cord-354194-hf5ndv5f 108 11 care care NN cord-354194-hf5ndv5f 108 12 provider provider NN cord-354194-hf5ndv5f 108 13 who who WP cord-354194-hf5ndv5f 108 14 routinely routinely RB cord-354194-hf5ndv5f 108 15 sees see VBZ cord-354194-hf5ndv5f 108 16 all all DT cord-354194-hf5ndv5f 108 17 patients patient NNS cord-354194-hf5ndv5f 108 18 within within IN cord-354194-hf5ndv5f 108 19 the the DT cord-354194-hf5ndv5f 108 20 ICU ICU NNP cord-354194-hf5ndv5f 108 21 , , , cord-354194-hf5ndv5f 108 22 either either CC cord-354194-hf5ndv5f 108 23 as as IN cord-354194-hf5ndv5f 108 24 part part NN cord-354194-hf5ndv5f 108 25 of of IN cord-354194-hf5ndv5f 108 26 the the DT cord-354194-hf5ndv5f 108 27 rounding rounding NN cord-354194-hf5ndv5f 108 28 team team NN cord-354194-hf5ndv5f 108 29 or or CC cord-354194-hf5ndv5f 108 30 as as IN cord-354194-hf5ndv5f 108 31 a a DT cord-354194-hf5ndv5f 108 32 scheduled scheduled JJ cord-354194-hf5ndv5f 108 33 check check NN cord-354194-hf5ndv5f 108 34 in in IN cord-354194-hf5ndv5f 108 35 - - HYPH cord-354194-hf5ndv5f 108 36 ameliorating ameliorate VBG cord-354194-hf5ndv5f 108 37 the the DT cord-354194-hf5ndv5f 108 38 lack lack NN cord-354194-hf5ndv5f 108 39 of of IN cord-354194-hf5ndv5f 108 40 physician physician NN cord-354194-hf5ndv5f 108 41 contact contact NN cord-354194-hf5ndv5f 108 42 noted note VBN cord-354194-hf5ndv5f 108 43 by by IN cord-354194-hf5ndv5f 108 44 family family NN cord-354194-hf5ndv5f 108 45 members member NNS cord-354194-hf5ndv5f 108 46 of of IN cord-354194-hf5ndv5f 108 47 patients patient NNS cord-354194-hf5ndv5f 108 48 who who WP cord-354194-hf5ndv5f 108 49 died die VBD cord-354194-hf5ndv5f 108 50 in in IN cord-354194-hf5ndv5f 108 51 hospital hospital NN cord-354194-hf5ndv5f 108 52 [ [ -LRB- cord-354194-hf5ndv5f 108 53 46 46 CD cord-354194-hf5ndv5f 108 54 , , , cord-354194-hf5ndv5f 108 55 47 47 CD cord-354194-hf5ndv5f 108 56 ] ] -RRB- cord-354194-hf5ndv5f 108 57 . . . cord-354194-hf5ndv5f 109 1 This this DT cord-354194-hf5ndv5f 109 2 emphasis emphasis NN cord-354194-hf5ndv5f 109 3 on on IN cord-354194-hf5ndv5f 109 4 the the DT cord-354194-hf5ndv5f 109 5 routine routine JJ cord-354194-hf5ndv5f 109 6 integration integration NN cord-354194-hf5ndv5f 109 7 of of IN cord-354194-hf5ndv5f 109 8 trained train VBN cord-354194-hf5ndv5f 109 9 palliative palliative JJ cord-354194-hf5ndv5f 109 10 care care NN cord-354194-hf5ndv5f 109 11 specialists specialist NNS cord-354194-hf5ndv5f 109 12 helps help VBZ cord-354194-hf5ndv5f 109 13 to to TO cord-354194-hf5ndv5f 109 14 overcome overcome VB cord-354194-hf5ndv5f 109 15 a a DT cord-354194-hf5ndv5f 109 16 major major JJ cord-354194-hf5ndv5f 109 17 barrier barrier NN cord-354194-hf5ndv5f 109 18 to to IN cord-354194-hf5ndv5f 109 19 involving involve VBG cord-354194-hf5ndv5f 109 20 palliative palliative JJ cord-354194-hf5ndv5f 109 21 care care NN cord-354194-hf5ndv5f 109 22 to to TO cord-354194-hf5ndv5f 109 23 aid aid NN cord-354194-hf5ndv5f 109 24 with with IN cord-354194-hf5ndv5f 109 25 communication communication NN cord-354194-hf5ndv5f 109 26 , , , cord-354194-hf5ndv5f 109 27 the the DT cord-354194-hf5ndv5f 109 28 initial initial JJ cord-354194-hf5ndv5f 109 29 call call NN cord-354194-hf5ndv5f 109 30 [ [ -LRB- cord-354194-hf5ndv5f 109 31 48 48 CD cord-354194-hf5ndv5f 109 32 ] ] -RRB- cord-354194-hf5ndv5f 109 33 . . . cord-354194-hf5ndv5f 110 1 The the DT cord-354194-hf5ndv5f 110 2 routine routine JJ cord-354194-hf5ndv5f 110 3 integration integration NN cord-354194-hf5ndv5f 110 4 of of IN cord-354194-hf5ndv5f 110 5 trained train VBN cord-354194-hf5ndv5f 110 6 palliative palliative JJ cord-354194-hf5ndv5f 110 7 care care NN cord-354194-hf5ndv5f 110 8 subspecialists subspecialist NNS cord-354194-hf5ndv5f 110 9 in in IN cord-354194-hf5ndv5f 110 10 the the DT cord-354194-hf5ndv5f 110 11 ICU ICU NNP cord-354194-hf5ndv5f 110 12 has have VBZ cord-354194-hf5ndv5f 110 13 been be VBN cord-354194-hf5ndv5f 110 14 associated associate VBN cord-354194-hf5ndv5f 110 15 with with IN cord-354194-hf5ndv5f 110 16 improved improved JJ cord-354194-hf5ndv5f 110 17 quality quality NN cord-354194-hf5ndv5f 110 18 of of IN cord-354194-hf5ndv5f 110 19 life life NN cord-354194-hf5ndv5f 110 20 , , , cord-354194-hf5ndv5f 110 21 higher high JJR cord-354194-hf5ndv5f 110 22 rates rate NNS cord-354194-hf5ndv5f 110 23 of of IN cord-354194-hf5ndv5f 110 24 formal formal JJ cord-354194-hf5ndv5f 110 25 advance advance NN cord-354194-hf5ndv5f 110 26 directives directive NNS cord-354194-hf5ndv5f 110 27 , , , cord-354194-hf5ndv5f 110 28 and and CC cord-354194-hf5ndv5f 110 29 greater great JJR cord-354194-hf5ndv5f 110 30 utilization utilization NN cord-354194-hf5ndv5f 110 31 of of IN cord-354194-hf5ndv5f 110 32 hospice hospice NN cord-354194-hf5ndv5f 110 33 service service NN cord-354194-hf5ndv5f 110 34 as as RB cord-354194-hf5ndv5f 110 35 well well RB cord-354194-hf5ndv5f 110 36 as as IN cord-354194-hf5ndv5f 110 37 less less RBR cord-354194-hf5ndv5f 110 38 frequent frequent JJ cord-354194-hf5ndv5f 110 39 use use NN cord-354194-hf5ndv5f 110 40 of of IN cord-354194-hf5ndv5f 110 41 certain certain JJ cord-354194-hf5ndv5f 110 42 non non JJ cord-354194-hf5ndv5f 110 43 - - JJ cord-354194-hf5ndv5f 110 44 beneficial beneficial JJ cord-354194-hf5ndv5f 110 45 life life NN cord-354194-hf5ndv5f 110 46 - - HYPH cord-354194-hf5ndv5f 110 47 prolonging prolong VBG cord-354194-hf5ndv5f 110 48 treatments treatment NNS cord-354194-hf5ndv5f 110 49 for for IN cord-354194-hf5ndv5f 110 50 critically critically RB cord-354194-hf5ndv5f 110 51 ill ill JJ cord-354194-hf5ndv5f 110 52 patients patient NNS cord-354194-hf5ndv5f 110 53 at at IN cord-354194-hf5ndv5f 110 54 the the DT cord-354194-hf5ndv5f 110 55 end end NN cord-354194-hf5ndv5f 110 56 of of IN cord-354194-hf5ndv5f 110 57 life life NN cord-354194-hf5ndv5f 110 58 [ [ -LRB- cord-354194-hf5ndv5f 110 59 49 49 CD cord-354194-hf5ndv5f 110 60 ] ] -RRB- cord-354194-hf5ndv5f 110 61 . . . cord-354194-hf5ndv5f 111 1 The the DT cord-354194-hf5ndv5f 111 2 challenges challenge NNS cord-354194-hf5ndv5f 111 3 of of IN cord-354194-hf5ndv5f 111 4 this this DT cord-354194-hf5ndv5f 111 5 integrated integrate VBN cord-354194-hf5ndv5f 111 6 subspecialty subspecialty JJ cord-354194-hf5ndv5f 111 7 model model NN cord-354194-hf5ndv5f 111 8 are be VBP cord-354194-hf5ndv5f 111 9 limited limited JJ cord-354194-hf5ndv5f 111 10 resources resource NNS cord-354194-hf5ndv5f 111 11 and and CC cord-354194-hf5ndv5f 111 12 the the DT cord-354194-hf5ndv5f 111 13 concurrent concurrent JJ cord-354194-hf5ndv5f 111 14 need need NN cord-354194-hf5ndv5f 111 15 for for IN cord-354194-hf5ndv5f 111 16 subspecialty subspecialty JJ cord-354194-hf5ndv5f 111 17 palliative palliative JJ cord-354194-hf5ndv5f 111 18 care care NN cord-354194-hf5ndv5f 111 19 across across IN cord-354194-hf5ndv5f 111 20 the the DT cord-354194-hf5ndv5f 111 21 inpatient inpatient JJ cord-354194-hf5ndv5f 111 22 and and CC cord-354194-hf5ndv5f 111 23 outpatient outpatient NN cord-354194-hf5ndv5f 111 24 settings setting NNS cord-354194-hf5ndv5f 111 25 . . . cord-354194-hf5ndv5f 112 1 It -PRON- PRP cord-354194-hf5ndv5f 112 2 is be VBZ cord-354194-hf5ndv5f 112 3 likely likely JJ cord-354194-hf5ndv5f 112 4 that that IN cord-354194-hf5ndv5f 112 5 as as IN cord-354194-hf5ndv5f 112 6 the the DT cord-354194-hf5ndv5f 112 7 PPC ppc NN cord-354194-hf5ndv5f 112 8 skills skill NNS cord-354194-hf5ndv5f 112 9 of of IN cord-354194-hf5ndv5f 112 10 the the DT cord-354194-hf5ndv5f 112 11 rounding round VBG cord-354194-hf5ndv5f 112 12 intensivist intensivist NN cord-354194-hf5ndv5f 112 13 teams team NNS cord-354194-hf5ndv5f 112 14 increase increase VBP cord-354194-hf5ndv5f 112 15 , , , cord-354194-hf5ndv5f 112 16 the the DT cord-354194-hf5ndv5f 112 17 need need NN cord-354194-hf5ndv5f 112 18 for for IN cord-354194-hf5ndv5f 112 19 integrated integrate VBN cord-354194-hf5ndv5f 112 20 subspecialty subspecialty JJ cord-354194-hf5ndv5f 112 21 palliative palliative JJ cord-354194-hf5ndv5f 112 22 care care NN cord-354194-hf5ndv5f 112 23 will will MD cord-354194-hf5ndv5f 112 24 decrease decrease VB cord-354194-hf5ndv5f 112 25 . . . cord-354194-hf5ndv5f 113 1 The the DT cord-354194-hf5ndv5f 113 2 second second JJ cord-354194-hf5ndv5f 113 3 model model NN cord-354194-hf5ndv5f 113 4 for for IN cord-354194-hf5ndv5f 113 5 integrating integrate VBG cord-354194-hf5ndv5f 113 6 subspecialty subspecialty JJ cord-354194-hf5ndv5f 113 7 palliative palliative JJ cord-354194-hf5ndv5f 113 8 care care NN cord-354194-hf5ndv5f 113 9 is be VBZ cord-354194-hf5ndv5f 113 10 consultative consultative JJ cord-354194-hf5ndv5f 113 11 care care NN cord-354194-hf5ndv5f 113 12 . . . cord-354194-hf5ndv5f 114 1 This this DT cord-354194-hf5ndv5f 114 2 system system NN cord-354194-hf5ndv5f 114 3 works work VBZ cord-354194-hf5ndv5f 114 4 the the DT cord-354194-hf5ndv5f 114 5 same same JJ cord-354194-hf5ndv5f 114 6 way way NN cord-354194-hf5ndv5f 114 7 as as IN cord-354194-hf5ndv5f 114 8 any any DT cord-354194-hf5ndv5f 114 9 other other JJ cord-354194-hf5ndv5f 114 10 consultant consultant NN cord-354194-hf5ndv5f 114 11 service service NN cord-354194-hf5ndv5f 114 12 in in IN cord-354194-hf5ndv5f 114 13 the the DT cord-354194-hf5ndv5f 114 14 ICU ICU NNP cord-354194-hf5ndv5f 114 15 . . . cord-354194-hf5ndv5f 115 1 The the DT cord-354194-hf5ndv5f 115 2 assumption assumption NN cord-354194-hf5ndv5f 115 3 in in IN cord-354194-hf5ndv5f 115 4 this this DT cord-354194-hf5ndv5f 115 5 model model NN cord-354194-hf5ndv5f 115 6 is be VBZ cord-354194-hf5ndv5f 115 7 that that IN cord-354194-hf5ndv5f 115 8 there there EX cord-354194-hf5ndv5f 115 9 is be VBZ cord-354194-hf5ndv5f 115 10 a a DT cord-354194-hf5ndv5f 115 11 baseline baseline JJ cord-354194-hf5ndv5f 115 12 degree degree NN cord-354194-hf5ndv5f 115 13 of of IN cord-354194-hf5ndv5f 115 14 comfort comfort NN cord-354194-hf5ndv5f 115 15 from from IN cord-354194-hf5ndv5f 115 16 the the DT cord-354194-hf5ndv5f 115 17 ICU ICU NNP cord-354194-hf5ndv5f 115 18 team team NN cord-354194-hf5ndv5f 115 19 with with IN cord-354194-hf5ndv5f 115 20 defining define VBG cord-354194-hf5ndv5f 115 21 GOC GOC NNP cord-354194-hf5ndv5f 115 22 , , , cord-354194-hf5ndv5f 115 23 providing provide VBG cord-354194-hf5ndv5f 115 24 goal goal NN cord-354194-hf5ndv5f 115 25 concordant concordant JJ cord-354194-hf5ndv5f 115 26 care care NN cord-354194-hf5ndv5f 115 27 and and CC cord-354194-hf5ndv5f 115 28 transitioning transition VBG cord-354194-hf5ndv5f 115 29 goals goal NNS cord-354194-hf5ndv5f 115 30 to to TO cord-354194-hf5ndv5f 115 31 comfort comfort VB cord-354194-hf5ndv5f 115 32 only only RB cord-354194-hf5ndv5f 115 33 . . . cord-354194-hf5ndv5f 116 1 Additionally additionally RB cord-354194-hf5ndv5f 116 2 , , , cord-354194-hf5ndv5f 116 3 this this DT cord-354194-hf5ndv5f 116 4 model model NN cord-354194-hf5ndv5f 116 5 presumes presume VBZ cord-354194-hf5ndv5f 116 6 a a DT cord-354194-hf5ndv5f 116 7 low low JJ cord-354194-hf5ndv5f 116 8 barrier barrier NN cord-354194-hf5ndv5f 116 9 for for IN cord-354194-hf5ndv5f 116 10 the the DT cord-354194-hf5ndv5f 116 11 primary primary JJ cord-354194-hf5ndv5f 116 12 team team NN cord-354194-hf5ndv5f 116 13 to to TO cord-354194-hf5ndv5f 116 14 engage engage VB cord-354194-hf5ndv5f 116 15 the the DT cord-354194-hf5ndv5f 116 16 palliative palliative JJ cord-354194-hf5ndv5f 116 17 care care NN cord-354194-hf5ndv5f 116 18 consultant consultant NN cord-354194-hf5ndv5f 116 19 when when WRB cord-354194-hf5ndv5f 116 20 appropriate appropriate JJ cord-354194-hf5ndv5f 116 21 , , , cord-354194-hf5ndv5f 116 22 providing provide VBG cord-354194-hf5ndv5f 116 23 palliative palliative JJ cord-354194-hf5ndv5f 116 24 and and CC cord-354194-hf5ndv5f 116 25 surgical surgical JJ cord-354194-hf5ndv5f 116 26 care care NN cord-354194-hf5ndv5f 116 27 as as IN cord-354194-hf5ndv5f 116 28 an an DT cord-354194-hf5ndv5f 116 29 integrated integrated JJ cord-354194-hf5ndv5f 116 30 whole whole NN cord-354194-hf5ndv5f 116 31 [ [ -LRB- cord-354194-hf5ndv5f 116 32 2 2 CD cord-354194-hf5ndv5f 116 33 ] ] -RRB- cord-354194-hf5ndv5f 116 34 . . . cord-354194-hf5ndv5f 117 1 The the DT cord-354194-hf5ndv5f 117 2 primary primary JJ cord-354194-hf5ndv5f 117 3 failing failing NN cord-354194-hf5ndv5f 117 4 of of IN cord-354194-hf5ndv5f 117 5 this this DT cord-354194-hf5ndv5f 117 6 structure structure NN cord-354194-hf5ndv5f 117 7 comes come VBZ cord-354194-hf5ndv5f 117 8 if if IN cord-354194-hf5ndv5f 117 9 those those DT cord-354194-hf5ndv5f 117 10 presumptions presumption NNS cord-354194-hf5ndv5f 117 11 are be VBP cord-354194-hf5ndv5f 117 12 not not RB cord-354194-hf5ndv5f 117 13 true true JJ cord-354194-hf5ndv5f 117 14 and and CC cord-354194-hf5ndv5f 117 15 the the DT cord-354194-hf5ndv5f 117 16 communication communication NN cord-354194-hf5ndv5f 117 17 needs need NNS cord-354194-hf5ndv5f 117 18 of of IN cord-354194-hf5ndv5f 117 19 the the DT cord-354194-hf5ndv5f 117 20 family family NN cord-354194-hf5ndv5f 117 21 and and CC cord-354194-hf5ndv5f 117 22 patient patient NN cord-354194-hf5ndv5f 117 23 are be VBP cord-354194-hf5ndv5f 117 24 not not RB cord-354194-hf5ndv5f 117 25 attended attend VBN cord-354194-hf5ndv5f 117 26 to to IN cord-354194-hf5ndv5f 117 27 . . . cord-354194-hf5ndv5f 118 1 When when WRB cord-354194-hf5ndv5f 118 2 this this DT cord-354194-hf5ndv5f 118 3 structure structure NN cord-354194-hf5ndv5f 118 4 of of IN cord-354194-hf5ndv5f 118 5 care care NN cord-354194-hf5ndv5f 118 6 is be VBZ cord-354194-hf5ndv5f 118 7 studied study VBN cord-354194-hf5ndv5f 118 8 , , , cord-354194-hf5ndv5f 118 9 patients patient NNS cord-354194-hf5ndv5f 118 10 with with IN cord-354194-hf5ndv5f 118 11 a a DT cord-354194-hf5ndv5f 118 12 palliative palliative NN cord-354194-hf5ndv5f 118 13 consult consult NN cord-354194-hf5ndv5f 118 14 are be VBP cord-354194-hf5ndv5f 118 15 older old JJR cord-354194-hf5ndv5f 118 16 , , , cord-354194-hf5ndv5f 118 17 more more RBR cord-354194-hf5ndv5f 118 18 seriously seriously RB cord-354194-hf5ndv5f 118 19 ill ill JJ cord-354194-hf5ndv5f 118 20 , , , cord-354194-hf5ndv5f 118 21 and and CC cord-354194-hf5ndv5f 118 22 more more RBR cord-354194-hf5ndv5f 118 23 likely likely JJ cord-354194-hf5ndv5f 118 24 to to TO cord-354194-hf5ndv5f 118 25 be be VB cord-354194-hf5ndv5f 118 26 at at IN cord-354194-hf5ndv5f 118 27 the the DT cord-354194-hf5ndv5f 118 28 end end NN cord-354194-hf5ndv5f 118 29 of of IN cord-354194-hf5ndv5f 118 30 life life NN cord-354194-hf5ndv5f 118 31 [ [ -LRB- cord-354194-hf5ndv5f 118 32 50 50 CD cord-354194-hf5ndv5f 118 33 ] ] -RRB- cord-354194-hf5ndv5f 118 34 . . . cord-354194-hf5ndv5f 119 1 Palliative palliative JJ cord-354194-hf5ndv5f 119 2 care care NN cord-354194-hf5ndv5f 119 3 consultations consultation NNS cord-354194-hf5ndv5f 119 4 tend tend VBP cord-354194-hf5ndv5f 119 5 to to TO cord-354194-hf5ndv5f 119 6 be be VB cord-354194-hf5ndv5f 119 7 within within IN cord-354194-hf5ndv5f 119 8 the the DT cord-354194-hf5ndv5f 119 9 last last JJ cord-354194-hf5ndv5f 119 10 24 24 CD cord-354194-hf5ndv5f 119 11 h h NN cord-354194-hf5ndv5f 119 12 of of IN cord-354194-hf5ndv5f 119 13 life life NN cord-354194-hf5ndv5f 119 14 and and CC cord-354194-hf5ndv5f 119 15 are be VBP cord-354194-hf5ndv5f 119 16 primarily primarily RB cord-354194-hf5ndv5f 119 17 symptom symptom NN cord-354194-hf5ndv5f 119 18 management management NN cord-354194-hf5ndv5f 119 19 at at IN cord-354194-hf5ndv5f 119 20 the the DT cord-354194-hf5ndv5f 119 21 end end NN cord-354194-hf5ndv5f 119 22 of of IN cord-354194-hf5ndv5f 119 23 life life NN cord-354194-hf5ndv5f 119 24 , , , cord-354194-hf5ndv5f 119 25 suggesting suggest VBG cord-354194-hf5ndv5f 119 26 an an DT cord-354194-hf5ndv5f 119 27 earlier early JJR cord-354194-hf5ndv5f 119 28 opportunity opportunity NN cord-354194-hf5ndv5f 119 29 to to TO cord-354194-hf5ndv5f 119 30 involve involve VB cord-354194-hf5ndv5f 119 31 palliative palliative JJ cord-354194-hf5ndv5f 119 32 care care NN cord-354194-hf5ndv5f 119 33 [ [ -LRB- cord-354194-hf5ndv5f 119 34 51 51 CD cord-354194-hf5ndv5f 119 35 ] ] -RRB- cord-354194-hf5ndv5f 119 36 . . . cord-354194-hf5ndv5f 120 1 The the DT cord-354194-hf5ndv5f 120 2 risk risk NN cord-354194-hf5ndv5f 120 3 of of IN cord-354194-hf5ndv5f 120 4 late late JJ cord-354194-hf5ndv5f 120 5 consultation consultation NN cord-354194-hf5ndv5f 120 6 can can MD cord-354194-hf5ndv5f 120 7 be be VB cord-354194-hf5ndv5f 120 8 mitigated mitigate VBN cord-354194-hf5ndv5f 120 9 through through IN cord-354194-hf5ndv5f 120 10 structured structured JJ cord-354194-hf5ndv5f 120 11 triggers trigger NNS cord-354194-hf5ndv5f 120 12 for for IN cord-354194-hf5ndv5f 120 13 palliative palliative JJ cord-354194-hf5ndv5f 120 14 consultation consultation NN cord-354194-hf5ndv5f 120 15 . . . cord-354194-hf5ndv5f 121 1 Demonstrated demonstrate VBN cord-354194-hf5ndv5f 121 2 to to TO cord-354194-hf5ndv5f 121 3 increase increase VB cord-354194-hf5ndv5f 121 4 palliative palliative JJ cord-354194-hf5ndv5f 121 5 care care NN cord-354194-hf5ndv5f 121 6 involvement involvement NN cord-354194-hf5ndv5f 121 7 in in IN cord-354194-hf5ndv5f 121 8 critically critically RB cord-354194-hf5ndv5f 121 9 ill ill JJ cord-354194-hf5ndv5f 121 10 non non JJ cord-354194-hf5ndv5f 121 11 - - JJ cord-354194-hf5ndv5f 121 12 surgical surgical JJ cord-354194-hf5ndv5f 121 13 ICU ICU NNP cord-354194-hf5ndv5f 121 14 patients patient NNS cord-354194-hf5ndv5f 121 15 , , , cord-354194-hf5ndv5f 121 16 triggers trigger NNS cord-354194-hf5ndv5f 121 17 are be VBP cord-354194-hf5ndv5f 121 18 established establish VBN cord-354194-hf5ndv5f 121 19 in in IN cord-354194-hf5ndv5f 121 20 only only RB cord-354194-hf5ndv5f 121 21 a a DT cord-354194-hf5ndv5f 121 22 minority minority NN cord-354194-hf5ndv5f 121 23 of of IN cord-354194-hf5ndv5f 121 24 surgical surgical JJ cord-354194-hf5ndv5f 121 25 ICUs icus NN cord-354194-hf5ndv5f 121 26 , , , cord-354194-hf5ndv5f 121 27 despite despite IN cord-354194-hf5ndv5f 121 28 a a DT cord-354194-hf5ndv5f 121 29 sizeable sizeable JJ cord-354194-hf5ndv5f 121 30 identified identify VBN cord-354194-hf5ndv5f 121 31 need need NN cord-354194-hf5ndv5f 121 32 for for IN cord-354194-hf5ndv5f 121 33 palliative palliative NN cord-354194-hf5ndv5f 121 34 and and CC cord-354194-hf5ndv5f 121 35 communication communication NN cord-354194-hf5ndv5f 121 36 support support NN cord-354194-hf5ndv5f 121 37 [ [ -LRB- cord-354194-hf5ndv5f 121 38 37 37 CD cord-354194-hf5ndv5f 121 39 , , , cord-354194-hf5ndv5f 121 40 52 52 CD cord-354194-hf5ndv5f 121 41 , , , cord-354194-hf5ndv5f 121 42 53 53 CD cord-354194-hf5ndv5f 121 43 ] ] -RRB- cord-354194-hf5ndv5f 121 44 . . . cord-354194-hf5ndv5f 122 1 As as IN cord-354194-hf5ndv5f 122 2 the the DT cord-354194-hf5ndv5f 122 3 poor poor JJ cord-354194-hf5ndv5f 122 4 to to TO cord-354194-hf5ndv5f 122 5 moderate moderate JJ cord-354194-hf5ndv5f 122 6 performance performance NN cord-354194-hf5ndv5f 122 7 of of IN cord-354194-hf5ndv5f 122 8 the the DT cord-354194-hf5ndv5f 122 9 " " `` cord-354194-hf5ndv5f 122 10 surprise surprise NN cord-354194-hf5ndv5f 122 11 " " '' cord-354194-hf5ndv5f 122 12 question question NN cord-354194-hf5ndv5f 122 13 in in IN cord-354194-hf5ndv5f 122 14 non non JJ cord-354194-hf5ndv5f 122 15 - - JJ cord-354194-hf5ndv5f 122 16 cancer cancer JJ cord-354194-hf5ndv5f 122 17 diseases disease NNS cord-354194-hf5ndv5f 122 18 demonstrated demonstrate VBD cord-354194-hf5ndv5f 122 19 , , , cord-354194-hf5ndv5f 122 20 established establish VBD cord-354194-hf5ndv5f 122 21 screening screening NN cord-354194-hf5ndv5f 122 22 systems system NNS cord-354194-hf5ndv5f 122 23 designed design VBN cord-354194-hf5ndv5f 122 24 in in IN cord-354194-hf5ndv5f 122 25 non non JJ cord-354194-hf5ndv5f 122 26 - - JJ cord-354194-hf5ndv5f 122 27 trauma trauma JJ cord-354194-hf5ndv5f 122 28 patients patient NNS cord-354194-hf5ndv5f 122 29 have have VBP cord-354194-hf5ndv5f 122 30 only only RB cord-354194-hf5ndv5f 122 31 limited limited JJ cord-354194-hf5ndv5f 122 32 ability ability NN cord-354194-hf5ndv5f 122 33 to to TO cord-354194-hf5ndv5f 122 34 perform perform VB cord-354194-hf5ndv5f 122 35 well well RB cord-354194-hf5ndv5f 122 36 in in IN cord-354194-hf5ndv5f 122 37 trauma trauma NN cord-354194-hf5ndv5f 122 38 patients patient NNS cord-354194-hf5ndv5f 122 39 [ [ -LRB- cord-354194-hf5ndv5f 122 40 54 54 CD cord-354194-hf5ndv5f 122 41 ] ] -RRB- cord-354194-hf5ndv5f 122 42 . . . cord-354194-hf5ndv5f 123 1 Within within IN cord-354194-hf5ndv5f 123 2 the the DT cord-354194-hf5ndv5f 123 3 trauma trauma NN cord-354194-hf5ndv5f 123 4 population population NN cord-354194-hf5ndv5f 123 5 , , , cord-354194-hf5ndv5f 123 6 triggers trigger VBZ cord-354194-hf5ndv5f 123 7 for for IN cord-354194-hf5ndv5f 123 8 consultation consultation NN cord-354194-hf5ndv5f 123 9 are be VBP cord-354194-hf5ndv5f 123 10 poorly poorly RB cord-354194-hf5ndv5f 123 11 defined define VBN cord-354194-hf5ndv5f 123 12 , , , cord-354194-hf5ndv5f 123 13 beyond beyond IN cord-354194-hf5ndv5f 123 14 injury injury NN cord-354194-hf5ndv5f 123 15 severity severity NN cord-354194-hf5ndv5f 123 16 score score NN cord-354194-hf5ndv5f 123 17 and and CC cord-354194-hf5ndv5f 123 18 profound profound JJ cord-354194-hf5ndv5f 123 19 neurologic neurologic JJ cord-354194-hf5ndv5f 123 20 injury injury NN cord-354194-hf5ndv5f 123 21 in in IN cord-354194-hf5ndv5f 123 22 older old JJR cord-354194-hf5ndv5f 123 23 patients patient NNS cord-354194-hf5ndv5f 123 24 [ [ -LRB- cord-354194-hf5ndv5f 123 25 2 2 CD cord-354194-hf5ndv5f 123 26 , , , cord-354194-hf5ndv5f 123 27 11 11 CD cord-354194-hf5ndv5f 123 28 ] ] -RRB- cord-354194-hf5ndv5f 123 29 . . . cord-354194-hf5ndv5f 124 1 Within within IN cord-354194-hf5ndv5f 124 2 the the DT cord-354194-hf5ndv5f 124 3 general general JJ cord-354194-hf5ndv5f 124 4 geriatric geriatric JJ cord-354194-hf5ndv5f 124 5 trauma trauma NN cord-354194-hf5ndv5f 124 6 population population NN cord-354194-hf5ndv5f 124 7 , , , cord-354194-hf5ndv5f 124 8 the the DT cord-354194-hf5ndv5f 124 9 Geriatric Geriatric NNP cord-354194-hf5ndv5f 124 10 Trauma Trauma NNP cord-354194-hf5ndv5f 124 11 Outcomes Outcomes NNPS cord-354194-hf5ndv5f 124 12 Score Score NNP cord-354194-hf5ndv5f 124 13 ( ( -LRB- cord-354194-hf5ndv5f 124 14 GTOS GTOS NNP cord-354194-hf5ndv5f 124 15 ) ) -RRB- cord-354194-hf5ndv5f 124 16 is be VBZ cord-354194-hf5ndv5f 124 17 a a DT cord-354194-hf5ndv5f 124 18 validated validate VBN cord-354194-hf5ndv5f 124 19 predictive predictive JJ cord-354194-hf5ndv5f 124 20 tool tool NN cord-354194-hf5ndv5f 124 21 that that WDT cord-354194-hf5ndv5f 124 22 can can MD cord-354194-hf5ndv5f 124 23 provide provide VB cord-354194-hf5ndv5f 124 24 a a DT cord-354194-hf5ndv5f 124 25 reliable reliable JJ cord-354194-hf5ndv5f 124 26 estimate estimate NN cord-354194-hf5ndv5f 124 27 of of IN cord-354194-hf5ndv5f 124 28 in in IN cord-354194-hf5ndv5f 124 29 - - HYPH cord-354194-hf5ndv5f 124 30 hospital hospital NN cord-354194-hf5ndv5f 124 31 mortality mortality NN cord-354194-hf5ndv5f 124 32 risk risk NN cord-354194-hf5ndv5f 124 33 using use VBG cord-354194-hf5ndv5f 124 34 data datum NNS cord-354194-hf5ndv5f 124 35 available available JJ cord-354194-hf5ndv5f 124 36 early early RB cord-354194-hf5ndv5f 124 37 in in IN cord-354194-hf5ndv5f 124 38 a a DT cord-354194-hf5ndv5f 124 39 patient patient NN cord-354194-hf5ndv5f 124 40 's 's POS cord-354194-hf5ndv5f 124 41 hospital hospital NN cord-354194-hf5ndv5f 124 42 course course NN cord-354194-hf5ndv5f 124 43 , , , cord-354194-hf5ndv5f 124 44 allowing allow VBG cord-354194-hf5ndv5f 124 45 palliative palliative JJ cord-354194-hf5ndv5f 124 46 consultations consultation NNS cord-354194-hf5ndv5f 124 47 for for IN cord-354194-hf5ndv5f 124 48 the the DT cord-354194-hf5ndv5f 124 49 highest high JJS cord-354194-hf5ndv5f 124 50 risk risk NN cord-354194-hf5ndv5f 124 51 patients patient NNS cord-354194-hf5ndv5f 124 52 [ [ -LRB- cord-354194-hf5ndv5f 124 53 55 55 CD cord-354194-hf5ndv5f 124 54 ] ] -RRB- cord-354194-hf5ndv5f 125 1 [ [ -LRB- cord-354194-hf5ndv5f 125 2 56 56 CD cord-354194-hf5ndv5f 125 3 ] ] -RRB- cord-354194-hf5ndv5f 125 4 [ [ -LRB- cord-354194-hf5ndv5f 125 5 57 57 CD cord-354194-hf5ndv5f 125 6 ] ] -RRB- cord-354194-hf5ndv5f 125 7 . . . cord-354194-hf5ndv5f 126 1 Predicting predict VBG cord-354194-hf5ndv5f 126 2 patients patient NNS cord-354194-hf5ndv5f 126 3 at at IN cord-354194-hf5ndv5f 126 4 risk risk NN cord-354194-hf5ndv5f 126 5 for for IN cord-354194-hf5ndv5f 126 6 death death NN cord-354194-hf5ndv5f 126 7 in in IN cord-354194-hf5ndv5f 126 8 the the DT cord-354194-hf5ndv5f 126 9 year year NN cord-354194-hf5ndv5f 126 10 after after IN cord-354194-hf5ndv5f 126 11 injury injury NN cord-354194-hf5ndv5f 126 12 , , , cord-354194-hf5ndv5f 126 13 however however RB cord-354194-hf5ndv5f 126 14 , , , cord-354194-hf5ndv5f 126 15 has have VBZ cord-354194-hf5ndv5f 126 16 proven prove VBN cord-354194-hf5ndv5f 126 17 much much RB cord-354194-hf5ndv5f 126 18 more more RBR cord-354194-hf5ndv5f 126 19 challenging challenging JJ cord-354194-hf5ndv5f 126 20 despite despite IN cord-354194-hf5ndv5f 126 21 a a DT cord-354194-hf5ndv5f 126 22 clear clear JJ cord-354194-hf5ndv5f 126 23 need need NN cord-354194-hf5ndv5f 126 24 to to TO cord-354194-hf5ndv5f 126 25 identify identify VB cord-354194-hf5ndv5f 126 26 patients patient NNS cord-354194-hf5ndv5f 126 27 who who WP cord-354194-hf5ndv5f 126 28 survive survive VBP cord-354194-hf5ndv5f 126 29 their -PRON- PRP$ cord-354194-hf5ndv5f 126 30 hospital hospital NN cord-354194-hf5ndv5f 126 31 stay stay VB cord-354194-hf5ndv5f 126 32 only only RB cord-354194-hf5ndv5f 126 33 to to TO cord-354194-hf5ndv5f 126 34 die die VB cord-354194-hf5ndv5f 126 35 in in IN cord-354194-hf5ndv5f 126 36 the the DT cord-354194-hf5ndv5f 126 37 coming come VBG cord-354194-hf5ndv5f 126 38 year year NN cord-354194-hf5ndv5f 126 39 [ [ -LRB- cord-354194-hf5ndv5f 126 40 55 55 CD cord-354194-hf5ndv5f 126 41 ] ] -RRB- cord-354194-hf5ndv5f 126 42 [ [ -LRB- cord-354194-hf5ndv5f 126 43 56 56 CD cord-354194-hf5ndv5f 126 44 ] ] -RRB- cord-354194-hf5ndv5f 126 45 [ [ -LRB- cord-354194-hf5ndv5f 126 46 57 57 CD cord-354194-hf5ndv5f 126 47 ] ] -RRB- cord-354194-hf5ndv5f 126 48 [ [ -LRB- cord-354194-hf5ndv5f 126 49 58 58 CD cord-354194-hf5ndv5f 126 50 ] ] -RRB- cord-354194-hf5ndv5f 126 51 [ [ -LRB- cord-354194-hf5ndv5f 126 52 59 59 CD cord-354194-hf5ndv5f 126 53 ] ] -RRB- cord-354194-hf5ndv5f 126 54 . . . cord-354194-hf5ndv5f 127 1 It -PRON- PRP cord-354194-hf5ndv5f 127 2 may may MD cord-354194-hf5ndv5f 127 3 be be VB cord-354194-hf5ndv5f 127 4 that that IN cord-354194-hf5ndv5f 127 5 a a DT cord-354194-hf5ndv5f 127 6 sustained sustained JJ cord-354194-hf5ndv5f 127 7 focus focus NN cord-354194-hf5ndv5f 127 8 on on IN cord-354194-hf5ndv5f 127 9 changing change VBG cord-354194-hf5ndv5f 127 10 the the DT cord-354194-hf5ndv5f 127 11 culture culture NN cord-354194-hf5ndv5f 127 12 of of IN cord-354194-hf5ndv5f 127 13 an an DT cord-354194-hf5ndv5f 127 14 ICU ICU NNP cord-354194-hf5ndv5f 127 15 unit unit NN cord-354194-hf5ndv5f 127 16 towards towards IN cord-354194-hf5ndv5f 127 17 one one CD cord-354194-hf5ndv5f 127 18 accepting accept VBG cord-354194-hf5ndv5f 127 19 and and CC cord-354194-hf5ndv5f 127 20 supportive supportive JJ cord-354194-hf5ndv5f 127 21 of of IN cord-354194-hf5ndv5f 127 22 palliative palliative JJ cord-354194-hf5ndv5f 127 23 care care NN cord-354194-hf5ndv5f 127 24 involvement involvement NN cord-354194-hf5ndv5f 127 25 is be VBZ cord-354194-hf5ndv5f 127 26 a a DT cord-354194-hf5ndv5f 127 27 key key JJ cord-354194-hf5ndv5f 127 28 first first JJ cord-354194-hf5ndv5f 127 29 step step NN cord-354194-hf5ndv5f 127 30 in in IN cord-354194-hf5ndv5f 127 31 routinely routinely RB cord-354194-hf5ndv5f 127 32 involving involve VBG cord-354194-hf5ndv5f 127 33 the the DT cord-354194-hf5ndv5f 127 34 consultative consultative JJ cord-354194-hf5ndv5f 127 35 palliative palliative JJ cord-354194-hf5ndv5f 127 36 care care NN cord-354194-hf5ndv5f 127 37 service service NN cord-354194-hf5ndv5f 127 38 [ [ -LRB- cord-354194-hf5ndv5f 127 39 2 2 CD cord-354194-hf5ndv5f 127 40 ] ] -RRB- cord-354194-hf5ndv5f 127 41 . . . cord-354194-hf5ndv5f 128 1 The the DT cord-354194-hf5ndv5f 128 2 optimal optimal JJ cord-354194-hf5ndv5f 128 3 structure structure NN cord-354194-hf5ndv5f 128 4 to to TO cord-354194-hf5ndv5f 128 5 prioritize prioritize VB cord-354194-hf5ndv5f 128 6 communication communication NN cord-354194-hf5ndv5f 128 7 in in IN cord-354194-hf5ndv5f 128 8 a a DT cord-354194-hf5ndv5f 128 9 given give VBN cord-354194-hf5ndv5f 128 10 ICU ICU NNP cord-354194-hf5ndv5f 128 11 is be VBZ cord-354194-hf5ndv5f 128 12 likely likely RB cord-354194-hf5ndv5f 128 13 dynamic dynamic JJ cord-354194-hf5ndv5f 128 14 and and CC cord-354194-hf5ndv5f 128 15 driven drive VBN cord-354194-hf5ndv5f 128 16 by by IN cord-354194-hf5ndv5f 128 17 local local JJ cord-354194-hf5ndv5f 128 18 expertise expertise NN cord-354194-hf5ndv5f 128 19 and and CC cord-354194-hf5ndv5f 128 20 should should MD cord-354194-hf5ndv5f 128 21 be be VB cord-354194-hf5ndv5f 128 22 tailored tailor VBN cord-354194-hf5ndv5f 128 23 to to IN cord-354194-hf5ndv5f 128 24 the the DT cord-354194-hf5ndv5f 128 25 individual individual JJ cord-354194-hf5ndv5f 128 26 institution institution NN cord-354194-hf5ndv5f 128 27 's 's POS cord-354194-hf5ndv5f 128 28 resources resource NNS cord-354194-hf5ndv5f 128 29 . . . cord-354194-hf5ndv5f 129 1 The the DT cord-354194-hf5ndv5f 129 2 driving driving NN cord-354194-hf5ndv5f 129 3 variable variable NN cord-354194-hf5ndv5f 129 4 here here RB cord-354194-hf5ndv5f 129 5 is be VBZ cord-354194-hf5ndv5f 129 6 the the DT cord-354194-hf5ndv5f 129 7 quality quality NN cord-354194-hf5ndv5f 129 8 of of IN cord-354194-hf5ndv5f 129 9 intensivist intensivist NN cord-354194-hf5ndv5f 129 10 provided provide VBN cord-354194-hf5ndv5f 129 11 PPC PPC NNP cord-354194-hf5ndv5f 129 12 as as RB cord-354194-hf5ndv5f 129 13 well well RB cord-354194-hf5ndv5f 129 14 as as IN cord-354194-hf5ndv5f 129 15 the the DT cord-354194-hf5ndv5f 129 16 culture culture NN cord-354194-hf5ndv5f 129 17 of of IN cord-354194-hf5ndv5f 129 18 the the DT cord-354194-hf5ndv5f 129 19 institution institution NN cord-354194-hf5ndv5f 129 20 and and CC cord-354194-hf5ndv5f 129 21 ICU ICU NNP cord-354194-hf5ndv5f 129 22 . . . cord-354194-hf5ndv5f 130 1 At at IN cord-354194-hf5ndv5f 130 2 an an DT cord-354194-hf5ndv5f 130 3 institution institution NN cord-354194-hf5ndv5f 130 4 where where WRB cord-354194-hf5ndv5f 130 5 the the DT cord-354194-hf5ndv5f 130 6 attending attend VBG cord-354194-hf5ndv5f 130 7 physicians physician NNS cord-354194-hf5ndv5f 130 8 and and CC cord-354194-hf5ndv5f 130 9 the the DT cord-354194-hf5ndv5f 130 10 medical medical JJ cord-354194-hf5ndv5f 130 11 infrastructure infrastructure NN cord-354194-hf5ndv5f 130 12 are be VBP cord-354194-hf5ndv5f 130 13 supportive supportive JJ cord-354194-hf5ndv5f 130 14 of of IN cord-354194-hf5ndv5f 130 15 early early JJ cord-354194-hf5ndv5f 130 16 approaches approach NNS cord-354194-hf5ndv5f 130 17 to to IN cord-354194-hf5ndv5f 130 18 GOC GOC NNP cord-354194-hf5ndv5f 130 19 discussions discussion NNS cord-354194-hf5ndv5f 130 20 and and CC cord-354194-hf5ndv5f 130 21 supportive supportive JJ cord-354194-hf5ndv5f 130 22 of of IN cord-354194-hf5ndv5f 130 23 a a DT cord-354194-hf5ndv5f 130 24 proactive proactive JJ cord-354194-hf5ndv5f 130 25 approach approach NN cord-354194-hf5ndv5f 130 26 to to IN cord-354194-hf5ndv5f 130 27 palliative palliative JJ cord-354194-hf5ndv5f 130 28 principles principle NNS cord-354194-hf5ndv5f 130 29 , , , cord-354194-hf5ndv5f 130 30 then then RB cord-354194-hf5ndv5f 130 31 consulting consult VBG cord-354194-hf5ndv5f 130 32 only only RB cord-354194-hf5ndv5f 130 33 subspecialty subspecialty JJ cord-354194-hf5ndv5f 130 34 palliative palliative JJ cord-354194-hf5ndv5f 130 35 care care NN cord-354194-hf5ndv5f 130 36 can can MD cord-354194-hf5ndv5f 130 37 be be VB cord-354194-hf5ndv5f 130 38 reserved reserve VBN cord-354194-hf5ndv5f 130 39 for for IN cord-354194-hf5ndv5f 130 40 only only RB cord-354194-hf5ndv5f 130 41 the the DT cord-354194-hf5ndv5f 130 42 most most RBS cord-354194-hf5ndv5f 130 43 difficult difficult JJ cord-354194-hf5ndv5f 130 44 or or CC cord-354194-hf5ndv5f 130 45 complex complex JJ cord-354194-hf5ndv5f 130 46 cases case NNS cord-354194-hf5ndv5f 130 47 . . . cord-354194-hf5ndv5f 131 1 In in IN cord-354194-hf5ndv5f 131 2 the the DT cord-354194-hf5ndv5f 131 3 setting setting NN cord-354194-hf5ndv5f 131 4 where where WRB cord-354194-hf5ndv5f 131 5 the the DT cord-354194-hf5ndv5f 131 6 attending attend VBG cord-354194-hf5ndv5f 131 7 physicians physician NNS cord-354194-hf5ndv5f 131 8 or or CC cord-354194-hf5ndv5f 131 9 the the DT cord-354194-hf5ndv5f 131 10 hospital hospital NN cord-354194-hf5ndv5f 131 11 or or CC cord-354194-hf5ndv5f 131 12 patient patient JJ cord-354194-hf5ndv5f 131 13 cultures culture NNS cord-354194-hf5ndv5f 131 14 are be VBP cord-354194-hf5ndv5f 131 15 less less RBR cord-354194-hf5ndv5f 131 16 open open JJ cord-354194-hf5ndv5f 131 17 to to IN cord-354194-hf5ndv5f 131 18 an an DT cord-354194-hf5ndv5f 131 19 early early JJ cord-354194-hf5ndv5f 131 20 focus focus NN cord-354194-hf5ndv5f 131 21 on on IN cord-354194-hf5ndv5f 131 22 understanding understand VBG cord-354194-hf5ndv5f 131 23 GOC GOC NNP cord-354194-hf5ndv5f 131 24 and and CC cord-354194-hf5ndv5f 131 25 considering consider VBG cord-354194-hf5ndv5f 131 26 less less JJR cord-354194-hf5ndv5f 131 27 than than IN cord-354194-hf5ndv5f 131 28 maximally maximally RB cord-354194-hf5ndv5f 131 29 interventionist interventionist JJ cord-354194-hf5ndv5f 131 30 care care NN cord-354194-hf5ndv5f 131 31 plans plan NNS cord-354194-hf5ndv5f 131 32 , , , cord-354194-hf5ndv5f 131 33 it -PRON- PRP cord-354194-hf5ndv5f 131 34 may may MD cord-354194-hf5ndv5f 131 35 be be VB cord-354194-hf5ndv5f 131 36 necessary necessary JJ cord-354194-hf5ndv5f 131 37 to to TO cord-354194-hf5ndv5f 131 38 integrate integrate VB cord-354194-hf5ndv5f 131 39 a a DT cord-354194-hf5ndv5f 131 40 palliative palliative JJ cord-354194-hf5ndv5f 131 41 care care NN cord-354194-hf5ndv5f 131 42 subspecialist subspecialist NN cord-354194-hf5ndv5f 131 43 into into IN cord-354194-hf5ndv5f 131 44 the the DT cord-354194-hf5ndv5f 131 45 ICU ICU NNP cord-354194-hf5ndv5f 131 46 team team NN cord-354194-hf5ndv5f 131 47 . . . cord-354194-hf5ndv5f 132 1 This this DT cord-354194-hf5ndv5f 132 2 will will MD cord-354194-hf5ndv5f 132 3 lower lower VB cord-354194-hf5ndv5f 132 4 the the DT cord-354194-hf5ndv5f 132 5 barrier barrier NN cord-354194-hf5ndv5f 132 6 to to IN cord-354194-hf5ndv5f 132 7 integration integration NN cord-354194-hf5ndv5f 132 8 of of IN cord-354194-hf5ndv5f 132 9 palliative palliative JJ cord-354194-hf5ndv5f 132 10 care care NN cord-354194-hf5ndv5f 132 11 principles principle NNS cord-354194-hf5ndv5f 132 12 , , , cord-354194-hf5ndv5f 132 13 help help VB cord-354194-hf5ndv5f 132 14 to to TO cord-354194-hf5ndv5f 132 15 prioritize prioritize VB cord-354194-hf5ndv5f 132 16 communication communication NN cord-354194-hf5ndv5f 132 17 , , , cord-354194-hf5ndv5f 132 18 and and CC cord-354194-hf5ndv5f 132 19 , , , cord-354194-hf5ndv5f 132 20 over over IN cord-354194-hf5ndv5f 132 21 time time NN cord-354194-hf5ndv5f 132 22 , , , cord-354194-hf5ndv5f 132 23 will will MD cord-354194-hf5ndv5f 132 24 improve improve VB cord-354194-hf5ndv5f 132 25 the the DT cord-354194-hf5ndv5f 132 26 ability ability NN cord-354194-hf5ndv5f 132 27 of of IN cord-354194-hf5ndv5f 132 28 the the DT cord-354194-hf5ndv5f 132 29 treating treat VBG cord-354194-hf5ndv5f 132 30 team team NN cord-354194-hf5ndv5f 132 31 to to TO cord-354194-hf5ndv5f 132 32 provide provide VB cord-354194-hf5ndv5f 132 33 high high JJ cord-354194-hf5ndv5f 132 34 - - HYPH cord-354194-hf5ndv5f 132 35 quality quality NN cord-354194-hf5ndv5f 132 36 primary primary JJ cord-354194-hf5ndv5f 132 37 palliative palliative JJ cord-354194-hf5ndv5f 132 38 care care NN cord-354194-hf5ndv5f 132 39 in in IN cord-354194-hf5ndv5f 132 40 the the DT cord-354194-hf5ndv5f 132 41 ICU ICU NNP cord-354194-hf5ndv5f 132 42 . . . cord-354194-hf5ndv5f 133 1 In in IN cord-354194-hf5ndv5f 133 2 the the DT cord-354194-hf5ndv5f 133 3 ICU ICU NNP cord-354194-hf5ndv5f 133 4 setting setting NN cord-354194-hf5ndv5f 133 5 , , , cord-354194-hf5ndv5f 133 6 communication communication NN cord-354194-hf5ndv5f 133 7 often often RB cord-354194-hf5ndv5f 133 8 occurs occur VBZ cord-354194-hf5ndv5f 133 9 with with IN cord-354194-hf5ndv5f 133 10 surrogate surrogate JJ cord-354194-hf5ndv5f 133 11 decision decision NN cord-354194-hf5ndv5f 133 12 makers maker NNS cord-354194-hf5ndv5f 133 13 - - : cord-354194-hf5ndv5f 133 14 particularly particularly RB cord-354194-hf5ndv5f 133 15 in in IN cord-354194-hf5ndv5f 133 16 the the DT cord-354194-hf5ndv5f 133 17 most most RBS cord-354194-hf5ndv5f 133 18 complex complex JJ cord-354194-hf5ndv5f 133 19 patients patient NNS cord-354194-hf5ndv5f 133 20 at at IN cord-354194-hf5ndv5f 133 21 highest high JJS cord-354194-hf5ndv5f 133 22 risk risk NN cord-354194-hf5ndv5f 133 23 for for IN cord-354194-hf5ndv5f 133 24 a a DT cord-354194-hf5ndv5f 133 25 poor poor JJ cord-354194-hf5ndv5f 133 26 outcome outcome NN cord-354194-hf5ndv5f 133 27 . . . cord-354194-hf5ndv5f 134 1 When when WRB cord-354194-hf5ndv5f 134 2 organizing organize VBG cord-354194-hf5ndv5f 134 3 family family NN cord-354194-hf5ndv5f 134 4 meetings meeting NNS cord-354194-hf5ndv5f 134 5 , , , cord-354194-hf5ndv5f 134 6 we -PRON- PRP cord-354194-hf5ndv5f 134 7 seek seek VBP cord-354194-hf5ndv5f 134 8 to to TO cord-354194-hf5ndv5f 134 9 use use VB cord-354194-hf5ndv5f 134 10 the the DT cord-354194-hf5ndv5f 134 11 broadest broad JJS cord-354194-hf5ndv5f 134 12 definition definition NN cord-354194-hf5ndv5f 134 13 of of IN cord-354194-hf5ndv5f 134 14 " " `` cord-354194-hf5ndv5f 134 15 family family NN cord-354194-hf5ndv5f 134 16 " " '' cord-354194-hf5ndv5f 134 17 as as IN cord-354194-hf5ndv5f 134 18 is be VBZ cord-354194-hf5ndv5f 134 19 reasonable reasonable JJ cord-354194-hf5ndv5f 134 20 - - : cord-354194-hf5ndv5f 134 21 essentially essentially RB cord-354194-hf5ndv5f 134 22 any any DT cord-354194-hf5ndv5f 134 23 person person NN cord-354194-hf5ndv5f 134 24 of of IN cord-354194-hf5ndv5f 134 25 importance importance NN cord-354194-hf5ndv5f 134 26 in in IN cord-354194-hf5ndv5f 134 27 the the DT cord-354194-hf5ndv5f 134 28 patient patient NN cord-354194-hf5ndv5f 134 29 's 's POS cord-354194-hf5ndv5f 134 30 life life NN cord-354194-hf5ndv5f 134 31 who who WP cord-354194-hf5ndv5f 134 32 might may MD cord-354194-hf5ndv5f 134 33 attend attend VB cord-354194-hf5ndv5f 134 34 a a DT cord-354194-hf5ndv5f 134 35 conference conference NN cord-354194-hf5ndv5f 134 36 related relate VBN cord-354194-hf5ndv5f 134 37 to to IN cord-354194-hf5ndv5f 134 38 their -PRON- PRP$ cord-354194-hf5ndv5f 134 39 care care NN cord-354194-hf5ndv5f 134 40 , , , cord-354194-hf5ndv5f 134 41 as as IN cord-354194-hf5ndv5f 134 42 not not RB cord-354194-hf5ndv5f 134 43 all all DT cord-354194-hf5ndv5f 134 44 family family NN cord-354194-hf5ndv5f 134 45 is be VBZ cord-354194-hf5ndv5f 134 46 genetically genetically RB cord-354194-hf5ndv5f 134 47 related relate VBN cord-354194-hf5ndv5f 134 48 . . . cord-354194-hf5ndv5f 135 1 As as IN cord-354194-hf5ndv5f 135 2 a a DT cord-354194-hf5ndv5f 135 3 general general JJ cord-354194-hf5ndv5f 135 4 rule rule NN cord-354194-hf5ndv5f 135 5 , , , cord-354194-hf5ndv5f 135 6 most most JJS cord-354194-hf5ndv5f 135 7 surrogates surrogate NNS cord-354194-hf5ndv5f 135 8 are be VBP cord-354194-hf5ndv5f 135 9 not not RB cord-354194-hf5ndv5f 135 10 well well RB cord-354194-hf5ndv5f 135 11 prepared prepared JJ cord-354194-hf5ndv5f 135 12 for for IN cord-354194-hf5ndv5f 135 13 their -PRON- PRP$ cord-354194-hf5ndv5f 135 14 new new JJ cord-354194-hf5ndv5f 135 15 , , , cord-354194-hf5ndv5f 135 16 emotionally emotionally RB cord-354194-hf5ndv5f 135 17 intense intense JJ cord-354194-hf5ndv5f 135 18 role role NN cord-354194-hf5ndv5f 135 19 and and CC cord-354194-hf5ndv5f 135 20 can can MD cord-354194-hf5ndv5f 135 21 suffer suffer VB cord-354194-hf5ndv5f 135 22 long long JJ cord-354194-hf5ndv5f 135 23 - - HYPH cord-354194-hf5ndv5f 135 24 term term NN cord-354194-hf5ndv5f 135 25 psychological psychological JJ cord-354194-hf5ndv5f 135 26 consequences consequence NNS cord-354194-hf5ndv5f 135 27 as as IN cord-354194-hf5ndv5f 135 28 a a DT cord-354194-hf5ndv5f 135 29 result result NN cord-354194-hf5ndv5f 135 30 [ [ -LRB- cord-354194-hf5ndv5f 135 31 60 60 CD cord-354194-hf5ndv5f 135 32 , , , cord-354194-hf5ndv5f 135 33 61 61 CD cord-354194-hf5ndv5f 135 34 ] ] -RRB- cord-354194-hf5ndv5f 135 35 . . . cord-354194-hf5ndv5f 136 1 While while IN cord-354194-hf5ndv5f 136 2 we -PRON- PRP cord-354194-hf5ndv5f 136 3 hope hope VBP cord-354194-hf5ndv5f 136 4 that that IN cord-354194-hf5ndv5f 136 5 all all DT cord-354194-hf5ndv5f 136 6 patients patient NNS cord-354194-hf5ndv5f 136 7 have have VBP cord-354194-hf5ndv5f 136 8 had have VBN cord-354194-hf5ndv5f 136 9 in in IN cord-354194-hf5ndv5f 136 10 - - HYPH cord-354194-hf5ndv5f 136 11 depth depth NN cord-354194-hf5ndv5f 136 12 discussions discussion NNS cord-354194-hf5ndv5f 136 13 about about IN cord-354194-hf5ndv5f 136 14 their -PRON- PRP$ cord-354194-hf5ndv5f 136 15 wishes wish NNS cord-354194-hf5ndv5f 136 16 prior prior RB cord-354194-hf5ndv5f 136 17 to to IN cord-354194-hf5ndv5f 136 18 injury injury NN cord-354194-hf5ndv5f 136 19 , , , cord-354194-hf5ndv5f 136 20 this this DT cord-354194-hf5ndv5f 136 21 is be VBZ cord-354194-hf5ndv5f 136 22 unfortunately unfortunately RB cord-354194-hf5ndv5f 136 23 not not RB cord-354194-hf5ndv5f 136 24 the the DT cord-354194-hf5ndv5f 136 25 case case NN cord-354194-hf5ndv5f 136 26 . . . cord-354194-hf5ndv5f 137 1 As as IN cord-354194-hf5ndv5f 137 2 a a DT cord-354194-hf5ndv5f 137 3 result result NN cord-354194-hf5ndv5f 137 4 , , , cord-354194-hf5ndv5f 137 5 when when WRB cord-354194-hf5ndv5f 137 6 communicating communicate VBG cord-354194-hf5ndv5f 137 7 with with IN cord-354194-hf5ndv5f 137 8 a a DT cord-354194-hf5ndv5f 137 9 surrogate surrogate NN cord-354194-hf5ndv5f 137 10 in in IN cord-354194-hf5ndv5f 137 11 a a DT cord-354194-hf5ndv5f 137 12 complex complex JJ cord-354194-hf5ndv5f 137 13 and and CC cord-354194-hf5ndv5f 137 14 difficult difficult JJ cord-354194-hf5ndv5f 137 15 clinical clinical JJ cord-354194-hf5ndv5f 137 16 situation situation NN cord-354194-hf5ndv5f 137 17 , , , cord-354194-hf5ndv5f 137 18 we -PRON- PRP cord-354194-hf5ndv5f 137 19 have have VBP cord-354194-hf5ndv5f 137 20 a a DT cord-354194-hf5ndv5f 137 21 dual dual JJ cord-354194-hf5ndv5f 137 22 role role NN cord-354194-hf5ndv5f 137 23 of of IN cord-354194-hf5ndv5f 137 24 not not RB cord-354194-hf5ndv5f 137 25 only only RB cord-354194-hf5ndv5f 137 26 communicating communicate VBG cord-354194-hf5ndv5f 137 27 the the DT cord-354194-hf5ndv5f 137 28 medical medical JJ cord-354194-hf5ndv5f 137 29 situation situation NN cord-354194-hf5ndv5f 137 30 to to IN cord-354194-hf5ndv5f 137 31 the the DT cord-354194-hf5ndv5f 137 32 surrogates surrogate NNS cord-354194-hf5ndv5f 137 33 but but CC cord-354194-hf5ndv5f 137 34 also also RB cord-354194-hf5ndv5f 137 35 preparing prepare VBG cord-354194-hf5ndv5f 137 36 them -PRON- PRP cord-354194-hf5ndv5f 137 37 for for IN cord-354194-hf5ndv5f 137 38 the the DT cord-354194-hf5ndv5f 137 39 role role NN cord-354194-hf5ndv5f 137 40 of of IN cord-354194-hf5ndv5f 137 41 decision decision NN cord-354194-hf5ndv5f 137 42 maker maker NN cord-354194-hf5ndv5f 137 43 . . . cord-354194-hf5ndv5f 138 1 Involvement involvement NN cord-354194-hf5ndv5f 138 2 of of IN cord-354194-hf5ndv5f 138 3 surrogate surrogate JJ cord-354194-hf5ndv5f 138 4 decision decision NN cord-354194-hf5ndv5f 138 5 makers maker NNS cord-354194-hf5ndv5f 138 6 and and CC cord-354194-hf5ndv5f 138 7 high high JJ cord-354194-hf5ndv5f 138 8 - - HYPH cord-354194-hf5ndv5f 138 9 quality quality NN cord-354194-hf5ndv5f 138 10 communication communication NN cord-354194-hf5ndv5f 138 11 with with IN cord-354194-hf5ndv5f 138 12 them -PRON- PRP cord-354194-hf5ndv5f 138 13 is be VBZ cord-354194-hf5ndv5f 138 14 essential essential JJ cord-354194-hf5ndv5f 138 15 , , , cord-354194-hf5ndv5f 138 16 as as IN cord-354194-hf5ndv5f 138 17 physicians physician NNS cord-354194-hf5ndv5f 138 18 tend tend VBP cord-354194-hf5ndv5f 138 19 to to TO cord-354194-hf5ndv5f 138 20 systematically systematically RB cord-354194-hf5ndv5f 138 21 underestimate underestimate VB cord-354194-hf5ndv5f 138 22 quality quality NN cord-354194-hf5ndv5f 138 23 of of IN cord-354194-hf5ndv5f 138 24 life life NN cord-354194-hf5ndv5f 138 25 in in IN cord-354194-hf5ndv5f 138 26 favor favor NN cord-354194-hf5ndv5f 138 27 of of IN cord-354194-hf5ndv5f 138 28 life life NN cord-354194-hf5ndv5f 138 29 - - HYPH cord-354194-hf5ndv5f 138 30 sustaining sustain VBG cord-354194-hf5ndv5f 138 31 treatments treatment NNS cord-354194-hf5ndv5f 138 32 , , , cord-354194-hf5ndv5f 138 33 and and CC cord-354194-hf5ndv5f 138 34 this this DT cord-354194-hf5ndv5f 138 35 can can MD cord-354194-hf5ndv5f 138 36 often often RB cord-354194-hf5ndv5f 138 37 be be VB cord-354194-hf5ndv5f 138 38 mitigated mitigate VBN cord-354194-hf5ndv5f 138 39 by by IN cord-354194-hf5ndv5f 138 40 input input NN cord-354194-hf5ndv5f 138 41 from from IN cord-354194-hf5ndv5f 138 42 surrogate surrogate JJ cord-354194-hf5ndv5f 138 43 decision decision NN cord-354194-hf5ndv5f 138 44 makers maker NNS cord-354194-hf5ndv5f 138 45 [ [ -LRB- cord-354194-hf5ndv5f 138 46 62 62 CD cord-354194-hf5ndv5f 138 47 , , , cord-354194-hf5ndv5f 138 48 63 63 CD cord-354194-hf5ndv5f 138 49 ] ] -RRB- cord-354194-hf5ndv5f 138 50 . . . cord-354194-hf5ndv5f 139 1 A a DT cord-354194-hf5ndv5f 139 2 structured structured JJ cord-354194-hf5ndv5f 139 3 communication communication NN cord-354194-hf5ndv5f 139 4 tool tool NN cord-354194-hf5ndv5f 139 5 or or CC cord-354194-hf5ndv5f 139 6 education education NN cord-354194-hf5ndv5f 139 7 program program NN cord-354194-hf5ndv5f 139 8 for for IN cord-354194-hf5ndv5f 139 9 family family NN cord-354194-hf5ndv5f 139 10 members member NNS cord-354194-hf5ndv5f 139 11 may may MD cord-354194-hf5ndv5f 139 12 be be VB cord-354194-hf5ndv5f 139 13 helpful helpful JJ cord-354194-hf5ndv5f 139 14 in in IN cord-354194-hf5ndv5f 139 15 supporting support VBG cord-354194-hf5ndv5f 139 16 surrogates surrogate NNS cord-354194-hf5ndv5f 139 17 as as IN cord-354194-hf5ndv5f 139 18 they -PRON- PRP cord-354194-hf5ndv5f 139 19 take take VBP cord-354194-hf5ndv5f 139 20 on on RP cord-354194-hf5ndv5f 139 21 their -PRON- PRP$ cord-354194-hf5ndv5f 139 22 new new JJ cord-354194-hf5ndv5f 139 23 role role NN cord-354194-hf5ndv5f 139 24 . . . cord-354194-hf5ndv5f 140 1 There there EX cord-354194-hf5ndv5f 140 2 are be VBP cord-354194-hf5ndv5f 140 3 several several JJ cord-354194-hf5ndv5f 140 4 predictable predictable JJ cord-354194-hf5ndv5f 140 5 errors error NNS cord-354194-hf5ndv5f 140 6 that that WDT cord-354194-hf5ndv5f 140 7 are be VBP cord-354194-hf5ndv5f 140 8 commonly commonly RB cord-354194-hf5ndv5f 140 9 made make VBN cord-354194-hf5ndv5f 140 10 while while IN cord-354194-hf5ndv5f 140 11 communicating communicate VBG cord-354194-hf5ndv5f 140 12 with with IN cord-354194-hf5ndv5f 140 13 critically critically RB cord-354194-hf5ndv5f 140 14 ill ill JJ cord-354194-hf5ndv5f 140 15 patients patient NNS cord-354194-hf5ndv5f 140 16 and and CC cord-354194-hf5ndv5f 140 17 their -PRON- PRP$ cord-354194-hf5ndv5f 140 18 families family NNS cord-354194-hf5ndv5f 140 19 that that WDT cord-354194-hf5ndv5f 140 20 can can MD cord-354194-hf5ndv5f 140 21 be be VB cord-354194-hf5ndv5f 140 22 mitigated mitigate VBN cord-354194-hf5ndv5f 140 23 by by IN cord-354194-hf5ndv5f 140 24 training training NN cord-354194-hf5ndv5f 140 25 and and CC cord-354194-hf5ndv5f 140 26 a a DT cord-354194-hf5ndv5f 140 27 standardized standardized JJ cord-354194-hf5ndv5f 140 28 approach approach NN cord-354194-hf5ndv5f 140 29 . . . cord-354194-hf5ndv5f 141 1 The the DT cord-354194-hf5ndv5f 141 2 most most RBS cord-354194-hf5ndv5f 141 3 common common JJ cord-354194-hf5ndv5f 141 4 pitfalls pitfall NNS cord-354194-hf5ndv5f 141 5 are be VBP cord-354194-hf5ndv5f 141 6 not not RB cord-354194-hf5ndv5f 141 7 budgeting budget VBG cord-354194-hf5ndv5f 141 8 appropriate appropriate JJ cord-354194-hf5ndv5f 141 9 time time NN cord-354194-hf5ndv5f 141 10 , , , cord-354194-hf5ndv5f 141 11 entering enter VBG cord-354194-hf5ndv5f 141 12 into into IN cord-354194-hf5ndv5f 141 13 communication communication NN cord-354194-hf5ndv5f 141 14 with with IN cord-354194-hf5ndv5f 141 15 family family NN cord-354194-hf5ndv5f 141 16 members member NNS cord-354194-hf5ndv5f 141 17 without without IN cord-354194-hf5ndv5f 141 18 adequate adequate JJ cord-354194-hf5ndv5f 141 19 information information NN cord-354194-hf5ndv5f 141 20 about about IN cord-354194-hf5ndv5f 141 21 the the DT cord-354194-hf5ndv5f 141 22 prognosis prognosis NN cord-354194-hf5ndv5f 141 23 , , , cord-354194-hf5ndv5f 141 24 and and CC cord-354194-hf5ndv5f 141 25 harboring harbor VBG cord-354194-hf5ndv5f 141 26 a a DT cord-354194-hf5ndv5f 141 27 fear fear NN cord-354194-hf5ndv5f 141 28 of of IN cord-354194-hf5ndv5f 141 29 inaction inaction NN cord-354194-hf5ndv5f 141 30 in in IN cord-354194-hf5ndv5f 141 31 face face NN cord-354194-hf5ndv5f 141 32 of of IN cord-354194-hf5ndv5f 141 33 a a DT cord-354194-hf5ndv5f 141 34 complex complex JJ cord-354194-hf5ndv5f 141 35 and and CC cord-354194-hf5ndv5f 141 36 highrisk highrisk JJ cord-354194-hf5ndv5f 141 37 scenario scenario NN cord-354194-hf5ndv5f 141 38 [ [ -LRB- cord-354194-hf5ndv5f 141 39 64 64 CD cord-354194-hf5ndv5f 141 40 ] ] -RRB- cord-354194-hf5ndv5f 141 41 . . . cord-354194-hf5ndv5f 142 1 This this DT cord-354194-hf5ndv5f 142 2 last last JJ cord-354194-hf5ndv5f 142 3 pitfall pitfall NN cord-354194-hf5ndv5f 142 4 is be VBZ cord-354194-hf5ndv5f 142 5 all all RB cord-354194-hf5ndv5f 142 6 too too RB cord-354194-hf5ndv5f 142 7 common common JJ cord-354194-hf5ndv5f 142 8 among among IN cord-354194-hf5ndv5f 142 9 surgeons surgeon NNS cord-354194-hf5ndv5f 142 10 , , , cord-354194-hf5ndv5f 142 11 who who WP cord-354194-hf5ndv5f 142 12 tend tend VBP cord-354194-hf5ndv5f 142 13 to to TO cord-354194-hf5ndv5f 142 14 have have VB cord-354194-hf5ndv5f 142 15 a a DT cord-354194-hf5ndv5f 142 16 " " `` cord-354194-hf5ndv5f 142 17 fix fix NN cord-354194-hf5ndv5f 142 18 - - HYPH cord-354194-hf5ndv5f 142 19 it -PRON- PRP cord-354194-hf5ndv5f 142 20 " " `` cord-354194-hf5ndv5f 142 21 mentality mentality NN cord-354194-hf5ndv5f 142 22 - - : cord-354194-hf5ndv5f 142 23 focusing focus VBG cord-354194-hf5ndv5f 142 24 on on IN cord-354194-hf5ndv5f 142 25 the the DT cord-354194-hf5ndv5f 142 26 disease disease NN cord-354194-hf5ndv5f 142 27 as as IN cord-354194-hf5ndv5f 142 28 an an DT cord-354194-hf5ndv5f 142 29 isolated isolate VBN cord-354194-hf5ndv5f 142 30 anatomic anatomic JJ cord-354194-hf5ndv5f 142 31 or or CC cord-354194-hf5ndv5f 142 32 physiologic physiologic JJ cord-354194-hf5ndv5f 142 33 abnormality abnormality NN cord-354194-hf5ndv5f 142 34 that that WDT cord-354194-hf5ndv5f 142 35 can can MD cord-354194-hf5ndv5f 142 36 be be VB cord-354194-hf5ndv5f 142 37 corrected correct VBN cord-354194-hf5ndv5f 142 38 . . . cord-354194-hf5ndv5f 143 1 This this DT cord-354194-hf5ndv5f 143 2 mental mental JJ cord-354194-hf5ndv5f 143 3 model model NN cord-354194-hf5ndv5f 143 4 fails fail VBZ cord-354194-hf5ndv5f 143 5 in in IN cord-354194-hf5ndv5f 143 6 the the DT cord-354194-hf5ndv5f 143 7 complex complex NN cord-354194-hf5ndv5f 143 8 critically critically RB cord-354194-hf5ndv5f 143 9 ill ill RB cord-354194-hf5ndv5f 143 10 and and CC cord-354194-hf5ndv5f 143 11 , , , cord-354194-hf5ndv5f 143 12 when when WRB cord-354194-hf5ndv5f 143 13 used use VBN cord-354194-hf5ndv5f 143 14 to to TO cord-354194-hf5ndv5f 143 15 frame frame VB cord-354194-hf5ndv5f 143 16 a a DT cord-354194-hf5ndv5f 143 17 high high JJ cord-354194-hf5ndv5f 143 18 - - HYPH cord-354194-hf5ndv5f 143 19 risk risk NN cord-354194-hf5ndv5f 143 20 communication communication NN cord-354194-hf5ndv5f 143 21 , , , cord-354194-hf5ndv5f 143 22 may may MD cord-354194-hf5ndv5f 143 23 lead lead VB cord-354194-hf5ndv5f 143 24 to to IN cord-354194-hf5ndv5f 143 25 overly overly RB cord-354194-hf5ndv5f 143 26 permissive permissive JJ cord-354194-hf5ndv5f 143 27 decision decision NN cord-354194-hf5ndv5f 143 28 - - HYPH cord-354194-hf5ndv5f 143 29 making making NN cord-354194-hf5ndv5f 143 30 that that WDT cord-354194-hf5ndv5f 143 31 favors favor VBZ cord-354194-hf5ndv5f 143 32 intervention intervention NN cord-354194-hf5ndv5f 143 33 even even RB cord-354194-hf5ndv5f 143 34 when when WRB cord-354194-hf5ndv5f 143 35 the the DT cord-354194-hf5ndv5f 143 36 chance chance NN cord-354194-hf5ndv5f 143 37 of of IN cord-354194-hf5ndv5f 143 38 the the DT cord-354194-hf5ndv5f 143 39 desired desire VBN cord-354194-hf5ndv5f 143 40 outcome outcome NN cord-354194-hf5ndv5f 143 41 is be VBZ cord-354194-hf5ndv5f 143 42 low low JJ cord-354194-hf5ndv5f 143 43 [ [ -LRB- cord-354194-hf5ndv5f 143 44 65 65 CD cord-354194-hf5ndv5f 143 45 ] ] -RRB- cord-354194-hf5ndv5f 143 46 . . . cord-354194-hf5ndv5f 144 1 An an DT cord-354194-hf5ndv5f 144 2 additional additional JJ cord-354194-hf5ndv5f 144 3 error error NN cord-354194-hf5ndv5f 144 4 , , , cord-354194-hf5ndv5f 144 5 more more RBR cord-354194-hf5ndv5f 144 6 common common JJ cord-354194-hf5ndv5f 144 7 in in IN cord-354194-hf5ndv5f 144 8 junior junior JJ cord-354194-hf5ndv5f 144 9 trainees trainee NNS cord-354194-hf5ndv5f 144 10 , , , cord-354194-hf5ndv5f 144 11 is be VBZ cord-354194-hf5ndv5f 144 12 terminating terminate VBG cord-354194-hf5ndv5f 144 13 the the DT cord-354194-hf5ndv5f 144 14 discussion discussion NN cord-354194-hf5ndv5f 144 15 after after IN cord-354194-hf5ndv5f 144 16 a a DT cord-354194-hf5ndv5f 144 17 directive directive NN cord-354194-hf5ndv5f 144 18 to to TO cord-354194-hf5ndv5f 144 19 " " `` cord-354194-hf5ndv5f 144 20 do do VB cord-354194-hf5ndv5f 144 21 everything everything NN cord-354194-hf5ndv5f 144 22 . . . cord-354194-hf5ndv5f 145 1 " " `` cord-354194-hf5ndv5f 145 2 Such such PDT cord-354194-hf5ndv5f 145 3 a a DT cord-354194-hf5ndv5f 145 4 general general JJ cord-354194-hf5ndv5f 145 5 statement statement NN cord-354194-hf5ndv5f 145 6 is be VBZ cord-354194-hf5ndv5f 145 7 difficult difficult JJ cord-354194-hf5ndv5f 145 8 to to TO cord-354194-hf5ndv5f 145 9 turn turn VB cord-354194-hf5ndv5f 145 10 into into IN cord-354194-hf5ndv5f 145 11 actionable actionable JJ cord-354194-hf5ndv5f 145 12 medical medical JJ cord-354194-hf5ndv5f 145 13 decisions decision NNS cord-354194-hf5ndv5f 145 14 . . . cord-354194-hf5ndv5f 146 1 It -PRON- PRP cord-354194-hf5ndv5f 146 2 is be VBZ cord-354194-hf5ndv5f 146 3 very very RB cord-354194-hf5ndv5f 146 4 important important JJ cord-354194-hf5ndv5f 146 5 for for IN cord-354194-hf5ndv5f 146 6 the the DT cord-354194-hf5ndv5f 146 7 clinician clinician NN cord-354194-hf5ndv5f 146 8 , , , cord-354194-hf5ndv5f 146 9 if if IN cord-354194-hf5ndv5f 146 10 asked ask VBN cord-354194-hf5ndv5f 146 11 to to TO cord-354194-hf5ndv5f 146 12 " " `` cord-354194-hf5ndv5f 146 13 do do VB cord-354194-hf5ndv5f 146 14 everything everything NN cord-354194-hf5ndv5f 146 15 , , , cord-354194-hf5ndv5f 146 16 " " '' cord-354194-hf5ndv5f 146 17 to to IN cord-354194-hf5ndv5f 146 18 not not RB cord-354194-hf5ndv5f 146 19 prematurely prematurely RB cord-354194-hf5ndv5f 146 20 truncate truncate VB cord-354194-hf5ndv5f 146 21 discussions discussion NNS cord-354194-hf5ndv5f 146 22 but but CC cord-354194-hf5ndv5f 146 23 rather rather RB cord-354194-hf5ndv5f 146 24 respond respond VB cord-354194-hf5ndv5f 146 25 with with IN cord-354194-hf5ndv5f 146 26 empathy empathy NN cord-354194-hf5ndv5f 146 27 and and CC cord-354194-hf5ndv5f 146 28 explore explore VB cord-354194-hf5ndv5f 146 29 what what WP cord-354194-hf5ndv5f 146 30 is be VBZ cord-354194-hf5ndv5f 146 31 meant mean VBN cord-354194-hf5ndv5f 146 32 , , , cord-354194-hf5ndv5f 146 33 therefore therefore RB cord-354194-hf5ndv5f 146 34 understanding understand VBG cord-354194-hf5ndv5f 146 35 and and CC cord-354194-hf5ndv5f 146 36 capturing capturing JJ cord-354194-hf5ndv5f 146 37 values value NNS cord-354194-hf5ndv5f 146 38 that that WDT cord-354194-hf5ndv5f 146 39 can can MD cord-354194-hf5ndv5f 146 40 be be VB cord-354194-hf5ndv5f 146 41 used use VBN cord-354194-hf5ndv5f 146 42 to to TO cord-354194-hf5ndv5f 146 43 help help VB cord-354194-hf5ndv5f 146 44 guide guide VB cord-354194-hf5ndv5f 146 45 treatment treatment NN cord-354194-hf5ndv5f 146 46 [ [ -LRB- cord-354194-hf5ndv5f 146 47 66 66 CD cord-354194-hf5ndv5f 146 48 ] ] -RRB- cord-354194-hf5ndv5f 146 49 . . . cord-354194-hf5ndv5f 147 1 A a DT cord-354194-hf5ndv5f 147 2 specific specific JJ cord-354194-hf5ndv5f 147 3 structured structured JJ cord-354194-hf5ndv5f 147 4 tool tool NN cord-354194-hf5ndv5f 147 5 to to TO cord-354194-hf5ndv5f 147 6 help help VB cord-354194-hf5ndv5f 147 7 communication communication NN cord-354194-hf5ndv5f 147 8 in in IN cord-354194-hf5ndv5f 147 9 the the DT cord-354194-hf5ndv5f 147 10 ICU ICU NNP cord-354194-hf5ndv5f 147 11 that that WDT cord-354194-hf5ndv5f 147 12 is be VBZ cord-354194-hf5ndv5f 147 13 gathering gather VBG cord-354194-hf5ndv5f 147 14 a a DT cord-354194-hf5ndv5f 147 15 solid solid JJ cord-354194-hf5ndv5f 147 16 evidence evidence NN cord-354194-hf5ndv5f 147 17 base base NN cord-354194-hf5ndv5f 147 18 is be VBZ cord-354194-hf5ndv5f 147 19 the the DT cord-354194-hf5ndv5f 147 20 " " `` cord-354194-hf5ndv5f 147 21 best good JJS cord-354194-hf5ndv5f 147 22 case case NN cord-354194-hf5ndv5f 147 23 / / SYM cord-354194-hf5ndv5f 147 24 worst bad JJS cord-354194-hf5ndv5f 147 25 case case NN cord-354194-hf5ndv5f 147 26 " " '' cord-354194-hf5ndv5f 147 27 ( ( -LRB- cord-354194-hf5ndv5f 147 28 BC BC NNP cord-354194-hf5ndv5f 147 29 / / SYM cord-354194-hf5ndv5f 147 30 WC WC NNP cord-354194-hf5ndv5f 147 31 ) ) -RRB- cord-354194-hf5ndv5f 147 32 model model NN cord-354194-hf5ndv5f 147 33 of of IN cord-354194-hf5ndv5f 147 34 communication communication NN cord-354194-hf5ndv5f 147 35 . . . cord-354194-hf5ndv5f 148 1 This this DT cord-354194-hf5ndv5f 148 2 model model NN cord-354194-hf5ndv5f 148 3 can can MD cord-354194-hf5ndv5f 148 4 help help VB cord-354194-hf5ndv5f 148 5 facilitate facilitate VB cord-354194-hf5ndv5f 148 6 difficult difficult JJ cord-354194-hf5ndv5f 148 7 decisions decision NNS cord-354194-hf5ndv5f 148 8 in in IN cord-354194-hf5ndv5f 148 9 high high JJ cord-354194-hf5ndv5f 148 10 - - HYPH cord-354194-hf5ndv5f 148 11 risk risk NN cord-354194-hf5ndv5f 148 12 scenarios scenario NNS cord-354194-hf5ndv5f 148 13 with with IN cord-354194-hf5ndv5f 148 14 support support NN cord-354194-hf5ndv5f 148 15 from from IN cord-354194-hf5ndv5f 148 16 surgeons surgeon NNS cord-354194-hf5ndv5f 148 17 , , , cord-354194-hf5ndv5f 148 18 patients patient NNS cord-354194-hf5ndv5f 148 19 , , , cord-354194-hf5ndv5f 148 20 and and CC cord-354194-hf5ndv5f 148 21 family family NN cord-354194-hf5ndv5f 148 22 members member NNS cord-354194-hf5ndv5f 148 23 [ [ -LRB- cord-354194-hf5ndv5f 148 24 67 67 CD cord-354194-hf5ndv5f 148 25 ] ] -RRB- cord-354194-hf5ndv5f 148 26 . . . cord-354194-hf5ndv5f 149 1 The the DT cord-354194-hf5ndv5f 149 2 BC BC NNP cord-354194-hf5ndv5f 149 3 / / SYM cord-354194-hf5ndv5f 149 4 WC WC NNP cord-354194-hf5ndv5f 149 5 tool tool NN cord-354194-hf5ndv5f 149 6 presents present VBZ cord-354194-hf5ndv5f 149 7 a a DT cord-354194-hf5ndv5f 149 8 range range NN cord-354194-hf5ndv5f 149 9 of of IN cord-354194-hf5ndv5f 149 10 possible possible JJ cord-354194-hf5ndv5f 149 11 outcomes outcome NNS cord-354194-hf5ndv5f 149 12 ranging range VBG cord-354194-hf5ndv5f 149 13 from from IN cord-354194-hf5ndv5f 149 14 the the DT cord-354194-hf5ndv5f 149 15 best good JJS cord-354194-hf5ndv5f 149 16 case case NN cord-354194-hf5ndv5f 149 17 to to IN cord-354194-hf5ndv5f 149 18 the the DT cord-354194-hf5ndv5f 149 19 worst bad JJS cord-354194-hf5ndv5f 149 20 case case NN cord-354194-hf5ndv5f 149 21 , , , cord-354194-hf5ndv5f 149 22 starting start VBG cord-354194-hf5ndv5f 149 23 from from IN cord-354194-hf5ndv5f 149 24 where where WRB cord-354194-hf5ndv5f 149 25 the the DT cord-354194-hf5ndv5f 149 26 patient patient NN cord-354194-hf5ndv5f 149 27 is be VBZ cord-354194-hf5ndv5f 149 28 now now RB cord-354194-hf5ndv5f 149 29 , , , cord-354194-hf5ndv5f 149 30 and and CC cord-354194-hf5ndv5f 149 31 using use VBG cord-354194-hf5ndv5f 149 32 the the DT cord-354194-hf5ndv5f 149 33 spectrum spectrum NN cord-354194-hf5ndv5f 149 34 to to TO cord-354194-hf5ndv5f 149 35 discuss discuss VB cord-354194-hf5ndv5f 149 36 what what WP cord-354194-hf5ndv5f 149 37 is be VBZ cord-354194-hf5ndv5f 149 38 possible possible JJ cord-354194-hf5ndv5f 149 39 . . . cord-354194-hf5ndv5f 150 1 When when WRB cord-354194-hf5ndv5f 150 2 using use VBG cord-354194-hf5ndv5f 150 3 the the DT cord-354194-hf5ndv5f 150 4 tool tool NN cord-354194-hf5ndv5f 150 5 to to TO cord-354194-hf5ndv5f 150 6 facilitate facilitate VB cord-354194-hf5ndv5f 150 7 communication communication NN cord-354194-hf5ndv5f 150 8 , , , cord-354194-hf5ndv5f 150 9 a a DT cord-354194-hf5ndv5f 150 10 " " `` cord-354194-hf5ndv5f 150 11 most most RBS cord-354194-hf5ndv5f 150 12 likely likely JJ cord-354194-hf5ndv5f 150 13 " " '' cord-354194-hf5ndv5f 150 14 case case NN cord-354194-hf5ndv5f 150 15 is be VBZ cord-354194-hf5ndv5f 150 16 marked mark VBN cord-354194-hf5ndv5f 150 17 and and CC cord-354194-hf5ndv5f 150 18 then then RB cord-354194-hf5ndv5f 150 19 used use VBN cord-354194-hf5ndv5f 150 20 to to TO cord-354194-hf5ndv5f 150 21 make make VB cord-354194-hf5ndv5f 150 22 a a DT cord-354194-hf5ndv5f 150 23 recommendation recommendation NN cord-354194-hf5ndv5f 150 24 that that WDT cord-354194-hf5ndv5f 150 25 is be VBZ cord-354194-hf5ndv5f 150 26 informed inform VBN cord-354194-hf5ndv5f 150 27 by by IN cord-354194-hf5ndv5f 150 28 the the DT cord-354194-hf5ndv5f 150 29 patient patient NN cord-354194-hf5ndv5f 150 30 's 's POS cord-354194-hf5ndv5f 150 31 values value NNS cord-354194-hf5ndv5f 150 32 and and CC cord-354194-hf5ndv5f 150 33 GOC GOC NNP cord-354194-hf5ndv5f 150 34 ( ( -LRB- cord-354194-hf5ndv5f 150 35 Fig Fig NNP cord-354194-hf5ndv5f 150 36 . . . cord-354194-hf5ndv5f 150 37 1 1 CD cord-354194-hf5ndv5f 150 38 ) ) -RRB- cord-354194-hf5ndv5f 150 39 . . . cord-354194-hf5ndv5f 151 1 In in IN cord-354194-hf5ndv5f 151 2 an an DT cord-354194-hf5ndv5f 151 3 adaptive adaptive JJ cord-354194-hf5ndv5f 151 4 tool tool NN cord-354194-hf5ndv5f 151 5 that that WDT cord-354194-hf5ndv5f 151 6 can can MD cord-354194-hf5ndv5f 151 7 be be VB cord-354194-hf5ndv5f 151 8 updated update VBN cord-354194-hf5ndv5f 151 9 with with IN cord-354194-hf5ndv5f 151 10 changed change VBN cord-354194-hf5ndv5f 151 11 in in IN cord-354194-hf5ndv5f 151 12 clinical clinical JJ cord-354194-hf5ndv5f 151 13 condition condition NN cord-354194-hf5ndv5f 151 14 , , , cord-354194-hf5ndv5f 151 15 it -PRON- PRP cord-354194-hf5ndv5f 151 16 has have VBZ cord-354194-hf5ndv5f 151 17 been be VBN cord-354194-hf5ndv5f 151 18 shown show VBN cord-354194-hf5ndv5f 151 19 to to TO cord-354194-hf5ndv5f 151 20 be be VB cord-354194-hf5ndv5f 151 21 effective effective JJ cord-354194-hf5ndv5f 151 22 with with IN cord-354194-hf5ndv5f 151 23 older old JJR cord-354194-hf5ndv5f 151 24 patients patient NNS cord-354194-hf5ndv5f 151 25 considering consider VBG cord-354194-hf5ndv5f 151 26 invasive invasive JJ cord-354194-hf5ndv5f 151 27 and and CC cord-354194-hf5ndv5f 151 28 acute acute JJ cord-354194-hf5ndv5f 151 29 medical medical JJ cord-354194-hf5ndv5f 151 30 treatments treatment NNS cord-354194-hf5ndv5f 151 31 as as RB cord-354194-hf5ndv5f 151 32 well well RB cord-354194-hf5ndv5f 151 33 as as IN cord-354194-hf5ndv5f 151 34 high high JJ cord-354194-hf5ndv5f 151 35 - - HYPH cord-354194-hf5ndv5f 151 36 stakes stake NNS cord-354194-hf5ndv5f 151 37 surgical surgical JJ cord-354194-hf5ndv5f 151 38 decisions decision NNS cord-354194-hf5ndv5f 151 39 [ [ -LRB- cord-354194-hf5ndv5f 151 40 68 68 CD cord-354194-hf5ndv5f 151 41 , , , cord-354194-hf5ndv5f 151 42 69 69 CD cord-354194-hf5ndv5f 151 43 ] ] -RRB- cord-354194-hf5ndv5f 151 44 . . . cord-354194-hf5ndv5f 152 1 There there EX cord-354194-hf5ndv5f 152 2 are be VBP cord-354194-hf5ndv5f 152 3 several several JJ cord-354194-hf5ndv5f 152 4 routine routine JJ cord-354194-hf5ndv5f 152 5 communication communication NN cord-354194-hf5ndv5f 152 6 scenarios scenario NNS cord-354194-hf5ndv5f 152 7 that that WDT cord-354194-hf5ndv5f 152 8 are be VBP cord-354194-hf5ndv5f 152 9 frequently frequently RB cord-354194-hf5ndv5f 152 10 used use VBN cord-354194-hf5ndv5f 152 11 in in IN cord-354194-hf5ndv5f 152 12 the the DT cord-354194-hf5ndv5f 152 13 ICU ICU NNP cord-354194-hf5ndv5f 152 14 and and CC cord-354194-hf5ndv5f 152 15 can can MD cord-354194-hf5ndv5f 152 16 be be VB cord-354194-hf5ndv5f 152 17 an an DT cord-354194-hf5ndv5f 152 18 opportunity opportunity NN cord-354194-hf5ndv5f 152 19 , , , cord-354194-hf5ndv5f 152 20 if if IN cord-354194-hf5ndv5f 152 21 correctly correctly RB cord-354194-hf5ndv5f 152 22 done do VBN cord-354194-hf5ndv5f 152 23 , , , cord-354194-hf5ndv5f 152 24 to to TO cord-354194-hf5ndv5f 152 25 build build VB cord-354194-hf5ndv5f 152 26 trust trust NN cord-354194-hf5ndv5f 152 27 , , , cord-354194-hf5ndv5f 152 28 support support NN cord-354194-hf5ndv5f 152 29 decision decision NN cord-354194-hf5ndv5f 152 30 - - HYPH cord-354194-hf5ndv5f 152 31 making making NN cord-354194-hf5ndv5f 152 32 , , , cord-354194-hf5ndv5f 152 33 and and CC cord-354194-hf5ndv5f 152 34 improve improve VB cord-354194-hf5ndv5f 152 35 the the DT cord-354194-hf5ndv5f 152 36 psychological psychological JJ cord-354194-hf5ndv5f 152 37 well well NN cord-354194-hf5ndv5f 152 38 - - HYPH cord-354194-hf5ndv5f 152 39 being being NN cord-354194-hf5ndv5f 152 40 of of IN cord-354194-hf5ndv5f 152 41 family family NN cord-354194-hf5ndv5f 152 42 members member NNS cord-354194-hf5ndv5f 152 43 [ [ -LRB- cord-354194-hf5ndv5f 152 44 12 12 CD cord-354194-hf5ndv5f 152 45 , , , cord-354194-hf5ndv5f 152 46 70 70 CD cord-354194-hf5ndv5f 152 47 , , , cord-354194-hf5ndv5f 152 48 71 71 CD cord-354194-hf5ndv5f 152 49 ] ] -RRB- cord-354194-hf5ndv5f 152 50 . . . cord-354194-hf5ndv5f 153 1 Communication communication NN cord-354194-hf5ndv5f 153 2 with with IN cord-354194-hf5ndv5f 153 3 families family NNS cord-354194-hf5ndv5f 153 4 must must MD cord-354194-hf5ndv5f 153 5 take take VB cord-354194-hf5ndv5f 153 6 the the DT cord-354194-hf5ndv5f 153 7 potential potential NN cord-354194-hf5ndv5f 153 8 for for IN cord-354194-hf5ndv5f 153 9 long long JJ cord-354194-hf5ndv5f 153 10 - - HYPH cord-354194-hf5ndv5f 153 11 term term NN cord-354194-hf5ndv5f 153 12 disability disability NN cord-354194-hf5ndv5f 153 13 , , , cord-354194-hf5ndv5f 153 14 and and CC cord-354194-hf5ndv5f 153 15 not not RB cord-354194-hf5ndv5f 153 16 just just RB cord-354194-hf5ndv5f 153 17 the the DT cord-354194-hf5ndv5f 153 18 potential potential NN cord-354194-hf5ndv5f 153 19 for for IN cord-354194-hf5ndv5f 153 20 death death NN cord-354194-hf5ndv5f 153 21 , , , cord-354194-hf5ndv5f 153 22 into into IN cord-354194-hf5ndv5f 153 23 account account NN cord-354194-hf5ndv5f 153 24 when when WRB cord-354194-hf5ndv5f 153 25 discussing discuss VBG cord-354194-hf5ndv5f 153 26 options option NNS cord-354194-hf5ndv5f 153 27 . . . cord-354194-hf5ndv5f 154 1 The the DT cord-354194-hf5ndv5f 154 2 astute astute JJ cord-354194-hf5ndv5f 154 3 surgeon surgeon NN cord-354194-hf5ndv5f 154 4 needs need VBZ cord-354194-hf5ndv5f 154 5 to to TO cord-354194-hf5ndv5f 154 6 account account VB cord-354194-hf5ndv5f 154 7 for for IN cord-354194-hf5ndv5f 154 8 media medium NNS cord-354194-hf5ndv5f 154 9 portrayals portrayal NNS cord-354194-hf5ndv5f 154 10 of of IN cord-354194-hf5ndv5f 154 11 trauma trauma NN cord-354194-hf5ndv5f 154 12 care care NN cord-354194-hf5ndv5f 154 13 that that WDT cord-354194-hf5ndv5f 154 14 deemphasize deemphasize VBP cord-354194-hf5ndv5f 154 15 the the DT cord-354194-hf5ndv5f 154 16 impact impact NN cord-354194-hf5ndv5f 154 17 and and CC cord-354194-hf5ndv5f 154 18 frequency frequency NN cord-354194-hf5ndv5f 154 19 of of IN cord-354194-hf5ndv5f 154 20 long long JJ cord-354194-hf5ndv5f 154 21 - - HYPH cord-354194-hf5ndv5f 154 22 term term NN cord-354194-hf5ndv5f 154 23 physical physical JJ cord-354194-hf5ndv5f 154 24 and and CC cord-354194-hf5ndv5f 154 25 neurologic neurologic JJ cord-354194-hf5ndv5f 154 26 disability disability NN cord-354194-hf5ndv5f 154 27 [ [ -LRB- cord-354194-hf5ndv5f 154 28 72 72 CD cord-354194-hf5ndv5f 154 29 ] ] -RRB- cord-354194-hf5ndv5f 154 30 . . . cord-354194-hf5ndv5f 154 31 . . . cord-354194-hf5ndv5f 155 1 The the DT cord-354194-hf5ndv5f 155 2 first first JJ cord-354194-hf5ndv5f 155 3 family family NN cord-354194-hf5ndv5f 155 4 meeting meeting NN cord-354194-hf5ndv5f 155 5 is be VBZ cord-354194-hf5ndv5f 155 6 a a DT cord-354194-hf5ndv5f 155 7 time time NN cord-354194-hf5ndv5f 155 8 to to TO cord-354194-hf5ndv5f 155 9 take take VB cord-354194-hf5ndv5f 155 10 a a DT cord-354194-hf5ndv5f 155 11 breath breath NN cord-354194-hf5ndv5f 155 12 from from IN cord-354194-hf5ndv5f 155 13 the the DT cord-354194-hf5ndv5f 155 14 initial initial JJ cord-354194-hf5ndv5f 155 15 ICU ICU NNP cord-354194-hf5ndv5f 155 16 admission admission NN cord-354194-hf5ndv5f 155 17 and and CC cord-354194-hf5ndv5f 155 18 acute acute JJ cord-354194-hf5ndv5f 155 19 stabilizing stabilize VBG cord-354194-hf5ndv5f 155 20 interventions intervention NNS cord-354194-hf5ndv5f 155 21 . . . cord-354194-hf5ndv5f 156 1 This this DT cord-354194-hf5ndv5f 156 2 is be VBZ cord-354194-hf5ndv5f 156 3 an an DT cord-354194-hf5ndv5f 156 4 opportunity opportunity NN cord-354194-hf5ndv5f 156 5 for for IN cord-354194-hf5ndv5f 156 6 the the DT cord-354194-hf5ndv5f 156 7 treating treat VBG cord-354194-hf5ndv5f 156 8 ICU ICU NNP cord-354194-hf5ndv5f 156 9 team team NN cord-354194-hf5ndv5f 156 10 to to TO cord-354194-hf5ndv5f 156 11 do do VB cord-354194-hf5ndv5f 156 12 a a DT cord-354194-hf5ndv5f 156 13 comprehensive comprehensive JJ cord-354194-hf5ndv5f 156 14 patient patient NN cord-354194-hf5ndv5f 156 15 assessment assessment NN cord-354194-hf5ndv5f 156 16 , , , cord-354194-hf5ndv5f 156 17 including include VBG cord-354194-hf5ndv5f 156 18 not not RB cord-354194-hf5ndv5f 156 19 only only RB cord-354194-hf5ndv5f 156 20 their -PRON- PRP$ cord-354194-hf5ndv5f 156 21 anatomic anatomic JJ cord-354194-hf5ndv5f 156 22 and and CC cord-354194-hf5ndv5f 156 23 physiologic physiologic JJ cord-354194-hf5ndv5f 156 24 status status NN cord-354194-hf5ndv5f 156 25 but but CC cord-354194-hf5ndv5f 156 26 also also RB cord-354194-hf5ndv5f 156 27 their -PRON- PRP$ cord-354194-hf5ndv5f 156 28 goals goal NNS cord-354194-hf5ndv5f 156 29 , , , cord-354194-hf5ndv5f 156 30 wishes wish VBZ cord-354194-hf5ndv5f 156 31 , , , cord-354194-hf5ndv5f 156 32 and and CC cord-354194-hf5ndv5f 156 33 values value NNS cord-354194-hf5ndv5f 156 34 while while IN cord-354194-hf5ndv5f 156 35 providing provide VBG cord-354194-hf5ndv5f 156 36 a a DT cord-354194-hf5ndv5f 156 37 medical medical JJ cord-354194-hf5ndv5f 156 38 update update NN cord-354194-hf5ndv5f 156 39 to to IN cord-354194-hf5ndv5f 156 40 the the DT cord-354194-hf5ndv5f 156 41 family family NN cord-354194-hf5ndv5f 156 42 . . . cord-354194-hf5ndv5f 157 1 This this DT cord-354194-hf5ndv5f 157 2 should should MD cord-354194-hf5ndv5f 157 3 occur occur VB cord-354194-hf5ndv5f 157 4 within within IN cord-354194-hf5ndv5f 157 5 72 72 CD cord-354194-hf5ndv5f 157 6 h h NN cord-354194-hf5ndv5f 157 7 of of IN cord-354194-hf5ndv5f 157 8 admission admission NN cord-354194-hf5ndv5f 157 9 in in IN cord-354194-hf5ndv5f 157 10 order order NN cord-354194-hf5ndv5f 157 11 to to TO cord-354194-hf5ndv5f 157 12 optimize optimize VB cord-354194-hf5ndv5f 157 13 the the DT cord-354194-hf5ndv5f 157 14 quality quality NN cord-354194-hf5ndv5f 157 15 of of IN cord-354194-hf5ndv5f 157 16 the the DT cord-354194-hf5ndv5f 157 17 communication communication NN cord-354194-hf5ndv5f 157 18 , , , cord-354194-hf5ndv5f 157 19 reduce reduce VB cord-354194-hf5ndv5f 157 20 ICU ICU NNP cord-354194-hf5ndv5f 157 21 length length NN cord-354194-hf5ndv5f 157 22 of of IN cord-354194-hf5ndv5f 157 23 stay stay NN cord-354194-hf5ndv5f 157 24 , , , cord-354194-hf5ndv5f 157 25 and and CC cord-354194-hf5ndv5f 157 26 understand understand VB cord-354194-hf5ndv5f 157 27 patient patient NN cord-354194-hf5ndv5f 157 28 's 's POS cord-354194-hf5ndv5f 157 29 preinjury preinjury NN cord-354194-hf5ndv5f 157 30 wishes wish VBZ cord-354194-hf5ndv5f 157 31 , , , cord-354194-hf5ndv5f 157 32 before before IN cord-354194-hf5ndv5f 157 33 proceeding proceed VBG cord-354194-hf5ndv5f 157 34 with with IN cord-354194-hf5ndv5f 157 35 care care NN cord-354194-hf5ndv5f 157 36 that that IN cord-354194-hf5ndv5f 157 37 they -PRON- PRP cord-354194-hf5ndv5f 157 38 would would MD cord-354194-hf5ndv5f 157 39 not not RB cord-354194-hf5ndv5f 157 40 want want VB cord-354194-hf5ndv5f 157 41 [ [ -LRB- cord-354194-hf5ndv5f 157 42 12 12 CD cord-354194-hf5ndv5f 157 43 , , , cord-354194-hf5ndv5f 157 44 70 70 CD cord-354194-hf5ndv5f 157 45 , , , cord-354194-hf5ndv5f 157 46 73 73 CD cord-354194-hf5ndv5f 157 47 ] ] -RRB- cord-354194-hf5ndv5f 157 48 . . . cord-354194-hf5ndv5f 158 1 Early early JJ cord-354194-hf5ndv5f 158 2 updates update NNS cord-354194-hf5ndv5f 158 3 to to IN cord-354194-hf5ndv5f 158 4 the the DT cord-354194-hf5ndv5f 158 5 family family NN cord-354194-hf5ndv5f 158 6 and and CC cord-354194-hf5ndv5f 158 7 surrogate surrogate NN cord-354194-hf5ndv5f 158 8 decision decision NN cord-354194-hf5ndv5f 158 9 makers maker NNS cord-354194-hf5ndv5f 158 10 have have VBP cord-354194-hf5ndv5f 158 11 been be VBN cord-354194-hf5ndv5f 158 12 associated associate VBN cord-354194-hf5ndv5f 158 13 with with IN cord-354194-hf5ndv5f 158 14 earlier early JJR cord-354194-hf5ndv5f 158 15 transition transition NN cord-354194-hf5ndv5f 158 16 to to IN cord-354194-hf5ndv5f 158 17 comfort comfort NN cord-354194-hf5ndv5f 158 18 measured measure VBN cord-354194-hf5ndv5f 158 19 only only RB cord-354194-hf5ndv5f 158 20 as as RB cord-354194-hf5ndv5f 158 21 well well RB cord-354194-hf5ndv5f 158 22 as as IN cord-354194-hf5ndv5f 158 23 reduced reduce VBN cord-354194-hf5ndv5f 158 24 length length NN cord-354194-hf5ndv5f 158 25 of of IN cord-354194-hf5ndv5f 158 26 stay stay NN cord-354194-hf5ndv5f 158 27 , , , cord-354194-hf5ndv5f 158 28 reduced reduced JJ cord-354194-hf5ndv5f 158 29 ventilator ventilator NN cord-354194-hf5ndv5f 158 30 days day NNS cord-354194-hf5ndv5f 158 31 , , , cord-354194-hf5ndv5f 158 32 and and CC cord-354194-hf5ndv5f 158 33 reduced reduce VBN cord-354194-hf5ndv5f 158 34 chance chance NN cord-354194-hf5ndv5f 158 35 of of IN cord-354194-hf5ndv5f 158 36 dying die VBG cord-354194-hf5ndv5f 158 37 during during IN cord-354194-hf5ndv5f 158 38 a a DT cord-354194-hf5ndv5f 158 39 medical medical JJ cord-354194-hf5ndv5f 158 40 code code NN cord-354194-hf5ndv5f 158 41 ( ( -LRB- cord-354194-hf5ndv5f 158 42 i.e. i.e. FW cord-354194-hf5ndv5f 158 43 , , , cord-354194-hf5ndv5f 158 44 a a DT cord-354194-hf5ndv5f 158 45 DNR DNR NNP cord-354194-hf5ndv5f 158 46 order order NN cord-354194-hf5ndv5f 158 47 placed place VBN cord-354194-hf5ndv5f 158 48 for for IN cord-354194-hf5ndv5f 158 49 medical medical JJ cord-354194-hf5ndv5f 158 50 futility futility NN cord-354194-hf5ndv5f 158 51 ) ) -RRB- cord-354194-hf5ndv5f 158 52 [ [ -LRB- cord-354194-hf5ndv5f 158 53 74 74 CD cord-354194-hf5ndv5f 158 54 ] ] -RRB- cord-354194-hf5ndv5f 158 55 . . . cord-354194-hf5ndv5f 159 1 A a DT cord-354194-hf5ndv5f 159 2 proactive proactive JJ cord-354194-hf5ndv5f 159 3 discussion discussion NN cord-354194-hf5ndv5f 159 4 regarding regard VBG cord-354194-hf5ndv5f 159 5 the the DT cord-354194-hf5ndv5f 159 6 patient patient NN cord-354194-hf5ndv5f 159 7 's 's POS cord-354194-hf5ndv5f 159 8 wishes wish NNS cord-354194-hf5ndv5f 159 9 early early RB cord-354194-hf5ndv5f 159 10 in in IN cord-354194-hf5ndv5f 159 11 the the DT cord-354194-hf5ndv5f 159 12 course course NN cord-354194-hf5ndv5f 159 13 of of IN cord-354194-hf5ndv5f 159 14 an an DT cord-354194-hf5ndv5f 159 15 ICU ICU NNP cord-354194-hf5ndv5f 159 16 admission admission NN cord-354194-hf5ndv5f 159 17 is be VBZ cord-354194-hf5ndv5f 159 18 vastly vastly RB cord-354194-hf5ndv5f 159 19 preferable preferable JJ cord-354194-hf5ndv5f 159 20 to to IN cord-354194-hf5ndv5f 159 21 an an DT cord-354194-hf5ndv5f 159 22 urgent urgent JJ cord-354194-hf5ndv5f 159 23 discussion discussion NN cord-354194-hf5ndv5f 159 24 in in IN cord-354194-hf5ndv5f 159 25 the the DT cord-354194-hf5ndv5f 159 26 middle middle NN cord-354194-hf5ndv5f 159 27 of of IN cord-354194-hf5ndv5f 159 28 the the DT cord-354194-hf5ndv5f 159 29 night night NN cord-354194-hf5ndv5f 159 30 following follow VBG cord-354194-hf5ndv5f 159 31 an an DT cord-354194-hf5ndv5f 159 32 acute acute JJ cord-354194-hf5ndv5f 159 33 deterioration deterioration NN cord-354194-hf5ndv5f 159 34 [ [ -LRB- cord-354194-hf5ndv5f 159 35 75 75 CD cord-354194-hf5ndv5f 159 36 , , , cord-354194-hf5ndv5f 159 37 76 76 CD cord-354194-hf5ndv5f 159 38 ] ] -RRB- cord-354194-hf5ndv5f 159 39 . . . cord-354194-hf5ndv5f 160 1 While while IN cord-354194-hf5ndv5f 160 2 there there EX cord-354194-hf5ndv5f 160 3 are be VBP cord-354194-hf5ndv5f 160 4 many many JJ cord-354194-hf5ndv5f 160 5 ways way NNS cord-354194-hf5ndv5f 160 6 to to TO cord-354194-hf5ndv5f 160 7 structure structure VB cord-354194-hf5ndv5f 160 8 this this DT cord-354194-hf5ndv5f 160 9 first first JJ cord-354194-hf5ndv5f 160 10 meeting meeting NN cord-354194-hf5ndv5f 160 11 , , , cord-354194-hf5ndv5f 160 12 one one CD cord-354194-hf5ndv5f 160 13 of of IN cord-354194-hf5ndv5f 160 14 the the DT cord-354194-hf5ndv5f 160 15 most most RBS cord-354194-hf5ndv5f 160 16 effective effective JJ cord-354194-hf5ndv5f 160 17 that that IN cord-354194-hf5ndv5f 160 18 we -PRON- PRP cord-354194-hf5ndv5f 160 19 have have VBP cord-354194-hf5ndv5f 160 20 found find VBN cord-354194-hf5ndv5f 160 21 is be VBZ cord-354194-hf5ndv5f 160 22 as as IN cord-354194-hf5ndv5f 160 23 described describe VBN cord-354194-hf5ndv5f 160 24 by by IN cord-354194-hf5ndv5f 160 25 the the DT cord-354194-hf5ndv5f 160 26 VITALtalk VITALtalk NNP cord-354194-hf5ndv5f 160 27 group group NN cord-354194-hf5ndv5f 160 28 using use VBG cord-354194-hf5ndv5f 160 29 the the DT cord-354194-hf5ndv5f 160 30 GUIDE guide NN cord-354194-hf5ndv5f 160 31 mnemonic mnemonic JJ cord-354194-hf5ndv5f 160 32 [ [ -LRB- cord-354194-hf5ndv5f 160 33 77•• 77•• CD cord-354194-hf5ndv5f 160 34 ] ] -RRB- cord-354194-hf5ndv5f 160 35 . . . cord-354194-hf5ndv5f 161 1 Get get VB cord-354194-hf5ndv5f 161 2 ready ready JJ cord-354194-hf5ndv5f 161 3 : : : cord-354194-hf5ndv5f 161 4 pre pre VB cord-354194-hf5ndv5f 161 5 - - VB cord-354194-hf5ndv5f 161 6 meet meet VB cord-354194-hf5ndv5f 161 7 , , , cord-354194-hf5ndv5f 161 8 get get VB cord-354194-hf5ndv5f 161 9 the the DT cord-354194-hf5ndv5f 161 10 right right JJ cord-354194-hf5ndv5f 161 11 people people NNS cord-354194-hf5ndv5f 161 12 , , , cord-354194-hf5ndv5f 161 13 find find VB cord-354194-hf5ndv5f 161 14 quiet quiet JJ cord-354194-hf5ndv5f 161 15 place place NN cord-354194-hf5ndv5f 161 16 , , , cord-354194-hf5ndv5f 161 17 and and CC cord-354194-hf5ndv5f 161 18 sit sit VB cord-354194-hf5ndv5f 161 19 down down RP cord-354194-hf5ndv5f 161 20 Understand Understand NNP cord-354194-hf5ndv5f 161 21 : : : cord-354194-hf5ndv5f 161 22 what what WP cord-354194-hf5ndv5f 161 23 the the DT cord-354194-hf5ndv5f 161 24 patient patient NN cord-354194-hf5ndv5f 161 25 knows know VBZ cord-354194-hf5ndv5f 161 26 Inform Inform NNP cord-354194-hf5ndv5f 161 27 : : : cord-354194-hf5ndv5f 161 28 starting start VBG cord-354194-hf5ndv5f 161 29 with with IN cord-354194-hf5ndv5f 161 30 a a DT cord-354194-hf5ndv5f 161 31 headline headline NN cord-354194-hf5ndv5f 161 32 and and CC cord-354194-hf5ndv5f 161 33 STOP stop VB cord-354194-hf5ndv5f 161 34 for for IN cord-354194-hf5ndv5f 161 35 questions question NNS cord-354194-hf5ndv5f 161 36 and and CC cord-354194-hf5ndv5f 161 37 emotions emotion NNS cord-354194-hf5ndv5f 162 1 Demonstrate demonstrate VB cord-354194-hf5ndv5f 162 2 : : : cord-354194-hf5ndv5f 162 3 empathy empathy NN cord-354194-hf5ndv5f 162 4 and and CC cord-354194-hf5ndv5f 162 5 respond respond VB cord-354194-hf5ndv5f 162 6 to to IN cord-354194-hf5ndv5f 162 7 emotion emotion NN cord-354194-hf5ndv5f 163 1 Equip equip VB cord-354194-hf5ndv5f 163 2 : : : cord-354194-hf5ndv5f 164 1 the the DT cord-354194-hf5ndv5f 164 2 family family NN cord-354194-hf5ndv5f 164 3 to to TO cord-354194-hf5ndv5f 164 4 understand understand VB cord-354194-hf5ndv5f 164 5 the the DT cord-354194-hf5ndv5f 164 6 next next JJ cord-354194-hf5ndv5f 164 7 step step NN cord-354194-hf5ndv5f 164 8 in in IN cord-354194-hf5ndv5f 164 9 care care NN cord-354194-hf5ndv5f 164 10 ( ( -LRB- cord-354194-hf5ndv5f 164 11 an an DT cord-354194-hf5ndv5f 164 12 opportunity opportunity NN cord-354194-hf5ndv5f 164 13 to to TO cord-354194-hf5ndv5f 164 14 use use VB cord-354194-hf5ndv5f 164 15 the the DT cord-354194-hf5ndv5f 164 16 BC BC NNP cord-354194-hf5ndv5f 164 17 / / SYM cord-354194-hf5ndv5f 164 18 WC WC NNP cord-354194-hf5ndv5f 164 19 tool tool NN cord-354194-hf5ndv5f 164 20 ) ) -RRB- cord-354194-hf5ndv5f 165 1 It -PRON- PRP cord-354194-hf5ndv5f 165 2 is be VBZ cord-354194-hf5ndv5f 165 3 important important JJ cord-354194-hf5ndv5f 165 4 to to TO cord-354194-hf5ndv5f 165 5 note note VB cord-354194-hf5ndv5f 165 6 that that IN cord-354194-hf5ndv5f 165 7 within within IN cord-354194-hf5ndv5f 165 8 this this DT cord-354194-hf5ndv5f 165 9 framework framework NN cord-354194-hf5ndv5f 165 10 , , , cord-354194-hf5ndv5f 165 11 there there EX cord-354194-hf5ndv5f 165 12 is be VBZ cord-354194-hf5ndv5f 165 13 no no DT cord-354194-hf5ndv5f 165 14 space space NN cord-354194-hf5ndv5f 165 15 reserved reserve VBN cord-354194-hf5ndv5f 165 16 for for IN cord-354194-hf5ndv5f 165 17 decision decision NN cord-354194-hf5ndv5f 165 18 - - HYPH cord-354194-hf5ndv5f 165 19 making making NN cord-354194-hf5ndv5f 165 20 . . . cord-354194-hf5ndv5f 166 1 This this DT cord-354194-hf5ndv5f 166 2 is be VBZ cord-354194-hf5ndv5f 166 3 intentional intentional JJ cord-354194-hf5ndv5f 166 4 as as IN cord-354194-hf5ndv5f 166 5 the the DT cord-354194-hf5ndv5f 166 6 first first JJ cord-354194-hf5ndv5f 166 7 family family NN cord-354194-hf5ndv5f 166 8 meeting meeting NN cord-354194-hf5ndv5f 166 9 is be VBZ cord-354194-hf5ndv5f 166 10 framed frame VBN cord-354194-hf5ndv5f 166 11 as as IN cord-354194-hf5ndv5f 166 12 a a DT cord-354194-hf5ndv5f 166 13 meeting meeting NN cord-354194-hf5ndv5f 166 14 to to TO cord-354194-hf5ndv5f 166 15 deliver deliver VB cord-354194-hf5ndv5f 166 16 bad bad JJ cord-354194-hf5ndv5f 166 17 news news NN cord-354194-hf5ndv5f 166 18 and and CC cord-354194-hf5ndv5f 166 19 medical medical JJ cord-354194-hf5ndv5f 166 20 updates update NNS cord-354194-hf5ndv5f 166 21 , , , cord-354194-hf5ndv5f 166 22 gather gather VB cord-354194-hf5ndv5f 166 23 information information NN cord-354194-hf5ndv5f 166 24 , , , cord-354194-hf5ndv5f 166 25 and and CC cord-354194-hf5ndv5f 166 26 build build VB cord-354194-hf5ndv5f 166 27 relationships relationship NNS cord-354194-hf5ndv5f 166 28 . . . cord-354194-hf5ndv5f 167 1 The the DT cord-354194-hf5ndv5f 167 2 emotional emotional JJ cord-354194-hf5ndv5f 167 3 toll toll NN cord-354194-hf5ndv5f 167 4 of of IN cord-354194-hf5ndv5f 167 5 this this DT cord-354194-hf5ndv5f 167 6 meeting meeting NN cord-354194-hf5ndv5f 167 7 can can MD cord-354194-hf5ndv5f 167 8 overwhelm overwhelm VB cord-354194-hf5ndv5f 167 9 surrogates surrogate NNS cord-354194-hf5ndv5f 167 10 , , , cord-354194-hf5ndv5f 167 11 limiting limit VBG cord-354194-hf5ndv5f 167 12 their -PRON- PRP$ cord-354194-hf5ndv5f 167 13 ability ability NN cord-354194-hf5ndv5f 167 14 to to TO cord-354194-hf5ndv5f 167 15 make make VB cord-354194-hf5ndv5f 167 16 complex complex JJ cord-354194-hf5ndv5f 167 17 decisions decision NNS cord-354194-hf5ndv5f 167 18 . . . cord-354194-hf5ndv5f 168 1 2 2 LS cord-354194-hf5ndv5f 168 2 ) ) -RRB- cord-354194-hf5ndv5f 169 1 The the DT cord-354194-hf5ndv5f 169 2 next next JJ cord-354194-hf5ndv5f 169 3 common common JJ cord-354194-hf5ndv5f 169 4 meeting meeting NN cord-354194-hf5ndv5f 169 5 type type NN cord-354194-hf5ndv5f 169 6 encountered encounter VBN cord-354194-hf5ndv5f 169 7 in in IN cord-354194-hf5ndv5f 169 8 the the DT cord-354194-hf5ndv5f 169 9 surgical surgical JJ cord-354194-hf5ndv5f 169 10 ICU ICU NNP cord-354194-hf5ndv5f 169 11 is be VBZ cord-354194-hf5ndv5f 169 12 the the DT cord-354194-hf5ndv5f 169 13 general general JJ cord-354194-hf5ndv5f 169 14 family family NN cord-354194-hf5ndv5f 169 15 meeting meeting NN cord-354194-hf5ndv5f 169 16 , , , cord-354194-hf5ndv5f 169 17 an an DT cord-354194-hf5ndv5f 169 18 update update NN cord-354194-hf5ndv5f 169 19 or or CC cord-354194-hf5ndv5f 169 20 planned plan VBN cord-354194-hf5ndv5f 169 21 check check NN cord-354194-hf5ndv5f 169 22 in in IN cord-354194-hf5ndv5f 169 23 following follow VBG cord-354194-hf5ndv5f 169 24 the the DT cord-354194-hf5ndv5f 169 25 initial initial JJ cord-354194-hf5ndv5f 169 26 meeting meeting NN cord-354194-hf5ndv5f 169 27 . . . cord-354194-hf5ndv5f 170 1 The the DT cord-354194-hf5ndv5f 170 2 structure structure NN cord-354194-hf5ndv5f 170 3 of of IN cord-354194-hf5ndv5f 170 4 this this DT cord-354194-hf5ndv5f 170 5 meeting meeting NN cord-354194-hf5ndv5f 170 6 can can MD cord-354194-hf5ndv5f 170 7 vary vary VB cord-354194-hf5ndv5f 170 8 somewhat somewhat RB cord-354194-hf5ndv5f 170 9 based base VBN cord-354194-hf5ndv5f 170 10 upon upon IN cord-354194-hf5ndv5f 170 11 the the DT cord-354194-hf5ndv5f 170 12 relationship relationship NN cord-354194-hf5ndv5f 170 13 with with IN cord-354194-hf5ndv5f 170 14 family family NN cord-354194-hf5ndv5f 170 15 and and CC cord-354194-hf5ndv5f 170 16 the the DT cord-354194-hf5ndv5f 170 17 urgency urgency NN cord-354194-hf5ndv5f 170 18 and and CC cord-354194-hf5ndv5f 170 19 scope scope NN cord-354194-hf5ndv5f 170 20 of of IN cord-354194-hf5ndv5f 170 21 issues issue NNS cord-354194-hf5ndv5f 170 22 to to TO cord-354194-hf5ndv5f 170 23 be be VB cord-354194-hf5ndv5f 170 24 addressed address VBN cord-354194-hf5ndv5f 170 25 . . . cord-354194-hf5ndv5f 171 1 However however RB cord-354194-hf5ndv5f 171 2 , , , cord-354194-hf5ndv5f 171 3 there there EX cord-354194-hf5ndv5f 171 4 are be VBP cord-354194-hf5ndv5f 171 5 several several JJ cord-354194-hf5ndv5f 171 6 essential essential JJ cord-354194-hf5ndv5f 171 7 components component NNS cord-354194-hf5ndv5f 171 8 to to IN cord-354194-hf5ndv5f 171 9 the the DT cord-354194-hf5ndv5f 171 10 general general JJ cord-354194-hf5ndv5f 171 11 family family NN cord-354194-hf5ndv5f 171 12 meeting meeting NN cord-354194-hf5ndv5f 171 13 . . . cord-354194-hf5ndv5f 172 1 The the DT cord-354194-hf5ndv5f 172 2 first first JJ cord-354194-hf5ndv5f 172 3 is be VBZ cord-354194-hf5ndv5f 172 4 a a DT cord-354194-hf5ndv5f 172 5 " " `` cord-354194-hf5ndv5f 172 6 pre pre JJ cord-354194-hf5ndv5f 172 7 - - JJ cord-354194-hf5ndv5f 172 8 meeting meeting NN cord-354194-hf5ndv5f 172 9 " " '' cord-354194-hf5ndv5f 172 10 ; ; : cord-354194-hf5ndv5f 172 11 this this DT cord-354194-hf5ndv5f 172 12 should should MD cord-354194-hf5ndv5f 172 13 include include VB cord-354194-hf5ndv5f 172 14 clinicians clinician NNS cord-354194-hf5ndv5f 172 15 only only RB cord-354194-hf5ndv5f 172 16 and and CC cord-354194-hf5ndv5f 172 17 is be VBZ cord-354194-hf5ndv5f 172 18 an an DT cord-354194-hf5ndv5f 172 19 opportunity opportunity NN cord-354194-hf5ndv5f 172 20 for for IN cord-354194-hf5ndv5f 172 21 multiple multiple JJ cord-354194-hf5ndv5f 172 22 consulting consulting NN cord-354194-hf5ndv5f 172 23 teams team NNS cord-354194-hf5ndv5f 172 24 to to TO cord-354194-hf5ndv5f 172 25 share share VB cord-354194-hf5ndv5f 172 26 their -PRON- PRP$ cord-354194-hf5ndv5f 172 27 opinions opinion NNS cord-354194-hf5ndv5f 172 28 and and CC cord-354194-hf5ndv5f 172 29 come come VB cord-354194-hf5ndv5f 172 30 to to IN cord-354194-hf5ndv5f 172 31 consensus consensus NN cord-354194-hf5ndv5f 172 32 regarding regard VBG cord-354194-hf5ndv5f 172 33 the the DT cord-354194-hf5ndv5f 172 34 medical medical JJ cord-354194-hf5ndv5f 172 35 situation situation NN cord-354194-hf5ndv5f 172 36 , , , cord-354194-hf5ndv5f 172 37 establish establish VB cord-354194-hf5ndv5f 172 38 a a DT cord-354194-hf5ndv5f 172 39 shared share VBN cord-354194-hf5ndv5f 172 40 understanding understanding NN cord-354194-hf5ndv5f 172 41 of of IN cord-354194-hf5ndv5f 172 42 prognosis prognosis NN cord-354194-hf5ndv5f 172 43 , , , cord-354194-hf5ndv5f 172 44 and and CC cord-354194-hf5ndv5f 172 45 agree agree VB cord-354194-hf5ndv5f 172 46 on on IN cord-354194-hf5ndv5f 172 47 therapeutic therapeutic JJ cord-354194-hf5ndv5f 172 48 options option NNS cord-354194-hf5ndv5f 172 49 . . . cord-354194-hf5ndv5f 173 1 It -PRON- PRP cord-354194-hf5ndv5f 173 2 is be VBZ cord-354194-hf5ndv5f 173 3 not not RB cord-354194-hf5ndv5f 173 4 effective effective JJ cord-354194-hf5ndv5f 173 5 for for IN cord-354194-hf5ndv5f 173 6 clinician clinician NN cord-354194-hf5ndv5f 173 7 disagreements disagreement NNS cord-354194-hf5ndv5f 173 8 to to TO cord-354194-hf5ndv5f 173 9 be be VB cord-354194-hf5ndv5f 173 10 sorted sort VBN cord-354194-hf5ndv5f 173 11 out out RP cord-354194-hf5ndv5f 173 12 in in IN cord-354194-hf5ndv5f 173 13 front front NN cord-354194-hf5ndv5f 173 14 of of IN cord-354194-hf5ndv5f 173 15 the the DT cord-354194-hf5ndv5f 173 16 patient patient NN cord-354194-hf5ndv5f 173 17 or or CC cord-354194-hf5ndv5f 173 18 the the DT cord-354194-hf5ndv5f 173 19 family family NN cord-354194-hf5ndv5f 173 20 , , , cord-354194-hf5ndv5f 173 21 as as IN cord-354194-hf5ndv5f 173 22 discord discord NN cord-354194-hf5ndv5f 173 23 in in IN cord-354194-hf5ndv5f 173 24 the the DT cord-354194-hf5ndv5f 173 25 care care NN cord-354194-hf5ndv5f 173 26 team team NN cord-354194-hf5ndv5f 173 27 often often RB cord-354194-hf5ndv5f 173 28 leads lead VBZ cord-354194-hf5ndv5f 173 29 to to IN cord-354194-hf5ndv5f 173 30 family family NN cord-354194-hf5ndv5f 173 31 and and CC cord-354194-hf5ndv5f 173 32 patient patient JJ cord-354194-hf5ndv5f 173 33 distress distress NN cord-354194-hf5ndv5f 173 34 and and CC cord-354194-hf5ndv5f 173 35 mistrust mistrust NN cord-354194-hf5ndv5f 173 36 [ [ -LRB- cord-354194-hf5ndv5f 173 37 78 78 CD cord-354194-hf5ndv5f 173 38 ] ] -RRB- cord-354194-hf5ndv5f 173 39 . . . cord-354194-hf5ndv5f 174 1 As as IN cord-354194-hf5ndv5f 174 2 referenced reference VBN cord-354194-hf5ndv5f 174 3 earlier early RBR cord-354194-hf5ndv5f 174 4 , , , cord-354194-hf5ndv5f 174 5 since since IN cord-354194-hf5ndv5f 174 6 we -PRON- PRP cord-354194-hf5ndv5f 174 7 are be VBP cord-354194-hf5ndv5f 174 8 often often RB cord-354194-hf5ndv5f 174 9 coaching coach VBG cord-354194-hf5ndv5f 174 10 surrogate surrogate JJ cord-354194-hf5ndv5f 174 11 decision decision NN cord-354194-hf5ndv5f 174 12 makers maker NNS cord-354194-hf5ndv5f 174 13 through through IN cord-354194-hf5ndv5f 174 14 a a DT cord-354194-hf5ndv5f 174 15 new new JJ cord-354194-hf5ndv5f 174 16 and and CC cord-354194-hf5ndv5f 174 17 uncomfortable uncomfortable JJ cord-354194-hf5ndv5f 174 18 role role NN cord-354194-hf5ndv5f 174 19 , , , cord-354194-hf5ndv5f 174 20 specifically specifically RB cord-354194-hf5ndv5f 174 21 saying say VBG cord-354194-hf5ndv5f 174 22 things thing NNS cord-354194-hf5ndv5f 174 23 such such JJ cord-354194-hf5ndv5f 174 24 as as IN cord-354194-hf5ndv5f 174 25 " " `` cord-354194-hf5ndv5f 174 26 what what WP cord-354194-hf5ndv5f 174 27 would would MD cord-354194-hf5ndv5f 174 28 they -PRON- PRP cord-354194-hf5ndv5f 174 29 say say VB cord-354194-hf5ndv5f 174 30 " " `` cord-354194-hf5ndv5f 174 31 or or CC cord-354194-hf5ndv5f 174 32 " " `` cord-354194-hf5ndv5f 174 33 imagine imagine VB cord-354194-hf5ndv5f 174 34 that that IN cord-354194-hf5ndv5f 174 35 they -PRON- PRP cord-354194-hf5ndv5f 174 36 are be VBP cord-354194-hf5ndv5f 174 37 sitting sit VBG cord-354194-hf5ndv5f 174 38 here here RB cord-354194-hf5ndv5f 174 39 with with IN cord-354194-hf5ndv5f 174 40 us -PRON- PRP cord-354194-hf5ndv5f 174 41 " " '' cord-354194-hf5ndv5f 174 42 to to TO cord-354194-hf5ndv5f 174 43 emphasize emphasize VB cord-354194-hf5ndv5f 174 44 that that IN cord-354194-hf5ndv5f 174 45 we -PRON- PRP cord-354194-hf5ndv5f 174 46 are be VBP cord-354194-hf5ndv5f 174 47 not not RB cord-354194-hf5ndv5f 174 48 asking ask VBG cord-354194-hf5ndv5f 174 49 the the DT cord-354194-hf5ndv5f 174 50 surrogate surrogate NN cord-354194-hf5ndv5f 174 51 for for IN cord-354194-hf5ndv5f 174 52 a a DT cord-354194-hf5ndv5f 174 53 decision decision NN cord-354194-hf5ndv5f 174 54 but but CC cord-354194-hf5ndv5f 174 55 rather rather RB cord-354194-hf5ndv5f 174 56 are be VBP cord-354194-hf5ndv5f 174 57 seeking seek VBG cord-354194-hf5ndv5f 174 58 to to TO cord-354194-hf5ndv5f 174 59 hear hear VB cord-354194-hf5ndv5f 174 60 the the DT cord-354194-hf5ndv5f 174 61 patient patient NN cord-354194-hf5ndv5f 174 62 's 's POS cord-354194-hf5ndv5f 174 63 voice voice NN cord-354194-hf5ndv5f 174 64 . . . cord-354194-hf5ndv5f 175 1 Planning plan VBG cord-354194-hf5ndv5f 175 2 next next JJ cord-354194-hf5ndv5f 175 3 steps step NNS cord-354194-hf5ndv5f 175 4 together together RB cord-354194-hf5ndv5f 175 5 is be VBZ cord-354194-hf5ndv5f 175 6 an an DT cord-354194-hf5ndv5f 175 7 essential essential JJ cord-354194-hf5ndv5f 175 8 part part NN cord-354194-hf5ndv5f 175 9 of of IN cord-354194-hf5ndv5f 175 10 these these DT cord-354194-hf5ndv5f 175 11 meetings meeting NNS cord-354194-hf5ndv5f 175 12 . . . cord-354194-hf5ndv5f 176 1 The the DT cord-354194-hf5ndv5f 176 2 degree degree NN cord-354194-hf5ndv5f 176 3 and and CC cord-354194-hf5ndv5f 176 4 nature nature NN cord-354194-hf5ndv5f 176 5 of of IN cord-354194-hf5ndv5f 176 6 this this DT cord-354194-hf5ndv5f 176 7 plan plan NN cord-354194-hf5ndv5f 176 8 , , , cord-354194-hf5ndv5f 176 9 however however RB cord-354194-hf5ndv5f 176 10 , , , cord-354194-hf5ndv5f 176 11 will will MD cord-354194-hf5ndv5f 176 12 depend depend VB cord-354194-hf5ndv5f 176 13 significantly significantly RB cord-354194-hf5ndv5f 176 14 on on IN cord-354194-hf5ndv5f 176 15 the the DT cord-354194-hf5ndv5f 176 16 scope scope NN cord-354194-hf5ndv5f 176 17 of of IN cord-354194-hf5ndv5f 176 18 the the DT cord-354194-hf5ndv5f 176 19 discussion discussion NN cord-354194-hf5ndv5f 176 20 [ [ -LRB- cord-354194-hf5ndv5f 176 21 77•• 77•• CD cord-354194-hf5ndv5f 176 22 ] ] -RRB- cord-354194-hf5ndv5f 176 23 . . . cord-354194-hf5ndv5f 177 1 3 3 LS cord-354194-hf5ndv5f 177 2 ) ) -RRB- cord-354194-hf5ndv5f 178 1 Clinician clinician NN cord-354194-hf5ndv5f 178 2 anxiety anxiety NN cord-354194-hf5ndv5f 178 3 can can MD cord-354194-hf5ndv5f 178 4 be be VB cord-354194-hf5ndv5f 178 5 understandably understandably RB cord-354194-hf5ndv5f 178 6 high high JJ cord-354194-hf5ndv5f 178 7 when when WRB cord-354194-hf5ndv5f 178 8 heading head VBG cord-354194-hf5ndv5f 178 9 into into IN cord-354194-hf5ndv5f 178 10 a a DT cord-354194-hf5ndv5f 178 11 meeting meeting NN cord-354194-hf5ndv5f 178 12 to to TO cord-354194-hf5ndv5f 178 13 talk talk VB cord-354194-hf5ndv5f 178 14 about about IN cord-354194-hf5ndv5f 178 15 the the DT cord-354194-hf5ndv5f 178 16 third third JJ cord-354194-hf5ndv5f 178 17 specific specific JJ cord-354194-hf5ndv5f 178 18 scenario scenario NN cord-354194-hf5ndv5f 178 19 , , , cord-354194-hf5ndv5f 178 20 transitioning transition VBG cord-354194-hf5ndv5f 178 21 to to IN cord-354194-hf5ndv5f 178 22 end end NN cord-354194-hf5ndv5f 178 23 of of IN cord-354194-hf5ndv5f 178 24 life life NN cord-354194-hf5ndv5f 178 25 and and CC cord-354194-hf5ndv5f 178 26 comfort comfort NN cord-354194-hf5ndv5f 178 27 measures measure NNS cord-354194-hf5ndv5f 178 28 only only RB cord-354194-hf5ndv5f 178 29 . . . cord-354194-hf5ndv5f 179 1 Discussions discussion NNS cord-354194-hf5ndv5f 179 2 regarding regard VBG cord-354194-hf5ndv5f 179 3 limiting limit VBG cord-354194-hf5ndv5f 179 4 life life NN cord-354194-hf5ndv5f 179 5 - - HYPH cord-354194-hf5ndv5f 179 6 sustaining sustain VBG cord-354194-hf5ndv5f 179 7 interventions intervention NNS cord-354194-hf5ndv5f 179 8 tend tend VBP cord-354194-hf5ndv5f 179 9 to to TO cord-354194-hf5ndv5f 179 10 be be VB cord-354194-hf5ndv5f 179 11 triggered trigger VBN cord-354194-hf5ndv5f 179 12 by by IN cord-354194-hf5ndv5f 179 13 clinicians clinician NNS cord-354194-hf5ndv5f 179 14 after after IN cord-354194-hf5ndv5f 179 15 an an DT cord-354194-hf5ndv5f 179 16 acute acute JJ cord-354194-hf5ndv5f 179 17 clinical clinical JJ cord-354194-hf5ndv5f 179 18 deterioration deterioration NN cord-354194-hf5ndv5f 179 19 and and CC cord-354194-hf5ndv5f 179 20 by by IN cord-354194-hf5ndv5f 179 21 family family NN cord-354194-hf5ndv5f 179 22 after after IN cord-354194-hf5ndv5f 179 23 a a DT cord-354194-hf5ndv5f 179 24 longer long JJR cord-354194-hf5ndv5f 179 25 period period NN cord-354194-hf5ndv5f 179 26 where where WRB cord-354194-hf5ndv5f 179 27 the the DT cord-354194-hf5ndv5f 179 28 patient patient NN cord-354194-hf5ndv5f 179 29 fails fail VBZ cord-354194-hf5ndv5f 179 30 to to TO cord-354194-hf5ndv5f 179 31 improve improve VB cord-354194-hf5ndv5f 179 32 [ [ -LRB- cord-354194-hf5ndv5f 179 33 79 79 CD cord-354194-hf5ndv5f 179 34 ] ] -RRB- cord-354194-hf5ndv5f 179 35 . . . cord-354194-hf5ndv5f 180 1 In in IN cord-354194-hf5ndv5f 180 2 a a DT cord-354194-hf5ndv5f 180 3 study study NN cord-354194-hf5ndv5f 180 4 of of IN cord-354194-hf5ndv5f 180 5 New New NNP cord-354194-hf5ndv5f 180 6 York York NNP cord-354194-hf5ndv5f 180 7 State State NNP cord-354194-hf5ndv5f 180 8 level level NN cord-354194-hf5ndv5f 180 9 1 1 CD cord-354194-hf5ndv5f 180 10 trauma trauma NN cord-354194-hf5ndv5f 180 11 centers center NNS cord-354194-hf5ndv5f 180 12 , , , cord-354194-hf5ndv5f 180 13 advancing advance VBG cord-354194-hf5ndv5f 180 14 age age NN cord-354194-hf5ndv5f 180 15 , , , cord-354194-hf5ndv5f 180 16 traumatic traumatic JJ cord-354194-hf5ndv5f 180 17 brain brain NN cord-354194-hf5ndv5f 180 18 injury injury NN cord-354194-hf5ndv5f 180 19 with with IN cord-354194-hf5ndv5f 180 20 an an DT cord-354194-hf5ndv5f 180 21 advanced advanced JJ cord-354194-hf5ndv5f 180 22 directive directive NN cord-354194-hf5ndv5f 180 23 , , , cord-354194-hf5ndv5f 180 24 preexisting preexist VBG cord-354194-hf5ndv5f 180 25 dementia dementia NN cord-354194-hf5ndv5f 180 26 , , , cord-354194-hf5ndv5f 180 27 and and CC cord-354194-hf5ndv5f 180 28 pre pre JJ cord-354194-hf5ndv5f 180 29 - - JJ cord-354194-hf5ndv5f 180 30 existing existing JJ cord-354194-hf5ndv5f 180 31 bleeding bleeding NN cord-354194-hf5ndv5f 180 32 disorders disorder NNS cord-354194-hf5ndv5f 180 33 are be VBP cord-354194-hf5ndv5f 180 34 all all DT cord-354194-hf5ndv5f 180 35 associated associate VBN cord-354194-hf5ndv5f 180 36 with with IN cord-354194-hf5ndv5f 180 37 transition transition NN cord-354194-hf5ndv5f 180 38 to to TO cord-354194-hf5ndv5f 180 39 comfort comfort VB cord-354194-hf5ndv5f 180 40 focused focused JJ cord-354194-hf5ndv5f 180 41 measures measure NNS cord-354194-hf5ndv5f 180 42 after after IN cord-354194-hf5ndv5f 180 43 injury injury NN cord-354194-hf5ndv5f 180 44 [ [ -LRB- cord-354194-hf5ndv5f 180 45 80 80 CD cord-354194-hf5ndv5f 180 46 ] ] -RRB- cord-354194-hf5ndv5f 180 47 . . . cord-354194-hf5ndv5f 181 1 When when WRB cord-354194-hf5ndv5f 181 2 discussing discuss VBG cord-354194-hf5ndv5f 181 3 end end NN cord-354194-hf5ndv5f 181 4 of of IN cord-354194-hf5ndv5f 181 5 life life NN cord-354194-hf5ndv5f 181 6 issues issue NNS cord-354194-hf5ndv5f 181 7 , , , cord-354194-hf5ndv5f 181 8 it -PRON- PRP cord-354194-hf5ndv5f 181 9 is be VBZ cord-354194-hf5ndv5f 181 10 important important JJ cord-354194-hf5ndv5f 181 11 to to TO cord-354194-hf5ndv5f 181 12 avoid avoid VB cord-354194-hf5ndv5f 181 13 an an DT cord-354194-hf5ndv5f 181 14 overly overly RB cord-354194-hf5ndv5f 181 15 detailed detailed JJ cord-354194-hf5ndv5f 181 16 review review NN cord-354194-hf5ndv5f 181 17 of of IN cord-354194-hf5ndv5f 181 18 clinical clinical JJ cord-354194-hf5ndv5f 181 19 data datum NNS cord-354194-hf5ndv5f 181 20 , , , cord-354194-hf5ndv5f 181 21 as as IN cord-354194-hf5ndv5f 181 22 this this DT cord-354194-hf5ndv5f 181 23 may may MD cord-354194-hf5ndv5f 181 24 obscure obscure VB cord-354194-hf5ndv5f 181 25 the the DT cord-354194-hf5ndv5f 181 26 overall overall JJ cord-354194-hf5ndv5f 181 27 life life NN cord-354194-hf5ndv5f 181 28 - - HYPH cord-354194-hf5ndv5f 181 29 limiting limit VBG cord-354194-hf5ndv5f 181 30 nature nature NN cord-354194-hf5ndv5f 181 31 of of IN cord-354194-hf5ndv5f 181 32 the the DT cord-354194-hf5ndv5f 181 33 disease disease NN cord-354194-hf5ndv5f 181 34 / / SYM cord-354194-hf5ndv5f 181 35 injury injury NN cord-354194-hf5ndv5f 181 36 , , , cord-354194-hf5ndv5f 181 37 which which WDT cord-354194-hf5ndv5f 181 38 is be VBZ cord-354194-hf5ndv5f 181 39 often often RB cord-354194-hf5ndv5f 181 40 multifactorial multifactorial JJ cord-354194-hf5ndv5f 181 41 [ [ -LRB- cord-354194-hf5ndv5f 181 42 81 81 CD cord-354194-hf5ndv5f 181 43 ] ] -RRB- cord-354194-hf5ndv5f 181 44 . . . cord-354194-hf5ndv5f 182 1 Similarly similarly RB cord-354194-hf5ndv5f 182 2 , , , cord-354194-hf5ndv5f 182 3 it -PRON- PRP cord-354194-hf5ndv5f 182 4 is be VBZ cord-354194-hf5ndv5f 182 5 essential essential JJ cord-354194-hf5ndv5f 182 6 to to TO cord-354194-hf5ndv5f 182 7 integrate integrate VB cord-354194-hf5ndv5f 182 8 patient patient JJ cord-354194-hf5ndv5f 182 9 preferences preference NNS cord-354194-hf5ndv5f 182 10 into into IN cord-354194-hf5ndv5f 182 11 medical medical JJ cord-354194-hf5ndv5f 182 12 recommendations recommendation NNS cord-354194-hf5ndv5f 182 13 , , , cord-354194-hf5ndv5f 182 14 specifically specifically RB cord-354194-hf5ndv5f 182 15 patient patient JJ cord-354194-hf5ndv5f 182 16 preferences preference NNS cord-354194-hf5ndv5f 182 17 regarding regard VBG cord-354194-hf5ndv5f 182 18 quality quality NN cord-354194-hf5ndv5f 182 19 of of IN cord-354194-hf5ndv5f 182 20 life life NN cord-354194-hf5ndv5f 182 21 , , , cord-354194-hf5ndv5f 182 22 pain pain NN cord-354194-hf5ndv5f 182 23 , , , cord-354194-hf5ndv5f 182 24 chances chance NNS cord-354194-hf5ndv5f 182 25 of of IN cord-354194-hf5ndv5f 182 26 meaningful meaningful JJ cord-354194-hf5ndv5f 182 27 neurologic neurologic JJ cord-354194-hf5ndv5f 182 28 recovery recovery NN cord-354194-hf5ndv5f 182 29 , , , cord-354194-hf5ndv5f 182 30 and and CC cord-354194-hf5ndv5f 182 31 anticipated anticipate VBN cord-354194-hf5ndv5f 182 32 degree degree NN cord-354194-hf5ndv5f 182 33 of of IN cord-354194-hf5ndv5f 182 34 functional functional JJ cord-354194-hf5ndv5f 182 35 recovery recovery NN cord-354194-hf5ndv5f 182 36 [ [ -LRB- cord-354194-hf5ndv5f 182 37 82 82 CD cord-354194-hf5ndv5f 182 38 ] ] -RRB- cord-354194-hf5ndv5f 182 39 . . . cord-354194-hf5ndv5f 183 1 The the DT cord-354194-hf5ndv5f 183 2 BC BC NNP cord-354194-hf5ndv5f 183 3 / / SYM cord-354194-hf5ndv5f 183 4 WC WC NNP cord-354194-hf5ndv5f 183 5 tool tool NN cord-354194-hf5ndv5f 183 6 can can MD cord-354194-hf5ndv5f 183 7 be be VB cord-354194-hf5ndv5f 183 8 very very RB cord-354194-hf5ndv5f 183 9 helpful helpful JJ cord-354194-hf5ndv5f 183 10 in in IN cord-354194-hf5ndv5f 183 11 this this DT cord-354194-hf5ndv5f 183 12 setting setting NN cord-354194-hf5ndv5f 183 13 , , , cord-354194-hf5ndv5f 183 14 particularly particularly RB cord-354194-hf5ndv5f 183 15 when when WRB cord-354194-hf5ndv5f 183 16 the the DT cord-354194-hf5ndv5f 183 17 " " `` cord-354194-hf5ndv5f 183 18 best good JJS cord-354194-hf5ndv5f 183 19 case case NN cord-354194-hf5ndv5f 183 20 " " '' cord-354194-hf5ndv5f 183 21 is be VBZ cord-354194-hf5ndv5f 183 22 profound profound JJ cord-354194-hf5ndv5f 183 23 disability disability NN cord-354194-hf5ndv5f 183 24 or or CC cord-354194-hf5ndv5f 183 25 impairment impairment NN cord-354194-hf5ndv5f 183 26 . . . cord-354194-hf5ndv5f 184 1 Interestingly interestingly RB cord-354194-hf5ndv5f 184 2 , , , cord-354194-hf5ndv5f 184 3 Fig Fig NNP cord-354194-hf5ndv5f 184 4 . . NNP cord-354194-hf5ndv5f 184 5 1 1 CD cord-354194-hf5ndv5f 184 6 A a DT cord-354194-hf5ndv5f 184 7 graphical graphical JJ cord-354194-hf5ndv5f 184 8 distribution distribution NN cord-354194-hf5ndv5f 184 9 of of IN cord-354194-hf5ndv5f 184 10 the the DT cord-354194-hf5ndv5f 184 11 use use NN cord-354194-hf5ndv5f 184 12 of of IN cord-354194-hf5ndv5f 184 13 the the DT cord-354194-hf5ndv5f 184 14 best good JJS cord-354194-hf5ndv5f 184 15 case case NN cord-354194-hf5ndv5f 184 16 / / SYM cord-354194-hf5ndv5f 184 17 worst bad JJS cord-354194-hf5ndv5f 184 18 case case NN cord-354194-hf5ndv5f 184 19 communication communication NN cord-354194-hf5ndv5f 184 20 tool tool NN cord-354194-hf5ndv5f 184 21 . . . cord-354194-hf5ndv5f 185 1 Within within IN cord-354194-hf5ndv5f 185 2 a a DT cord-354194-hf5ndv5f 185 3 theoretical theoretical JJ cord-354194-hf5ndv5f 185 4 case case NN cord-354194-hf5ndv5f 185 5 of of IN cord-354194-hf5ndv5f 185 6 a a DT cord-354194-hf5ndv5f 185 7 young young JJ cord-354194-hf5ndv5f 185 8 man man NN cord-354194-hf5ndv5f 185 9 with with IN cord-354194-hf5ndv5f 185 10 a a DT cord-354194-hf5ndv5f 185 11 severe severe JJ cord-354194-hf5ndv5f 185 12 traumatic traumatic JJ cord-354194-hf5ndv5f 185 13 brain brain NN cord-354194-hf5ndv5f 185 14 injury injury NN cord-354194-hf5ndv5f 185 15 . . . cord-354194-hf5ndv5f 186 1 The the DT cord-354194-hf5ndv5f 186 2 tool tool NN cord-354194-hf5ndv5f 186 3 is be VBZ cord-354194-hf5ndv5f 186 4 used use VBN cord-354194-hf5ndv5f 186 5 to to TO cord-354194-hf5ndv5f 186 6 integrate integrate VB cord-354194-hf5ndv5f 186 7 all all DT cord-354194-hf5ndv5f 186 8 available available JJ cord-354194-hf5ndv5f 186 9 clinical clinical JJ cord-354194-hf5ndv5f 186 10 information information NN cord-354194-hf5ndv5f 186 11 and and CC cord-354194-hf5ndv5f 186 12 estimate estimate VB cord-354194-hf5ndv5f 186 13 the the DT cord-354194-hf5ndv5f 186 14 range range NN cord-354194-hf5ndv5f 186 15 of of IN cord-354194-hf5ndv5f 186 16 future future JJ cord-354194-hf5ndv5f 186 17 outcomes outcome NNS cord-354194-hf5ndv5f 186 18 . . . cord-354194-hf5ndv5f 187 1 The the DT cord-354194-hf5ndv5f 187 2 circle circle NN cord-354194-hf5ndv5f 187 3 represents represent VBZ cord-354194-hf5ndv5f 187 4 the the DT cord-354194-hf5ndv5f 187 5 absolute absolute JJ cord-354194-hf5ndv5f 187 6 best good JJS cord-354194-hf5ndv5f 187 7 case case NN cord-354194-hf5ndv5f 187 8 outcome outcome NN cord-354194-hf5ndv5f 187 9 , , , cord-354194-hf5ndv5f 187 10 while while IN cord-354194-hf5ndv5f 187 11 the the DT cord-354194-hf5ndv5f 187 12 square square NN cord-354194-hf5ndv5f 187 13 represents represent VBZ cord-354194-hf5ndv5f 187 14 the the DT cord-354194-hf5ndv5f 187 15 absolute absolute JJ cord-354194-hf5ndv5f 187 16 worst bad JJS cord-354194-hf5ndv5f 187 17 case case NN cord-354194-hf5ndv5f 187 18 outcome outcome NN cord-354194-hf5ndv5f 187 19 and and CC cord-354194-hf5ndv5f 187 20 the the DT cord-354194-hf5ndv5f 187 21 star star NN cord-354194-hf5ndv5f 187 22 represents represent VBZ cord-354194-hf5ndv5f 187 23 the the DT cord-354194-hf5ndv5f 187 24 clinicians clinician NNS cord-354194-hf5ndv5f 187 25 ' ' POS cord-354194-hf5ndv5f 187 26 best good JJS cord-354194-hf5ndv5f 187 27 judgment judgment NN cord-354194-hf5ndv5f 187 28 about about IN cord-354194-hf5ndv5f 187 29 what what WP cord-354194-hf5ndv5f 187 30 the the DT cord-354194-hf5ndv5f 187 31 future future NN cord-354194-hf5ndv5f 187 32 may may MD cord-354194-hf5ndv5f 187 33 bring bring VB cord-354194-hf5ndv5f 187 34 . . . cord-354194-hf5ndv5f 188 1 There there EX cord-354194-hf5ndv5f 188 2 is be VBZ cord-354194-hf5ndv5f 188 3 a a DT cord-354194-hf5ndv5f 188 4 clinical clinical JJ cord-354194-hf5ndv5f 188 5 deterioration deterioration NN cord-354194-hf5ndv5f 188 6 between between IN cord-354194-hf5ndv5f 188 7 day day NN cord-354194-hf5ndv5f 188 8 2 2 CD cord-354194-hf5ndv5f 188 9 and and CC cord-354194-hf5ndv5f 188 10 day day NN cord-354194-hf5ndv5f 188 11 7 7 CD cord-354194-hf5ndv5f 188 12 , , , cord-354194-hf5ndv5f 188 13 as as IN cord-354194-hf5ndv5f 188 14 manifested manifest VBN cord-354194-hf5ndv5f 188 15 by by IN cord-354194-hf5ndv5f 188 16 the the DT cord-354194-hf5ndv5f 188 17 " " `` cord-354194-hf5ndv5f 188 18 most most RBS cord-354194-hf5ndv5f 188 19 likely likely JJ cord-354194-hf5ndv5f 188 20 " " '' cord-354194-hf5ndv5f 188 21 scenario scenario NN cord-354194-hf5ndv5f 188 22 moving move VBG cord-354194-hf5ndv5f 188 23 closer close RBR cord-354194-hf5ndv5f 188 24 to to IN cord-354194-hf5ndv5f 188 25 the the DT cord-354194-hf5ndv5f 188 26 " " `` cord-354194-hf5ndv5f 188 27 worst bad JJS cord-354194-hf5ndv5f 188 28 case case NN cord-354194-hf5ndv5f 188 29 . . . cord-354194-hf5ndv5f 189 1 " " `` cord-354194-hf5ndv5f 189 2 This this DT cord-354194-hf5ndv5f 189 3 is be VBZ cord-354194-hf5ndv5f 189 4 an an DT cord-354194-hf5ndv5f 189 5 original original JJ cord-354194-hf5ndv5f 189 6 figure figure NN cord-354194-hf5ndv5f 189 7 using use VBG cord-354194-hf5ndv5f 189 8 the the DT cord-354194-hf5ndv5f 189 9 structure structure NN cord-354194-hf5ndv5f 189 10 of of IN cord-354194-hf5ndv5f 189 11 Taylor Taylor NNP cord-354194-hf5ndv5f 189 12 et et NNP cord-354194-hf5ndv5f 189 13 al al NNP cord-354194-hf5ndv5f 189 14 . . . cord-354194-hf5ndv5f 190 1 [ [ -LRB- cord-354194-hf5ndv5f 190 2 69 69 CD cord-354194-hf5ndv5f 190 3 ] ] -RRB- cord-354194-hf5ndv5f 190 4 while while IN cord-354194-hf5ndv5f 190 5 family family NN cord-354194-hf5ndv5f 190 6 satisfaction satisfaction NN cord-354194-hf5ndv5f 190 7 falls fall VBZ cord-354194-hf5ndv5f 190 8 with with IN cord-354194-hf5ndv5f 190 9 increasing increase VBG cord-354194-hf5ndv5f 190 10 time time NN cord-354194-hf5ndv5f 190 11 in in IN cord-354194-hf5ndv5f 190 12 the the DT cord-354194-hf5ndv5f 190 13 ICU ICU NNP cord-354194-hf5ndv5f 190 14 , , , cord-354194-hf5ndv5f 190 15 it -PRON- PRP cord-354194-hf5ndv5f 190 16 actually actually RB cord-354194-hf5ndv5f 190 17 rises rise VBZ cord-354194-hf5ndv5f 190 18 when when WRB cord-354194-hf5ndv5f 190 19 the the DT cord-354194-hf5ndv5f 190 20 process process NN cord-354194-hf5ndv5f 190 21 of of IN cord-354194-hf5ndv5f 190 22 transitioning transition VBG cord-354194-hf5ndv5f 190 23 to to TO cord-354194-hf5ndv5f 190 24 comfort comfort VB cord-354194-hf5ndv5f 190 25 only only RB cord-354194-hf5ndv5f 190 26 care care NN cord-354194-hf5ndv5f 190 27 takes take VBZ cord-354194-hf5ndv5f 190 28 greater great JJR cord-354194-hf5ndv5f 190 29 than than IN cord-354194-hf5ndv5f 190 30 1 1 CD cord-354194-hf5ndv5f 190 31 day day NN cord-354194-hf5ndv5f 190 32 - - HYPH cord-354194-hf5ndv5f 190 33 suggesting suggest VBG cord-354194-hf5ndv5f 190 34 that that IN cord-354194-hf5ndv5f 190 35 additional additional JJ cord-354194-hf5ndv5f 190 36 time time NN cord-354194-hf5ndv5f 190 37 to to TO cord-354194-hf5ndv5f 190 38 adjust adjust VB cord-354194-hf5ndv5f 190 39 to to IN cord-354194-hf5ndv5f 190 40 the the DT cord-354194-hf5ndv5f 190 41 realities reality NNS cord-354194-hf5ndv5f 190 42 and and CC cord-354194-hf5ndv5f 190 43 see see VB cord-354194-hf5ndv5f 190 44 the the DT cord-354194-hf5ndv5f 190 45 ongoing ongoing JJ cord-354194-hf5ndv5f 190 46 medical medical JJ cord-354194-hf5ndv5f 190 47 care care NN cord-354194-hf5ndv5f 190 48 their -PRON- PRP$ cord-354194-hf5ndv5f 190 49 loved love VBN cord-354194-hf5ndv5f 190 50 one one NN cord-354194-hf5ndv5f 190 51 is be VBZ cord-354194-hf5ndv5f 190 52 receiving receive VBG cord-354194-hf5ndv5f 191 1 is be VBZ cord-354194-hf5ndv5f 191 2 helpful helpful JJ cord-354194-hf5ndv5f 191 3 [ [ -LRB- cord-354194-hf5ndv5f 191 4 83 83 CD cord-354194-hf5ndv5f 191 5 ] ] -RRB- cord-354194-hf5ndv5f 191 6 . . . cord-354194-hf5ndv5f 192 1 Family family NN cord-354194-hf5ndv5f 192 2 satisfaction satisfaction NN cord-354194-hf5ndv5f 192 3 , , , cord-354194-hf5ndv5f 192 4 similarly similarly RB cord-354194-hf5ndv5f 192 5 , , , cord-354194-hf5ndv5f 192 6 is be VBZ cord-354194-hf5ndv5f 192 7 actually actually RB cord-354194-hf5ndv5f 192 8 higher high JJR cord-354194-hf5ndv5f 192 9 when when WRB cord-354194-hf5ndv5f 192 10 their -PRON- PRP$ cord-354194-hf5ndv5f 192 11 loved love VBN cord-354194-hf5ndv5f 192 12 one one NN cord-354194-hf5ndv5f 192 13 dies die VBZ cord-354194-hf5ndv5f 192 14 than than IN cord-354194-hf5ndv5f 192 15 when when WRB cord-354194-hf5ndv5f 192 16 they -PRON- PRP cord-354194-hf5ndv5f 192 17 survived survive VBD cord-354194-hf5ndv5f 192 18 their -PRON- PRP$ cord-354194-hf5ndv5f 192 19 ICU ICU NNP cord-354194-hf5ndv5f 192 20 stay stay VB cord-354194-hf5ndv5f 192 21 - - : cord-354194-hf5ndv5f 192 22 a a DT cord-354194-hf5ndv5f 192 23 difference difference NN cord-354194-hf5ndv5f 192 24 attributed attribute VBN cord-354194-hf5ndv5f 192 25 to to IN cord-354194-hf5ndv5f 192 26 the the DT cord-354194-hf5ndv5f 192 27 improved improved JJ cord-354194-hf5ndv5f 192 28 patient patient NN cord-354194-hf5ndv5f 192 29 and and CC cord-354194-hf5ndv5f 192 30 family family NN cord-354194-hf5ndv5f 192 31 - - HYPH cord-354194-hf5ndv5f 192 32 centered center VBN cord-354194-hf5ndv5f 192 33 care care NN cord-354194-hf5ndv5f 192 34 that that IN cord-354194-hf5ndv5f 192 35 dying die VBG cord-354194-hf5ndv5f 192 36 patients patient NNS cord-354194-hf5ndv5f 192 37 receive receive VBP cord-354194-hf5ndv5f 192 38 [ [ -LRB- cord-354194-hf5ndv5f 192 39 84 84 CD cord-354194-hf5ndv5f 192 40 ] ] -RRB- cord-354194-hf5ndv5f 192 41 . . . cord-354194-hf5ndv5f 193 1 As as IN cord-354194-hf5ndv5f 193 2 with with IN cord-354194-hf5ndv5f 193 3 the the DT cord-354194-hf5ndv5f 193 4 first first JJ cord-354194-hf5ndv5f 193 5 family family NN cord-354194-hf5ndv5f 193 6 meeting meeting NN cord-354194-hf5ndv5f 193 7 , , , cord-354194-hf5ndv5f 193 8 a a DT cord-354194-hf5ndv5f 193 9 structured structured JJ cord-354194-hf5ndv5f 193 10 approach approach NN cord-354194-hf5ndv5f 193 11 to to IN cord-354194-hf5ndv5f 193 12 a a DT cord-354194-hf5ndv5f 193 13 " " `` cord-354194-hf5ndv5f 193 14 transition transition NN cord-354194-hf5ndv5f 193 15 of of IN cord-354194-hf5ndv5f 193 16 goals goal NNS cord-354194-hf5ndv5f 193 17 " " '' cord-354194-hf5ndv5f 193 18 talk talk NN cord-354194-hf5ndv5f 193 19 is be VBZ cord-354194-hf5ndv5f 193 20 essential essential JJ cord-354194-hf5ndv5f 193 21 , , , cord-354194-hf5ndv5f 193 22 and and CC cord-354194-hf5ndv5f 193 23 we -PRON- PRP cord-354194-hf5ndv5f 193 24 have have VBP cord-354194-hf5ndv5f 193 25 found find VBN cord-354194-hf5ndv5f 193 26 much much JJ cord-354194-hf5ndv5f 193 27 success success NN cord-354194-hf5ndv5f 193 28 with with IN cord-354194-hf5ndv5f 193 29 the the DT cord-354194-hf5ndv5f 193 30 REMAP REMAP NNP cord-354194-hf5ndv5f 193 31 mnemonic mnemonic NN cord-354194-hf5ndv5f 193 32 , , , cord-354194-hf5ndv5f 193 33 again again RB cord-354194-hf5ndv5f 193 34 supported support VBN cord-354194-hf5ndv5f 193 35 by by IN cord-354194-hf5ndv5f 193 36 VITALtalk VITALtalk NNP cord-354194-hf5ndv5f 193 37 [ [ -LRB- cord-354194-hf5ndv5f 193 38 77•• 77•• CD cord-354194-hf5ndv5f 193 39 ] ] -RRB- cord-354194-hf5ndv5f 193 40 . . . cord-354194-hf5ndv5f 194 1 Reframe reframe VB cord-354194-hf5ndv5f 194 2 : : : cord-354194-hf5ndv5f 195 1 It -PRON- PRP cord-354194-hf5ndv5f 195 2 is be VBZ cord-354194-hf5ndv5f 195 3 important important JJ cord-354194-hf5ndv5f 195 4 to to TO cord-354194-hf5ndv5f 195 5 warn warn VB cord-354194-hf5ndv5f 195 6 the the DT cord-354194-hf5ndv5f 195 7 family family NN cord-354194-hf5ndv5f 195 8 that that IN cord-354194-hf5ndv5f 195 9 a a DT cord-354194-hf5ndv5f 195 10 change change NN cord-354194-hf5ndv5f 195 11 in in IN cord-354194-hf5ndv5f 195 12 status status NN cord-354194-hf5ndv5f 195 13 update update NN cord-354194-hf5ndv5f 195 14 is be VBZ cord-354194-hf5ndv5f 195 15 coming come VBG cord-354194-hf5ndv5f 195 16 and and CC cord-354194-hf5ndv5f 195 17 that that IN cord-354194-hf5ndv5f 195 18 the the DT cord-354194-hf5ndv5f 195 19 clinical clinical JJ cord-354194-hf5ndv5f 195 20 scenario scenario NN cord-354194-hf5ndv5f 195 21 duration duration NN cord-354194-hf5ndv5f 195 22 may may MD cord-354194-hf5ndv5f 195 23 have have VB cord-354194-hf5ndv5f 195 24 changed change VBN cord-354194-hf5ndv5f 195 25 from from IN cord-354194-hf5ndv5f 195 26 previous previous JJ cord-354194-hf5ndv5f 195 27 updates update NNS cord-354194-hf5ndv5f 195 28 [ [ -LRB- cord-354194-hf5ndv5f 195 29 85• 85• CD cord-354194-hf5ndv5f 195 30 ] ] -RRB- cord-354194-hf5ndv5f 195 31 . . . cord-354194-hf5ndv5f 196 1 Expect expect VB cord-354194-hf5ndv5f 196 2 emotion emotion NN cord-354194-hf5ndv5f 196 3 and and CC cord-354194-hf5ndv5f 196 4 empathize empathize VB cord-354194-hf5ndv5f 196 5 : : : cord-354194-hf5ndv5f 196 6 The the DT cord-354194-hf5ndv5f 196 7 NURSE nurse NN cord-354194-hf5ndv5f 196 8 ( ( -LRB- cord-354194-hf5ndv5f 196 9 Name name NN cord-354194-hf5ndv5f 196 10 , , , cord-354194-hf5ndv5f 196 11 Understand understand VB cord-354194-hf5ndv5f 196 12 , , , cord-354194-hf5ndv5f 196 13 Respect respect NN cord-354194-hf5ndv5f 196 14 , , , cord-354194-hf5ndv5f 196 15 Support Support NNP cord-354194-hf5ndv5f 196 16 , , , cord-354194-hf5ndv5f 196 17 Explore explore VB cord-354194-hf5ndv5f 196 18 ) ) -RRB- cord-354194-hf5ndv5f 196 19 mnemonic mnemonic NN cord-354194-hf5ndv5f 196 20 of of IN cord-354194-hf5ndv5f 196 21 emotional emotional JJ cord-354194-hf5ndv5f 196 22 response response NN cord-354194-hf5ndv5f 196 23 can can MD cord-354194-hf5ndv5f 196 24 be be VB cord-354194-hf5ndv5f 196 25 helpful helpful JJ cord-354194-hf5ndv5f 196 26 , , , cord-354194-hf5ndv5f 196 27 as as IN cord-354194-hf5ndv5f 196 28 responding respond VBG cord-354194-hf5ndv5f 196 29 to to IN cord-354194-hf5ndv5f 196 30 emotions emotion NNS cord-354194-hf5ndv5f 196 31 from from IN cord-354194-hf5ndv5f 196 32 the the DT cord-354194-hf5ndv5f 196 33 family family NN cord-354194-hf5ndv5f 196 34 improves improve VBZ cord-354194-hf5ndv5f 196 35 information information NN cord-354194-hf5ndv5f 196 36 retention retention NN cord-354194-hf5ndv5f 196 37 [ [ -LRB- cord-354194-hf5ndv5f 196 38 77 77 CD cord-354194-hf5ndv5f 196 39 , , , cord-354194-hf5ndv5f 196 40 86 86 CD cord-354194-hf5ndv5f 196 41 , , , cord-354194-hf5ndv5f 196 42 87 87 CD cord-354194-hf5ndv5f 196 43 ] ] -RRB- cord-354194-hf5ndv5f 196 44 . . . cord-354194-hf5ndv5f 197 1 Map map VB cord-354194-hf5ndv5f 197 2 the the DT cord-354194-hf5ndv5f 197 3 future future NN cord-354194-hf5ndv5f 197 4 : : : cord-354194-hf5ndv5f 198 1 Use use VB cord-354194-hf5ndv5f 198 2 an an DT cord-354194-hf5ndv5f 198 3 understanding understanding NN cord-354194-hf5ndv5f 198 4 of of IN cord-354194-hf5ndv5f 198 5 patient patient NN cord-354194-hf5ndv5f 198 6 's 's POS cord-354194-hf5ndv5f 198 7 goals goal NNS cord-354194-hf5ndv5f 198 8 to to TO cord-354194-hf5ndv5f 198 9 frame frame VB cord-354194-hf5ndv5f 198 10 medical medical JJ cord-354194-hf5ndv5f 198 11 recommendations recommendation NNS cord-354194-hf5ndv5f 198 12 [ [ -LRB- cord-354194-hf5ndv5f 198 13 81 81 CD cord-354194-hf5ndv5f 198 14 ] ] -RRB- cord-354194-hf5ndv5f 198 15 . . . cord-354194-hf5ndv5f 199 1 The the DT cord-354194-hf5ndv5f 199 2 BC/ BC/ NNP cord-354194-hf5ndv5f 199 3 WC WC NNP cord-354194-hf5ndv5f 199 4 model model NN cord-354194-hf5ndv5f 199 5 can can MD cord-354194-hf5ndv5f 199 6 be be VB cord-354194-hf5ndv5f 199 7 particularly particularly RB cord-354194-hf5ndv5f 199 8 helpful helpful JJ cord-354194-hf5ndv5f 199 9 in in IN cord-354194-hf5ndv5f 199 10 this this DT cord-354194-hf5ndv5f 199 11 setting setting NN cord-354194-hf5ndv5f 199 12 as as IN cord-354194-hf5ndv5f 199 13 alternative alternative JJ cord-354194-hf5ndv5f 199 14 approaches approach NNS cord-354194-hf5ndv5f 199 15 ( ( -LRB- cord-354194-hf5ndv5f 199 16 recovery recovery NN cord-354194-hf5ndv5f 199 17 focused focus VBN cord-354194-hf5ndv5f 199 18 vs. vs. IN cord-354194-hf5ndv5f 199 19 comfort comfort NN cord-354194-hf5ndv5f 199 20 focused focus VBD cord-354194-hf5ndv5f 199 21 care care NN cord-354194-hf5ndv5f 199 22 ) ) -RRB- cord-354194-hf5ndv5f 199 23 are be VBP cord-354194-hf5ndv5f 199 24 considered consider VBN cord-354194-hf5ndv5f 199 25 [ [ -LRB- cord-354194-hf5ndv5f 199 26 69 69 CD cord-354194-hf5ndv5f 199 27 ] ] -RRB- cord-354194-hf5ndv5f 199 28 . . . cord-354194-hf5ndv5f 200 1 It -PRON- PRP cord-354194-hf5ndv5f 200 2 is be VBZ cord-354194-hf5ndv5f 200 3 essential essential JJ cord-354194-hf5ndv5f 200 4 to to TO cord-354194-hf5ndv5f 200 5 have have VB cord-354194-hf5ndv5f 200 6 bidirectional bidirectional JJ cord-354194-hf5ndv5f 200 7 flow flow NN cord-354194-hf5ndv5f 200 8 of of IN cord-354194-hf5ndv5f 200 9 information information NN cord-354194-hf5ndv5f 200 10 when when WRB cord-354194-hf5ndv5f 200 11 mapping map VBG cord-354194-hf5ndv5f 200 12 the the DT cord-354194-hf5ndv5f 200 13 future future NN cord-354194-hf5ndv5f 200 14 as as IN cord-354194-hf5ndv5f 200 15 the the DT cord-354194-hf5ndv5f 200 16 care care NN cord-354194-hf5ndv5f 200 17 team team NN cord-354194-hf5ndv5f 200 18 brings bring VBZ cord-354194-hf5ndv5f 200 19 medical medical JJ cord-354194-hf5ndv5f 200 20 information information NN cord-354194-hf5ndv5f 200 21 and and CC cord-354194-hf5ndv5f 200 22 options option NNS cord-354194-hf5ndv5f 200 23 while while IN cord-354194-hf5ndv5f 200 24 the the DT cord-354194-hf5ndv5f 200 25 family family NN cord-354194-hf5ndv5f 200 26 brings bring VBZ cord-354194-hf5ndv5f 200 27 patient patient JJ cord-354194-hf5ndv5f 200 28 values value NNS cord-354194-hf5ndv5f 200 29 . . . cord-354194-hf5ndv5f 201 1 It -PRON- PRP cord-354194-hf5ndv5f 201 2 is be VBZ cord-354194-hf5ndv5f 201 3 not not RB cord-354194-hf5ndv5f 201 4 uncommon uncommon JJ cord-354194-hf5ndv5f 201 5 to to TO cord-354194-hf5ndv5f 201 6 have have VB cord-354194-hf5ndv5f 201 7 to to TO cord-354194-hf5ndv5f 201 8 make make VB cord-354194-hf5ndv5f 201 9 decisions decision NNS cord-354194-hf5ndv5f 201 10 in in IN cord-354194-hf5ndv5f 201 11 light light NN cord-354194-hf5ndv5f 201 12 of of IN cord-354194-hf5ndv5f 201 13 incomplete incomplete JJ cord-354194-hf5ndv5f 201 14 prognostic prognostic JJ cord-354194-hf5ndv5f 201 15 information information NN cord-354194-hf5ndv5f 201 16 [ [ -LRB- cord-354194-hf5ndv5f 201 17 88 88 CD cord-354194-hf5ndv5f 201 18 ] ] -RRB- cord-354194-hf5ndv5f 201 19 [ [ -LRB- cord-354194-hf5ndv5f 201 20 89 89 CD cord-354194-hf5ndv5f 201 21 ] ] -RRB- cord-354194-hf5ndv5f 201 22 [ [ -LRB- cord-354194-hf5ndv5f 201 23 90 90 CD cord-354194-hf5ndv5f 201 24 ] ] -RRB- cord-354194-hf5ndv5f 201 25 [ [ -LRB- cord-354194-hf5ndv5f 201 26 91 91 CD cord-354194-hf5ndv5f 201 27 ] ] -RRB- cord-354194-hf5ndv5f 201 28 . . . cord-354194-hf5ndv5f 202 1 Align align VB cord-354194-hf5ndv5f 202 2 with with IN cord-354194-hf5ndv5f 202 3 values value NNS cord-354194-hf5ndv5f 202 4 : : : cord-354194-hf5ndv5f 202 5 Clinicians clinician NNS cord-354194-hf5ndv5f 202 6 must must MD cord-354194-hf5ndv5f 202 7 align align VB cord-354194-hf5ndv5f 202 8 themselves -PRON- PRP cord-354194-hf5ndv5f 202 9 with with IN cord-354194-hf5ndv5f 202 10 the the DT cord-354194-hf5ndv5f 202 11 family family NN cord-354194-hf5ndv5f 202 12 's 's POS cord-354194-hf5ndv5f 202 13 and and CC cord-354194-hf5ndv5f 202 14 patient patient NN cord-354194-hf5ndv5f 202 15 's 's POS cord-354194-hf5ndv5f 202 16 values value NNS cord-354194-hf5ndv5f 202 17 . . . cord-354194-hf5ndv5f 203 1 Using use VBG cord-354194-hf5ndv5f 203 2 " " `` cord-354194-hf5ndv5f 203 3 I -PRON- PRP cord-354194-hf5ndv5f 203 4 wish wish VBP cord-354194-hf5ndv5f 203 5 " " '' cord-354194-hf5ndv5f 203 6 statements statement NNS cord-354194-hf5ndv5f 203 7 ( ( -LRB- cord-354194-hf5ndv5f 203 8 e.g. e.g. RB cord-354194-hf5ndv5f 203 9 , , , cord-354194-hf5ndv5f 203 10 " " '' cord-354194-hf5ndv5f 203 11 I -PRON- PRP cord-354194-hf5ndv5f 203 12 wish wish VBP cord-354194-hf5ndv5f 203 13 that that DT cord-354194-hf5ndv5f 203 14 were be VBD cord-354194-hf5ndv5f 203 15 different different JJ cord-354194-hf5ndv5f 203 16 too too RB cord-354194-hf5ndv5f 203 17 " " '' cord-354194-hf5ndv5f 203 18 or or CC cord-354194-hf5ndv5f 203 19 " " `` cord-354194-hf5ndv5f 203 20 I -PRON- PRP cord-354194-hf5ndv5f 203 21 wish wish VBP cord-354194-hf5ndv5f 203 22 that that DT cord-354194-hf5ndv5f 203 23 was be VBD cord-354194-hf5ndv5f 203 24 possible possible JJ cord-354194-hf5ndv5f 203 25 " " '' cord-354194-hf5ndv5f 203 26 ) ) -RRB- cord-354194-hf5ndv5f 203 27 to to TO cord-354194-hf5ndv5f 203 28 reflect reflect VB cord-354194-hf5ndv5f 203 29 family family NN cord-354194-hf5ndv5f 203 30 requests request NNS cord-354194-hf5ndv5f 203 31 for for IN cord-354194-hf5ndv5f 203 32 clinically clinically RB cord-354194-hf5ndv5f 203 33 impossible impossible JJ cord-354194-hf5ndv5f 203 34 options option NNS cord-354194-hf5ndv5f 203 35 allows allow VBZ cord-354194-hf5ndv5f 203 36 clinicians clinician NNS cord-354194-hf5ndv5f 203 37 to to TO cord-354194-hf5ndv5f 203 38 maintain maintain VB cord-354194-hf5ndv5f 203 39 a a DT cord-354194-hf5ndv5f 203 40 therapeutic therapeutic JJ cord-354194-hf5ndv5f 203 41 alliance alliance NN cord-354194-hf5ndv5f 203 42 while while IN cord-354194-hf5ndv5f 203 43 not not RB cord-354194-hf5ndv5f 203 44 offering offer VBG cord-354194-hf5ndv5f 203 45 false false JJ cord-354194-hf5ndv5f 203 46 hope hope NN cord-354194-hf5ndv5f 203 47 . . . cord-354194-hf5ndv5f 204 1 These these DT cord-354194-hf5ndv5f 204 2 are be VBP cord-354194-hf5ndv5f 204 3 difficult difficult JJ cord-354194-hf5ndv5f 204 4 decisions decision NNS cord-354194-hf5ndv5f 204 5 for for IN cord-354194-hf5ndv5f 204 6 patients patient NNS cord-354194-hf5ndv5f 204 7 and and CC cord-354194-hf5ndv5f 204 8 their -PRON- PRP$ cord-354194-hf5ndv5f 204 9 surrogates surrogate NNS cord-354194-hf5ndv5f 204 10 and and CC cord-354194-hf5ndv5f 204 11 conflict conflict NN cord-354194-hf5ndv5f 204 12 with with IN cord-354194-hf5ndv5f 204 13 the the DT cord-354194-hf5ndv5f 204 14 care care NN cord-354194-hf5ndv5f 204 15 team team NN cord-354194-hf5ndv5f 204 16 benefits benefit VBZ cord-354194-hf5ndv5f 204 17 nobody nobody NN cord-354194-hf5ndv5f 204 18 . . . cord-354194-hf5ndv5f 205 1 Plan plan NN cord-354194-hf5ndv5f 205 2 treatments treatment NNS cord-354194-hf5ndv5f 205 3 to to TO cord-354194-hf5ndv5f 205 4 match match VB cord-354194-hf5ndv5f 205 5 values value NNS cord-354194-hf5ndv5f 206 1 : : : cord-354194-hf5ndv5f 206 2 A a DT cord-354194-hf5ndv5f 206 3 clear clear JJ cord-354194-hf5ndv5f 206 4 statement statement NN cord-354194-hf5ndv5f 206 5 of of IN cord-354194-hf5ndv5f 206 6 the the DT cord-354194-hf5ndv5f 206 7 plan plan NN cord-354194-hf5ndv5f 206 8 moving move VBG cord-354194-hf5ndv5f 206 9 forward forward RB cord-354194-hf5ndv5f 206 10 is be VBZ cord-354194-hf5ndv5f 206 11 important important JJ cord-354194-hf5ndv5f 206 12 , , , cord-354194-hf5ndv5f 206 13 as as RB cord-354194-hf5ndv5f 206 14 well well RB cord-354194-hf5ndv5f 206 15 as as IN cord-354194-hf5ndv5f 206 16 a a DT cord-354194-hf5ndv5f 206 17 statement statement NN cord-354194-hf5ndv5f 206 18 of of IN cord-354194-hf5ndv5f 206 19 hope hope NN cord-354194-hf5ndv5f 206 20 . . . cord-354194-hf5ndv5f 207 1 Hope hope NN cord-354194-hf5ndv5f 207 2 is be VBZ cord-354194-hf5ndv5f 207 3 an an DT cord-354194-hf5ndv5f 207 4 essential essential JJ cord-354194-hf5ndv5f 207 5 part part NN cord-354194-hf5ndv5f 207 6 of of IN cord-354194-hf5ndv5f 207 7 palliative palliative JJ cord-354194-hf5ndv5f 207 8 care care NN cord-354194-hf5ndv5f 207 9 and and CC cord-354194-hf5ndv5f 207 10 even even RB cord-354194-hf5ndv5f 207 11 if if IN cord-354194-hf5ndv5f 207 12 we -PRON- PRP cord-354194-hf5ndv5f 207 13 can can MD cord-354194-hf5ndv5f 207 14 not not RB cord-354194-hf5ndv5f 207 15 hope hope VB cord-354194-hf5ndv5f 207 16 for for IN cord-354194-hf5ndv5f 207 17 survival survival NN cord-354194-hf5ndv5f 207 18 or or CC cord-354194-hf5ndv5f 207 19 recovery recovery NN cord-354194-hf5ndv5f 207 20 , , , cord-354194-hf5ndv5f 207 21 we -PRON- PRP cord-354194-hf5ndv5f 207 22 can can MD cord-354194-hf5ndv5f 207 23 still still RB cord-354194-hf5ndv5f 207 24 hope hope VB cord-354194-hf5ndv5f 207 25 for for IN cord-354194-hf5ndv5f 207 26 time time NN cord-354194-hf5ndv5f 207 27 with with IN cord-354194-hf5ndv5f 207 28 family family NN cord-354194-hf5ndv5f 207 29 , , , cord-354194-hf5ndv5f 207 30 an an DT cord-354194-hf5ndv5f 207 31 opportunity opportunity NN cord-354194-hf5ndv5f 207 32 to to TO cord-354194-hf5ndv5f 207 33 say say VB cord-354194-hf5ndv5f 207 34 goodbye goodbye NN cord-354194-hf5ndv5f 207 35 and and CC cord-354194-hf5ndv5f 207 36 an an DT cord-354194-hf5ndv5f 207 37 end end NN cord-354194-hf5ndv5f 207 38 to to IN cord-354194-hf5ndv5f 207 39 suffering suffering NN cord-354194-hf5ndv5f 207 40 . . . cord-354194-hf5ndv5f 208 1 When when WRB cord-354194-hf5ndv5f 208 2 considering consider VBG cord-354194-hf5ndv5f 208 3 the the DT cord-354194-hf5ndv5f 208 4 actual actual JJ cord-354194-hf5ndv5f 208 5 transition transition NN cord-354194-hf5ndv5f 208 6 to to TO cord-354194-hf5ndv5f 208 7 comfort comfort VB cord-354194-hf5ndv5f 208 8 only only RB cord-354194-hf5ndv5f 208 9 care care VB cord-354194-hf5ndv5f 208 10 , , , cord-354194-hf5ndv5f 208 11 specific specific JJ cord-354194-hf5ndv5f 208 12 clinical clinical JJ cord-354194-hf5ndv5f 208 13 recommendations recommendation NNS cord-354194-hf5ndv5f 208 14 from from IN cord-354194-hf5ndv5f 208 15 the the DT cord-354194-hf5ndv5f 208 16 American American NNP cord-354194-hf5ndv5f 208 17 College College NNP cord-354194-hf5ndv5f 208 18 of of IN cord-354194-hf5ndv5f 208 19 Critical Critical NNP cord-354194-hf5ndv5f 208 20 Care Care NNP cord-354194-hf5ndv5f 208 21 Medicine Medicine NNP cord-354194-hf5ndv5f 208 22 are be VBP cord-354194-hf5ndv5f 208 23 pertinent pertinent JJ cord-354194-hf5ndv5f 208 24 and and CC cord-354194-hf5ndv5f 208 25 informative informative JJ cord-354194-hf5ndv5f 208 26 [ [ -LRB- cord-354194-hf5ndv5f 208 27 92 92 CD cord-354194-hf5ndv5f 208 28 ] ] -RRB- cord-354194-hf5ndv5f 208 29 . . . cord-354194-hf5ndv5f 209 1 We -PRON- PRP cord-354194-hf5ndv5f 209 2 STRONGLY strongly RB cord-354194-hf5ndv5f 209 3 avoid avoid VBP cord-354194-hf5ndv5f 209 4 using use VBG cord-354194-hf5ndv5f 209 5 the the DT cord-354194-hf5ndv5f 209 6 words word NNS cord-354194-hf5ndv5f 209 7 " " `` cord-354194-hf5ndv5f 209 8 withdrawal withdrawal NN cord-354194-hf5ndv5f 209 9 of of IN cord-354194-hf5ndv5f 209 10 care care NN cord-354194-hf5ndv5f 209 11 " " '' cord-354194-hf5ndv5f 209 12 as as IN cord-354194-hf5ndv5f 209 13 we -PRON- PRP cord-354194-hf5ndv5f 209 14 never never RB cord-354194-hf5ndv5f 209 15 stop stop VBP cord-354194-hf5ndv5f 209 16 caring care VBG cord-354194-hf5ndv5f 209 17 for for IN cord-354194-hf5ndv5f 209 18 patients patient NNS cord-354194-hf5ndv5f 209 19 , , , cord-354194-hf5ndv5f 209 20 and and CC cord-354194-hf5ndv5f 209 21 we -PRON- PRP cord-354194-hf5ndv5f 209 22 just just RB cord-354194-hf5ndv5f 209 23 shift shift VBP cord-354194-hf5ndv5f 209 24 our -PRON- PRP$ cord-354194-hf5ndv5f 209 25 goal goal NN cord-354194-hf5ndv5f 209 26 away away RB cord-354194-hf5ndv5f 209 27 from from IN cord-354194-hf5ndv5f 209 28 survival survival NN cord-354194-hf5ndv5f 209 29 and and CC cord-354194-hf5ndv5f 209 30 recovery recovery NN cord-354194-hf5ndv5f 209 31 and and CC cord-354194-hf5ndv5f 209 32 towards towards IN cord-354194-hf5ndv5f 209 33 comfort comfort NN cord-354194-hf5ndv5f 209 34 and and CC cord-354194-hf5ndv5f 209 35 acceptance acceptance NN cord-354194-hf5ndv5f 209 36 of of IN cord-354194-hf5ndv5f 209 37 impending impend VBG cord-354194-hf5ndv5f 209 38 death death NN cord-354194-hf5ndv5f 209 39 . . . cord-354194-hf5ndv5f 210 1 Using use VBG cord-354194-hf5ndv5f 210 2 " " `` cord-354194-hf5ndv5f 210 3 withdrawal withdrawal NN cord-354194-hf5ndv5f 210 4 of of IN cord-354194-hf5ndv5f 210 5 life life NN cord-354194-hf5ndv5f 210 6 - - HYPH cord-354194-hf5ndv5f 210 7 sustaining sustain VBG cord-354194-hf5ndv5f 210 8 treatments treatment NNS cord-354194-hf5ndv5f 210 9 " " '' cord-354194-hf5ndv5f 210 10 or or CC cord-354194-hf5ndv5f 210 11 " " `` cord-354194-hf5ndv5f 210 12 transition transition NN cord-354194-hf5ndv5f 210 13 to to TO cord-354194-hf5ndv5f 210 14 comfort comfort VB cord-354194-hf5ndv5f 210 15 only only JJ cord-354194-hf5ndv5f 210 16 goals goal NNS cord-354194-hf5ndv5f 210 17 " " `` cord-354194-hf5ndv5f 210 18 may may MD cord-354194-hf5ndv5f 210 19 be be VB cord-354194-hf5ndv5f 210 20 more more RBR cord-354194-hf5ndv5f 210 21 acceptable acceptable JJ cord-354194-hf5ndv5f 210 22 . . . cord-354194-hf5ndv5f 211 1 A a DT cord-354194-hf5ndv5f 211 2 final final JJ cord-354194-hf5ndv5f 211 3 tip tip NN cord-354194-hf5ndv5f 211 4 is be VBZ cord-354194-hf5ndv5f 211 5 to to TO cord-354194-hf5ndv5f 211 6 discuss discuss VB cord-354194-hf5ndv5f 211 7 cardiopulmonary cardiopulmonary JJ cord-354194-hf5ndv5f 211 8 resuscitation resuscitation NN cord-354194-hf5ndv5f 211 9 and and CC cord-354194-hf5ndv5f 211 10 CODE code NN cord-354194-hf5ndv5f 211 11 STATUS status NN cord-354194-hf5ndv5f 211 12 last last RB cord-354194-hf5ndv5f 211 13 . . . cord-354194-hf5ndv5f 212 1 Once once IN cord-354194-hf5ndv5f 212 2 you -PRON- PRP cord-354194-hf5ndv5f 212 3 have have VBP cord-354194-hf5ndv5f 212 4 aligned align VBN cord-354194-hf5ndv5f 212 5 goals goal NNS cord-354194-hf5ndv5f 212 6 and and CC cord-354194-hf5ndv5f 212 7 planned plan VBN cord-354194-hf5ndv5f 212 8 transitions transition NNS cord-354194-hf5ndv5f 212 9 of of IN cord-354194-hf5ndv5f 212 10 goals goal NNS cord-354194-hf5ndv5f 212 11 with with IN cord-354194-hf5ndv5f 212 12 the the DT cord-354194-hf5ndv5f 212 13 family family NN cord-354194-hf5ndv5f 212 14 , , , cord-354194-hf5ndv5f 212 15 not not RB cord-354194-hf5ndv5f 212 16 doing do VBG cord-354194-hf5ndv5f 212 17 CPR CPR NNP cord-354194-hf5ndv5f 212 18 is be VBZ cord-354194-hf5ndv5f 212 19 a a DT cord-354194-hf5ndv5f 212 20 foregone foregone JJ cord-354194-hf5ndv5f 212 21 conclusion conclusion NN cord-354194-hf5ndv5f 212 22 . . . cord-354194-hf5ndv5f 213 1 If if IN cord-354194-hf5ndv5f 213 2 , , , cord-354194-hf5ndv5f 213 3 however however RB cord-354194-hf5ndv5f 213 4 , , , cord-354194-hf5ndv5f 213 5 you -PRON- PRP cord-354194-hf5ndv5f 213 6 open open VBP cord-354194-hf5ndv5f 213 7 the the DT cord-354194-hf5ndv5f 213 8 meeting meeting NN cord-354194-hf5ndv5f 213 9 with with IN cord-354194-hf5ndv5f 213 10 the the DT cord-354194-hf5ndv5f 213 11 discussion discussion NN cord-354194-hf5ndv5f 213 12 about about IN cord-354194-hf5ndv5f 213 13 chest chest NN cord-354194-hf5ndv5f 213 14 compressions compression NNS cord-354194-hf5ndv5f 213 15 before before IN cord-354194-hf5ndv5f 213 16 setting set VBG cord-354194-hf5ndv5f 213 17 the the DT cord-354194-hf5ndv5f 213 18 ground ground NN cord-354194-hf5ndv5f 213 19 work work NN cord-354194-hf5ndv5f 213 20 , , , cord-354194-hf5ndv5f 213 21 there there EX cord-354194-hf5ndv5f 213 22 is be VBZ cord-354194-hf5ndv5f 213 23 a a DT cord-354194-hf5ndv5f 213 24 strong strong JJ cord-354194-hf5ndv5f 213 25 likelihood likelihood NN cord-354194-hf5ndv5f 213 26 that that IN cord-354194-hf5ndv5f 213 27 the the DT cord-354194-hf5ndv5f 213 28 entire entire JJ cord-354194-hf5ndv5f 213 29 meeting meeting NN cord-354194-hf5ndv5f 213 30 will will MD cord-354194-hf5ndv5f 213 31 derail derail VB cord-354194-hf5ndv5f 213 32 on on IN cord-354194-hf5ndv5f 213 33 this this DT cord-354194-hf5ndv5f 213 34 point point NN cord-354194-hf5ndv5f 213 35 . . . cord-354194-hf5ndv5f 214 1 It -PRON- PRP cord-354194-hf5ndv5f 214 2 should should MD cord-354194-hf5ndv5f 214 3 hopefully hopefully RB cord-354194-hf5ndv5f 214 4 go go VB cord-354194-hf5ndv5f 214 5 without without IN cord-354194-hf5ndv5f 214 6 saying say VBG cord-354194-hf5ndv5f 214 7 that that DT cord-354194-hf5ndv5f 214 8 , , , cord-354194-hf5ndv5f 214 9 as as IN cord-354194-hf5ndv5f 214 10 patients patient NNS cord-354194-hf5ndv5f 214 11 transition transition VBP cord-354194-hf5ndv5f 214 12 to to IN cord-354194-hf5ndv5f 214 13 comfort comfort VB cord-354194-hf5ndv5f 214 14 measures measure NNS cord-354194-hf5ndv5f 214 15 only only RB cord-354194-hf5ndv5f 214 16 , , , cord-354194-hf5ndv5f 214 17 it -PRON- PRP cord-354194-hf5ndv5f 214 18 becomes become VBZ cord-354194-hf5ndv5f 214 19 increasingly increasingly RB cord-354194-hf5ndv5f 214 20 important important JJ cord-354194-hf5ndv5f 214 21 to to TO cord-354194-hf5ndv5f 214 22 care care VB cord-354194-hf5ndv5f 214 23 for for IN cord-354194-hf5ndv5f 214 24 the the DT cord-354194-hf5ndv5f 214 25 family family NN cord-354194-hf5ndv5f 214 26 [ [ -LRB- cord-354194-hf5ndv5f 214 27 93 93 CD cord-354194-hf5ndv5f 214 28 ] ] -RRB- cord-354194-hf5ndv5f 214 29 . . . cord-354194-hf5ndv5f 215 1 Building build VBG cord-354194-hf5ndv5f 215 2 and and CC cord-354194-hf5ndv5f 215 3 supporting support VBG cord-354194-hf5ndv5f 215 4 family family NN cord-354194-hf5ndv5f 215 5 - - HYPH cord-354194-hf5ndv5f 215 6 clinician clinician NN cord-354194-hf5ndv5f 215 7 relationships relationship NNS cord-354194-hf5ndv5f 215 8 and and CC cord-354194-hf5ndv5f 215 9 continuing continue VBG cord-354194-hf5ndv5f 215 10 to to TO cord-354194-hf5ndv5f 215 11 communicate communicate VB cord-354194-hf5ndv5f 215 12 well well RB cord-354194-hf5ndv5f 215 13 in in IN cord-354194-hf5ndv5f 215 14 the the DT cord-354194-hf5ndv5f 215 15 final final JJ cord-354194-hf5ndv5f 215 16 hours hour NNS cord-354194-hf5ndv5f 215 17 of of IN cord-354194-hf5ndv5f 215 18 a a DT cord-354194-hf5ndv5f 215 19 patient patient NN cord-354194-hf5ndv5f 215 20 's 's POS cord-354194-hf5ndv5f 215 21 life life NN cord-354194-hf5ndv5f 215 22 help help VBP cord-354194-hf5ndv5f 215 23 the the DT cord-354194-hf5ndv5f 215 24 family family NN cord-354194-hf5ndv5f 215 25 prepare prepare VB cord-354194-hf5ndv5f 215 26 for for IN cord-354194-hf5ndv5f 215 27 their -PRON- PRP$ cord-354194-hf5ndv5f 215 28 upcoming upcoming JJ cord-354194-hf5ndv5f 215 29 death death NN cord-354194-hf5ndv5f 215 30 [ [ -LRB- cord-354194-hf5ndv5f 215 31 94 94 CD cord-354194-hf5ndv5f 215 32 ] ] -RRB- cord-354194-hf5ndv5f 215 33 . . . cord-354194-hf5ndv5f 216 1 The the DT cord-354194-hf5ndv5f 216 2 limited limited JJ cord-354194-hf5ndv5f 216 3 amount amount NN cord-354194-hf5ndv5f 216 4 of of IN cord-354194-hf5ndv5f 216 5 research research NN cord-354194-hf5ndv5f 216 6 as as IN cord-354194-hf5ndv5f 216 7 to to IN cord-354194-hf5ndv5f 216 8 communication communication NN cord-354194-hf5ndv5f 216 9 patterns pattern NNS cord-354194-hf5ndv5f 216 10 and and CC cord-354194-hf5ndv5f 216 11 skills skill NNS cord-354194-hf5ndv5f 216 12 in in IN cord-354194-hf5ndv5f 216 13 the the DT cord-354194-hf5ndv5f 216 14 ICU ICU NNP cord-354194-hf5ndv5f 216 15 setting setting NN cord-354194-hf5ndv5f 216 16 has have VBZ cord-354194-hf5ndv5f 216 17 focused focus VBN cord-354194-hf5ndv5f 216 18 , , , cord-354194-hf5ndv5f 216 19 nearly nearly RB cord-354194-hf5ndv5f 216 20 exclusively exclusively RB cord-354194-hf5ndv5f 216 21 , , , cord-354194-hf5ndv5f 216 22 on on IN cord-354194-hf5ndv5f 216 23 formal formal JJ cord-354194-hf5ndv5f 216 24 " " `` cord-354194-hf5ndv5f 216 25 family family NN cord-354194-hf5ndv5f 216 26 meetings meeting NNS cord-354194-hf5ndv5f 216 27 . . . cord-354194-hf5ndv5f 217 1 " " `` cord-354194-hf5ndv5f 217 2 There there EX cord-354194-hf5ndv5f 217 3 is be VBZ cord-354194-hf5ndv5f 217 4 , , , cord-354194-hf5ndv5f 217 5 however however RB cord-354194-hf5ndv5f 217 6 , , , cord-354194-hf5ndv5f 217 7 a a DT cord-354194-hf5ndv5f 217 8 significant significant JJ cord-354194-hf5ndv5f 217 9 amount amount NN cord-354194-hf5ndv5f 217 10 of of IN cord-354194-hf5ndv5f 217 11 information information NN cord-354194-hf5ndv5f 217 12 delivery delivery NN cord-354194-hf5ndv5f 217 13 and and CC cord-354194-hf5ndv5f 217 14 care care NN cord-354194-hf5ndv5f 217 15 planning planning NN cord-354194-hf5ndv5f 217 16 that that WDT cord-354194-hf5ndv5f 217 17 occurs occur VBZ cord-354194-hf5ndv5f 217 18 outside outside IN cord-354194-hf5ndv5f 217 19 the the DT cord-354194-hf5ndv5f 217 20 structure structure NN cord-354194-hf5ndv5f 217 21 of of IN cord-354194-hf5ndv5f 217 22 formal formal JJ cord-354194-hf5ndv5f 217 23 meetings meeting NNS cord-354194-hf5ndv5f 217 24 . . . cord-354194-hf5ndv5f 218 1 This this DT cord-354194-hf5ndv5f 218 2 usually usually RB cord-354194-hf5ndv5f 218 3 happens happen VBZ cord-354194-hf5ndv5f 218 4 at at IN cord-354194-hf5ndv5f 218 5 the the DT cord-354194-hf5ndv5f 218 6 bedside bedside NN cord-354194-hf5ndv5f 218 7 and and CC cord-354194-hf5ndv5f 218 8 is be VBZ cord-354194-hf5ndv5f 218 9 based base VBN cord-354194-hf5ndv5f 218 10 on on IN cord-354194-hf5ndv5f 218 11 family family NN cord-354194-hf5ndv5f 218 12 and and CC cord-354194-hf5ndv5f 218 13 clinician clinician NN cord-354194-hf5ndv5f 218 14 availability availability NN cord-354194-hf5ndv5f 218 15 - - : cord-354194-hf5ndv5f 218 16 an an DT cord-354194-hf5ndv5f 218 17 interaction interaction NN cord-354194-hf5ndv5f 218 18 format format NN cord-354194-hf5ndv5f 218 19 that that WDT cord-354194-hf5ndv5f 218 20 is be VBZ cord-354194-hf5ndv5f 218 21 very very RB cord-354194-hf5ndv5f 218 22 poorly poorly RB cord-354194-hf5ndv5f 218 23 studied study VBN cord-354194-hf5ndv5f 218 24 [ [ -LRB- cord-354194-hf5ndv5f 218 25 95 95 CD cord-354194-hf5ndv5f 218 26 ] ] -RRB- cord-354194-hf5ndv5f 218 27 . . . cord-354194-hf5ndv5f 219 1 Structured structured JJ cord-354194-hf5ndv5f 219 2 communication communication NN cord-354194-hf5ndv5f 219 3 tools tool NNS cord-354194-hf5ndv5f 219 4 and and CC cord-354194-hf5ndv5f 219 5 family family NN cord-354194-hf5ndv5f 219 6 may may MD cord-354194-hf5ndv5f 219 7 help help VB cord-354194-hf5ndv5f 219 8 to to TO cord-354194-hf5ndv5f 219 9 improve improve VB cord-354194-hf5ndv5f 219 10 physician physician NN cord-354194-hf5ndv5f 219 11 and and CC cord-354194-hf5ndv5f 219 12 family family NN cord-354194-hf5ndv5f 219 13 relationships relationship NNS cord-354194-hf5ndv5f 219 14 and and CC cord-354194-hf5ndv5f 219 15 reduce reduce VB cord-354194-hf5ndv5f 219 16 the the DT cord-354194-hf5ndv5f 219 17 risk risk NN cord-354194-hf5ndv5f 219 18 of of IN cord-354194-hf5ndv5f 219 19 PTSD PTSD NNP cord-354194-hf5ndv5f 219 20 in in IN cord-354194-hf5ndv5f 219 21 family family NN cord-354194-hf5ndv5f 219 22 members member NNS cord-354194-hf5ndv5f 219 23 [ [ -LRB- cord-354194-hf5ndv5f 219 24 96 96 CD cord-354194-hf5ndv5f 219 25 , , , cord-354194-hf5ndv5f 219 26 97 97 CD cord-354194-hf5ndv5f 219 27 ] ] -RRB- cord-354194-hf5ndv5f 219 28 . . . cord-354194-hf5ndv5f 220 1 Difficult difficult JJ cord-354194-hf5ndv5f 220 2 communication communication NN cord-354194-hf5ndv5f 220 3 is be VBZ cord-354194-hf5ndv5f 220 4 a a DT cord-354194-hf5ndv5f 220 5 learned learn VBN cord-354194-hf5ndv5f 220 6 skill skill NN cord-354194-hf5ndv5f 220 7 and and CC cord-354194-hf5ndv5f 220 8 must must MD cord-354194-hf5ndv5f 220 9 be be VB cord-354194-hf5ndv5f 220 10 taught teach VBN cord-354194-hf5ndv5f 220 11 to to IN cord-354194-hf5ndv5f 220 12 the the DT cord-354194-hf5ndv5f 220 13 next next JJ cord-354194-hf5ndv5f 220 14 generation generation NN cord-354194-hf5ndv5f 220 15 of of IN cord-354194-hf5ndv5f 220 16 surgical surgical JJ cord-354194-hf5ndv5f 220 17 trainees trainee NNS cord-354194-hf5ndv5f 220 18 . . . cord-354194-hf5ndv5f 221 1 A a DT cord-354194-hf5ndv5f 221 2 cursory cursory JJ cord-354194-hf5ndv5f 221 3 education education NN cord-354194-hf5ndv5f 221 4 about about IN cord-354194-hf5ndv5f 221 5 end end NN cord-354194-hf5ndv5f 221 6 of of IN cord-354194-hf5ndv5f 221 7 life life NN cord-354194-hf5ndv5f 221 8 care care NN cord-354194-hf5ndv5f 221 9 and and CC cord-354194-hf5ndv5f 221 10 high high JJ cord-354194-hf5ndv5f 221 11 - - HYPH cord-354194-hf5ndv5f 221 12 stakes stake NNS cord-354194-hf5ndv5f 221 13 communication communication NN cord-354194-hf5ndv5f 221 14 based base VBN cord-354194-hf5ndv5f 221 15 on on IN cord-354194-hf5ndv5f 221 16 clinical clinical JJ cord-354194-hf5ndv5f 221 17 exposure exposure NN cord-354194-hf5ndv5f 221 18 is be VBZ cord-354194-hf5ndv5f 221 19 no no DT cord-354194-hf5ndv5f 221 20 longer long RBR cord-354194-hf5ndv5f 221 21 adequate adequate JJ cord-354194-hf5ndv5f 221 22 , , , cord-354194-hf5ndv5f 221 23 and and CC cord-354194-hf5ndv5f 221 24 there there EX cord-354194-hf5ndv5f 221 25 is be VBZ cord-354194-hf5ndv5f 221 26 very very RB cord-354194-hf5ndv5f 221 27 limited limited JJ cord-354194-hf5ndv5f 221 28 education education NN cord-354194-hf5ndv5f 221 29 in in IN cord-354194-hf5ndv5f 221 30 medical medical JJ cord-354194-hf5ndv5f 221 31 school school NN cord-354194-hf5ndv5f 221 32 on on IN cord-354194-hf5ndv5f 221 33 this this DT cord-354194-hf5ndv5f 221 34 topic topic NN cord-354194-hf5ndv5f 221 35 [ [ -LRB- cord-354194-hf5ndv5f 221 36 98 98 CD cord-354194-hf5ndv5f 221 37 , , , cord-354194-hf5ndv5f 221 38 99 99 CD cord-354194-hf5ndv5f 221 39 ] ] -RRB- cord-354194-hf5ndv5f 221 40 . . . cord-354194-hf5ndv5f 222 1 As as IN cord-354194-hf5ndv5f 222 2 might may MD cord-354194-hf5ndv5f 222 3 be be VB cord-354194-hf5ndv5f 222 4 expected expect VBN cord-354194-hf5ndv5f 222 5 from from IN cord-354194-hf5ndv5f 222 6 the the DT cord-354194-hf5ndv5f 222 7 limited limited JJ cord-354194-hf5ndv5f 222 8 efficacy efficacy NN cord-354194-hf5ndv5f 222 9 data datum NNS cord-354194-hf5ndv5f 222 10 , , , cord-354194-hf5ndv5f 222 11 there there EX cord-354194-hf5ndv5f 222 12 are be VBP cord-354194-hf5ndv5f 222 13 precious precious JJ cord-354194-hf5ndv5f 222 14 little little JJ cord-354194-hf5ndv5f 222 15 data datum NNS cord-354194-hf5ndv5f 222 16 on on IN cord-354194-hf5ndv5f 222 17 the the DT cord-354194-hf5ndv5f 222 18 optimal optimal JJ cord-354194-hf5ndv5f 222 19 approach approach NN cord-354194-hf5ndv5f 222 20 to to IN cord-354194-hf5ndv5f 222 21 teaching teach VBG cord-354194-hf5ndv5f 222 22 residents resident NNS cord-354194-hf5ndv5f 222 23 and and CC cord-354194-hf5ndv5f 222 24 medical medical JJ cord-354194-hf5ndv5f 222 25 students student NNS cord-354194-hf5ndv5f 223 1 key key JJ cord-354194-hf5ndv5f 223 2 communication communication NN cord-354194-hf5ndv5f 223 3 skills skill NNS cord-354194-hf5ndv5f 223 4 [ [ -LRB- cord-354194-hf5ndv5f 223 5 100 100 CD cord-354194-hf5ndv5f 223 6 , , , cord-354194-hf5ndv5f 223 7 101 101 CD cord-354194-hf5ndv5f 223 8 ] ] -RRB- cord-354194-hf5ndv5f 223 9 . . . cord-354194-hf5ndv5f 224 1 Resident resident JJ cord-354194-hf5ndv5f 224 2 self self NN cord-354194-hf5ndv5f 224 3 - - HYPH cord-354194-hf5ndv5f 224 4 reported report VBN cord-354194-hf5ndv5f 224 5 comfort comfort NN cord-354194-hf5ndv5f 224 6 with with IN cord-354194-hf5ndv5f 224 7 providing provide VBG cord-354194-hf5ndv5f 224 8 end end NN cord-354194-hf5ndv5f 224 9 - - HYPH cord-354194-hf5ndv5f 224 10 oflife oflife NN cord-354194-hf5ndv5f 224 11 care care NN cord-354194-hf5ndv5f 224 12 does do VBZ cord-354194-hf5ndv5f 224 13 not not RB cord-354194-hf5ndv5f 224 14 correlate correlate VB cord-354194-hf5ndv5f 224 15 well well RB cord-354194-hf5ndv5f 224 16 with with IN cord-354194-hf5ndv5f 224 17 experience experience NN cord-354194-hf5ndv5f 224 18 providing provide VBG cord-354194-hf5ndv5f 224 19 end end NN cord-354194-hf5ndv5f 224 20 - - HYPH cord-354194-hf5ndv5f 224 21 of of IN cord-354194-hf5ndv5f 224 22 - - HYPH cord-354194-hf5ndv5f 224 23 life life NN cord-354194-hf5ndv5f 224 24 care care NN cord-354194-hf5ndv5f 224 25 , , , cord-354194-hf5ndv5f 224 26 although although IN cord-354194-hf5ndv5f 224 27 a a DT cord-354194-hf5ndv5f 224 28 formal formal JJ cord-354194-hf5ndv5f 224 29 curriculum curriculum NN cord-354194-hf5ndv5f 224 30 may may MD cord-354194-hf5ndv5f 224 31 [ [ -LRB- cord-354194-hf5ndv5f 224 32 102 102 CD cord-354194-hf5ndv5f 224 33 ] ] -RRB- cord-354194-hf5ndv5f 224 34 . . . cord-354194-hf5ndv5f 225 1 Residents resident NNS cord-354194-hf5ndv5f 225 2 can can MD cord-354194-hf5ndv5f 225 3 effectively effectively RB cord-354194-hf5ndv5f 225 4 learn learn VB cord-354194-hf5ndv5f 225 5 to to TO cord-354194-hf5ndv5f 225 6 use use VB cord-354194-hf5ndv5f 225 7 structured structured JJ cord-354194-hf5ndv5f 225 8 communication communication NN cord-354194-hf5ndv5f 225 9 tools tool NNS cord-354194-hf5ndv5f 225 10 , , , cord-354194-hf5ndv5f 225 11 such such JJ cord-354194-hf5ndv5f 225 12 as as IN cord-354194-hf5ndv5f 225 13 the the DT cord-354194-hf5ndv5f 225 14 BC BC NNP cord-354194-hf5ndv5f 225 15 / / SYM cord-354194-hf5ndv5f 225 16 WC WC NNP cord-354194-hf5ndv5f 225 17 tool tool NN cord-354194-hf5ndv5f 225 18 , , , cord-354194-hf5ndv5f 225 19 although although IN cord-354194-hf5ndv5f 225 20 do do VBP cord-354194-hf5ndv5f 225 21 need need VB cord-354194-hf5ndv5f 225 22 skilled skilled JJ cord-354194-hf5ndv5f 225 23 feedback feedback NN cord-354194-hf5ndv5f 225 24 in in IN cord-354194-hf5ndv5f 225 25 order order NN cord-354194-hf5ndv5f 225 26 to to TO cord-354194-hf5ndv5f 225 27 improve improve VB cord-354194-hf5ndv5f 225 28 [ [ -LRB- cord-354194-hf5ndv5f 225 29 103 103 CD cord-354194-hf5ndv5f 225 30 , , , cord-354194-hf5ndv5f 225 31 104 104 CD cord-354194-hf5ndv5f 225 32 ] ] -RRB- cord-354194-hf5ndv5f 225 33 . . . cord-354194-hf5ndv5f 226 1 In in IN cord-354194-hf5ndv5f 226 2 the the DT cord-354194-hf5ndv5f 226 3 current current JJ cord-354194-hf5ndv5f 226 4 medical medical JJ cord-354194-hf5ndv5f 226 5 training training NN cord-354194-hf5ndv5f 226 6 environment environment NN cord-354194-hf5ndv5f 226 7 , , , cord-354194-hf5ndv5f 226 8 it -PRON- PRP cord-354194-hf5ndv5f 226 9 is be VBZ cord-354194-hf5ndv5f 226 10 likely likely JJ cord-354194-hf5ndv5f 226 11 that that IN cord-354194-hf5ndv5f 226 12 the the DT cord-354194-hf5ndv5f 226 13 clinical clinical JJ cord-354194-hf5ndv5f 226 14 education education NN cord-354194-hf5ndv5f 226 15 of of IN cord-354194-hf5ndv5f 226 16 the the DT cord-354194-hf5ndv5f 226 17 vast vast JJ cord-354194-hf5ndv5f 226 18 majority majority NN cord-354194-hf5ndv5f 226 19 of of IN cord-354194-hf5ndv5f 226 20 general general JJ cord-354194-hf5ndv5f 226 21 surgery surgery NN cord-354194-hf5ndv5f 226 22 residents resident NNS cord-354194-hf5ndv5f 226 23 in in IN cord-354194-hf5ndv5f 226 24 high high JJ cord-354194-hf5ndv5f 226 25 - - HYPH cord-354194-hf5ndv5f 226 26 stakes stake NNS cord-354194-hf5ndv5f 226 27 communication communication NN cord-354194-hf5ndv5f 226 28 will will MD cord-354194-hf5ndv5f 226 29 occur occur VB cord-354194-hf5ndv5f 226 30 in in IN cord-354194-hf5ndv5f 226 31 the the DT cord-354194-hf5ndv5f 226 32 surgical surgical JJ cord-354194-hf5ndv5f 226 33 ICU ICU NNP cord-354194-hf5ndv5f 226 34 , , , cord-354194-hf5ndv5f 226 35 where where WRB cord-354194-hf5ndv5f 226 36 brief brief JJ cord-354194-hf5ndv5f 226 37 intervention intervention NN cord-354194-hf5ndv5f 226 38 can can MD cord-354194-hf5ndv5f 226 39 improve improve VB cord-354194-hf5ndv5f 226 40 self self NN cord-354194-hf5ndv5f 226 41 - - HYPH cord-354194-hf5ndv5f 226 42 reported report VBN cord-354194-hf5ndv5f 226 43 comfort comfort NN cord-354194-hf5ndv5f 226 44 with with IN cord-354194-hf5ndv5f 226 45 key key JJ cord-354194-hf5ndv5f 226 46 communication communication NN cord-354194-hf5ndv5f 226 47 skills skill NNS cord-354194-hf5ndv5f 226 48 [ [ -LRB- cord-354194-hf5ndv5f 226 49 105 105 CD cord-354194-hf5ndv5f 226 50 ] ] -RRB- cord-354194-hf5ndv5f 226 51 . . . cord-354194-hf5ndv5f 227 1 As as IN cord-354194-hf5ndv5f 227 2 we -PRON- PRP cord-354194-hf5ndv5f 227 3 continue continue VBP cord-354194-hf5ndv5f 227 4 to to TO cord-354194-hf5ndv5f 227 5 improve improve VB cord-354194-hf5ndv5f 227 6 our -PRON- PRP$ cord-354194-hf5ndv5f 227 7 understanding understanding NN cord-354194-hf5ndv5f 227 8 of of IN cord-354194-hf5ndv5f 227 9 the the DT cord-354194-hf5ndv5f 227 10 optimal optimal JJ cord-354194-hf5ndv5f 227 11 approach approach NN cord-354194-hf5ndv5f 227 12 to to IN cord-354194-hf5ndv5f 227 13 high high JJ cord-354194-hf5ndv5f 227 14 - - HYPH cord-354194-hf5ndv5f 227 15 stakes stake NNS cord-354194-hf5ndv5f 227 16 communication communication NN cord-354194-hf5ndv5f 227 17 within within IN cord-354194-hf5ndv5f 227 18 injured injure VBN cord-354194-hf5ndv5f 227 19 patients patient NNS cord-354194-hf5ndv5f 227 20 , , , cord-354194-hf5ndv5f 227 21 the the DT cord-354194-hf5ndv5f 227 22 educational educational JJ cord-354194-hf5ndv5f 227 23 process process NN cord-354194-hf5ndv5f 227 24 should should MD cord-354194-hf5ndv5f 227 25 proceed proceed VB cord-354194-hf5ndv5f 227 26 in in IN cord-354194-hf5ndv5f 227 27 parallel parallel NN cord-354194-hf5ndv5f 227 28 . . . cord-354194-hf5ndv5f 228 1 Families family NNS cord-354194-hf5ndv5f 228 2 have have VBP cord-354194-hf5ndv5f 228 3 traditionally traditionally RB cord-354194-hf5ndv5f 228 4 and and CC cord-354194-hf5ndv5f 228 5 nearly nearly RB cord-354194-hf5ndv5f 228 6 universally universally RB cord-354194-hf5ndv5f 228 7 been be VBN cord-354194-hf5ndv5f 228 8 included include VBN cord-354194-hf5ndv5f 228 9 at at IN cord-354194-hf5ndv5f 228 10 the the DT cord-354194-hf5ndv5f 228 11 bedside bedside NN cord-354194-hf5ndv5f 228 12 in in IN cord-354194-hf5ndv5f 228 13 surgical surgical JJ cord-354194-hf5ndv5f 228 14 ICUs icu NNS cord-354194-hf5ndv5f 228 15 [ [ -LRB- cord-354194-hf5ndv5f 228 16 37 37 CD cord-354194-hf5ndv5f 228 17 ] ] -RRB- cord-354194-hf5ndv5f 228 18 . . . cord-354194-hf5ndv5f 229 1 As as IN cord-354194-hf5ndv5f 229 2 of of IN cord-354194-hf5ndv5f 229 3 the the DT cord-354194-hf5ndv5f 229 4 writing writing NN cord-354194-hf5ndv5f 229 5 of of IN cord-354194-hf5ndv5f 229 6 this this DT cord-354194-hf5ndv5f 229 7 article article NN cord-354194-hf5ndv5f 229 8 , , , cord-354194-hf5ndv5f 229 9 the the DT cord-354194-hf5ndv5f 229 10 COVID-19 COVID-19 NNP cord-354194-hf5ndv5f 229 11 pandemic pandemic NN cord-354194-hf5ndv5f 229 12 is be VBZ cord-354194-hf5ndv5f 229 13 raging rage VBG cord-354194-hf5ndv5f 229 14 across across IN cord-354194-hf5ndv5f 229 15 the the DT cord-354194-hf5ndv5f 229 16 world world NN cord-354194-hf5ndv5f 229 17 . . . cord-354194-hf5ndv5f 230 1 As as IN cord-354194-hf5ndv5f 230 2 physical physical JJ cord-354194-hf5ndv5f 230 3 distancing distancing NN cord-354194-hf5ndv5f 230 4 becomes become VBZ cord-354194-hf5ndv5f 230 5 ubiquitous ubiquitous JJ cord-354194-hf5ndv5f 230 6 and and CC cord-354194-hf5ndv5f 230 7 hospitals hospital NNS cord-354194-hf5ndv5f 230 8 severely severely RB cord-354194-hf5ndv5f 230 9 restrict restrict VBP cord-354194-hf5ndv5f 230 10 the the DT cord-354194-hf5ndv5f 230 11 number number NN cord-354194-hf5ndv5f 230 12 of of IN cord-354194-hf5ndv5f 230 13 visitors visitor NNS cord-354194-hf5ndv5f 230 14 , , , cord-354194-hf5ndv5f 230 15 high high JJ cord-354194-hf5ndv5f 230 16 - - HYPH cord-354194-hf5ndv5f 230 17 stakes stake NNS cord-354194-hf5ndv5f 230 18 communication communication NN cord-354194-hf5ndv5f 230 19 is be VBZ cord-354194-hf5ndv5f 230 20 becoming become VBG cord-354194-hf5ndv5f 230 21 increasingly increasingly RB cord-354194-hf5ndv5f 230 22 challenging challenging JJ cord-354194-hf5ndv5f 230 23 . . . cord-354194-hf5ndv5f 231 1 Technological technological JJ cord-354194-hf5ndv5f 231 2 solutions solution NNS cord-354194-hf5ndv5f 231 3 have have VBP cord-354194-hf5ndv5f 231 4 provided provide VBN cord-354194-hf5ndv5f 231 5 a a DT cord-354194-hf5ndv5f 231 6 bridge bridge NN cord-354194-hf5ndv5f 231 7 , , , cord-354194-hf5ndv5f 231 8 but but CC cord-354194-hf5ndv5f 231 9 video video NN cord-354194-hf5ndv5f 231 10 conferencing conferencing NN cord-354194-hf5ndv5f 231 11 will will MD cord-354194-hf5ndv5f 231 12 never never RB cord-354194-hf5ndv5f 231 13 be be VB cord-354194-hf5ndv5f 231 14 a a DT cord-354194-hf5ndv5f 231 15 full full JJ cord-354194-hf5ndv5f 231 16 replacement replacement NN cord-354194-hf5ndv5f 231 17 for for IN cord-354194-hf5ndv5f 231 18 in in IN cord-354194-hf5ndv5f 231 19 - - HYPH cord-354194-hf5ndv5f 231 20 person person NN cord-354194-hf5ndv5f 231 21 communication communication NN cord-354194-hf5ndv5f 231 22 and and CC cord-354194-hf5ndv5f 231 23 bedside bedside NN cord-354194-hf5ndv5f 231 24 discussions discussion NNS cord-354194-hf5ndv5f 231 25 . . . cord-354194-hf5ndv5f 232 1 While while IN cord-354194-hf5ndv5f 232 2 we -PRON- PRP cord-354194-hf5ndv5f 232 3 suspect suspect VBP cord-354194-hf5ndv5f 232 4 that that IN cord-354194-hf5ndv5f 232 5 many many JJ cord-354194-hf5ndv5f 232 6 of of IN cord-354194-hf5ndv5f 232 7 the the DT cord-354194-hf5ndv5f 232 8 same same JJ cord-354194-hf5ndv5f 232 9 principles principle NNS cord-354194-hf5ndv5f 232 10 and and CC cord-354194-hf5ndv5f 232 11 structures structure NNS cord-354194-hf5ndv5f 232 12 outlined outline VBN cord-354194-hf5ndv5f 232 13 in in IN cord-354194-hf5ndv5f 232 14 this this DT cord-354194-hf5ndv5f 232 15 article article NN cord-354194-hf5ndv5f 232 16 remain remain VBP cord-354194-hf5ndv5f 232 17 applicable applicable JJ cord-354194-hf5ndv5f 232 18 in in IN cord-354194-hf5ndv5f 232 19 the the DT cord-354194-hf5ndv5f 232 20 current current JJ cord-354194-hf5ndv5f 232 21 pandemic pandemic NN cord-354194-hf5ndv5f 232 22 , , , cord-354194-hf5ndv5f 232 23 adaptations adaptation NNS cord-354194-hf5ndv5f 232 24 to to IN cord-354194-hf5ndv5f 232 25 technological technological JJ cord-354194-hf5ndv5f 232 26 limitations limitation NNS cord-354194-hf5ndv5f 232 27 will will MD cord-354194-hf5ndv5f 232 28 be be VB cord-354194-hf5ndv5f 232 29 required require VBN cord-354194-hf5ndv5f 232 30 . . . cord-354194-hf5ndv5f 233 1 The the DT cord-354194-hf5ndv5f 233 2 weight weight NN cord-354194-hf5ndv5f 233 3 of of IN cord-354194-hf5ndv5f 233 4 the the DT cord-354194-hf5ndv5f 233 5 published publish VBN cord-354194-hf5ndv5f 233 6 work work NN cord-354194-hf5ndv5f 233 7 , , , cord-354194-hf5ndv5f 233 8 to to IN cord-354194-hf5ndv5f 233 9 date date NN cord-354194-hf5ndv5f 233 10 , , , cord-354194-hf5ndv5f 233 11 focuses focus VBZ cord-354194-hf5ndv5f 233 12 on on IN cord-354194-hf5ndv5f 233 13 managing manage VBG cord-354194-hf5ndv5f 233 14 death death NN cord-354194-hf5ndv5f 233 15 and and CC cord-354194-hf5ndv5f 233 16 dying die VBG cord-354194-hf5ndv5f 233 17 in in IN cord-354194-hf5ndv5f 233 18 the the DT cord-354194-hf5ndv5f 233 19 setting setting NN cord-354194-hf5ndv5f 233 20 of of IN cord-354194-hf5ndv5f 233 21 a a DT cord-354194-hf5ndv5f 233 22 resource resource NN cord-354194-hf5ndv5f 233 23 - - HYPH cord-354194-hf5ndv5f 233 24 limited limit VBN cord-354194-hf5ndv5f 233 25 pandemic pandemic NN cord-354194-hf5ndv5f 233 26 . . . cord-354194-hf5ndv5f 234 1 Much much JJ cord-354194-hf5ndv5f 234 2 work work NN cord-354194-hf5ndv5f 234 3 remains remain VBZ cord-354194-hf5ndv5f 234 4 to to TO cord-354194-hf5ndv5f 234 5 be be VB cord-354194-hf5ndv5f 234 6 done do VBN cord-354194-hf5ndv5f 234 7 and and CC cord-354194-hf5ndv5f 234 8 with with IN cord-354194-hf5ndv5f 234 9 families family NNS cord-354194-hf5ndv5f 234 10 not not RB cord-354194-hf5ndv5f 234 11 at at IN cord-354194-hf5ndv5f 234 12 the the DT cord-354194-hf5ndv5f 234 13 bedside bedside NN cord-354194-hf5ndv5f 234 14 . . . cord-354194-hf5ndv5f 235 1 Conversations conversation NNS cord-354194-hf5ndv5f 235 2 will will MD cord-354194-hf5ndv5f 235 3 need need VB cord-354194-hf5ndv5f 235 4 to to TO cord-354194-hf5ndv5f 235 5 become become VB cord-354194-hf5ndv5f 235 6 more more RBR cord-354194-hf5ndv5f 235 7 intentional intentional JJ cord-354194-hf5ndv5f 235 8 , , , cord-354194-hf5ndv5f 235 9 more more RBR cord-354194-hf5ndv5f 235 10 structured structured JJ cord-354194-hf5ndv5f 235 11 , , , cord-354194-hf5ndv5f 235 12 and and CC cord-354194-hf5ndv5f 235 13 integrated integrate VBD cord-354194-hf5ndv5f 235 14 more more RBR cord-354194-hf5ndv5f 235 15 intentionally intentionally RB cord-354194-hf5ndv5f 235 16 into into IN cord-354194-hf5ndv5f 235 17 the the DT cord-354194-hf5ndv5f 235 18 routine routine JJ cord-354194-hf5ndv5f 235 19 care care NN cord-354194-hf5ndv5f 235 20 of of IN cord-354194-hf5ndv5f 235 21 patients patient NNS cord-354194-hf5ndv5f 235 22 in in IN cord-354194-hf5ndv5f 235 23 the the DT cord-354194-hf5ndv5f 235 24 ICU ICU NNP cord-354194-hf5ndv5f 235 25 . . . cord-354194-hf5ndv5f 236 1 The the DT cord-354194-hf5ndv5f 236 2 realities reality NNS cord-354194-hf5ndv5f 236 3 of of IN cord-354194-hf5ndv5f 236 4 physical physical JJ cord-354194-hf5ndv5f 236 5 distancing distancing NN cord-354194-hf5ndv5f 236 6 and and CC cord-354194-hf5ndv5f 236 7 limited limited JJ cord-354194-hf5ndv5f 236 8 family family NN cord-354194-hf5ndv5f 236 9 visitation visitation NN cord-354194-hf5ndv5f 236 10 emphasize emphasize VB cord-354194-hf5ndv5f 236 11 the the DT cord-354194-hf5ndv5f 236 12 need need NN cord-354194-hf5ndv5f 236 13 for for IN cord-354194-hf5ndv5f 236 14 rapid rapid JJ cord-354194-hf5ndv5f 236 15 and and CC cord-354194-hf5ndv5f 236 16 universal universal JJ cord-354194-hf5ndv5f 236 17 acceptance acceptance NN cord-354194-hf5ndv5f 236 18 of of IN cord-354194-hf5ndv5f 236 19 surgical surgical JJ cord-354194-hf5ndv5f 236 20 palliative palliative JJ cord-354194-hf5ndv5f 236 21 care care NN cord-354194-hf5ndv5f 236 22 principles principle NNS cord-354194-hf5ndv5f 236 23 , , , cord-354194-hf5ndv5f 236 24 particularly particularly RB cord-354194-hf5ndv5f 236 25 structured structured JJ cord-354194-hf5ndv5f 236 26 and and CC cord-354194-hf5ndv5f 236 27 empathetic empathetic JJ cord-354194-hf5ndv5f 236 28 communication communication NN cord-354194-hf5ndv5f 236 29 in in IN cord-354194-hf5ndv5f 236 30 the the DT cord-354194-hf5ndv5f 236 31 ICU ICU NNP cord-354194-hf5ndv5f 236 32 [ [ -LRB- cord-354194-hf5ndv5f 236 33 106• 106• CD cord-354194-hf5ndv5f 236 34 ] ] -RRB- cord-354194-hf5ndv5f 236 35 . . . cord-354194-hf5ndv5f 237 1 Communication communication NN cord-354194-hf5ndv5f 237 2 skills skill NNS cord-354194-hf5ndv5f 237 3 in in IN cord-354194-hf5ndv5f 237 4 the the DT cord-354194-hf5ndv5f 237 5 ICU ICU NNP cord-354194-hf5ndv5f 237 6 are be VBP cord-354194-hf5ndv5f 237 7 an an DT cord-354194-hf5ndv5f 237 8 essential essential JJ cord-354194-hf5ndv5f 237 9 part part NN cord-354194-hf5ndv5f 237 10 of of IN cord-354194-hf5ndv5f 237 11 the the DT cord-354194-hf5ndv5f 237 12 care care NN cord-354194-hf5ndv5f 237 13 of of IN cord-354194-hf5ndv5f 237 14 trauma trauma NN cord-354194-hf5ndv5f 237 15 patients patient NNS cord-354194-hf5ndv5f 237 16 . . . cord-354194-hf5ndv5f 238 1 We -PRON- PRP cord-354194-hf5ndv5f 238 2 have have VBP cord-354194-hf5ndv5f 238 3 an an DT cord-354194-hf5ndv5f 238 4 imperative imperative NN cord-354194-hf5ndv5f 238 5 to to TO cord-354194-hf5ndv5f 238 6 improve improve VB cord-354194-hf5ndv5f 238 7 the the DT cord-354194-hf5ndv5f 238 8 communication communication NN cord-354194-hf5ndv5f 238 9 for for IN cord-354194-hf5ndv5f 238 10 all all DT cord-354194-hf5ndv5f 238 11 patients patient NNS cord-354194-hf5ndv5f 238 12 , , , cord-354194-hf5ndv5f 238 13 not not RB cord-354194-hf5ndv5f 238 14 just just RB cord-354194-hf5ndv5f 238 15 those those DT cord-354194-hf5ndv5f 238 16 at at IN cord-354194-hf5ndv5f 238 17 the the DT cord-354194-hf5ndv5f 238 18 end end NN cord-354194-hf5ndv5f 238 19 of of IN cord-354194-hf5ndv5f 238 20 their -PRON- PRP$ cord-354194-hf5ndv5f 238 21 life life NN cord-354194-hf5ndv5f 238 22 [ [ -LRB- cord-354194-hf5ndv5f 238 23 1 1 CD cord-354194-hf5ndv5f 238 24 ] ] -RRB- cord-354194-hf5ndv5f 238 25 . . . cord-354194-hf5ndv5f 239 1 The the DT cord-354194-hf5ndv5f 239 2 need need NN cord-354194-hf5ndv5f 239 3 to to TO cord-354194-hf5ndv5f 239 4 communicate communicate VB cord-354194-hf5ndv5f 239 5 effectively effectively RB cord-354194-hf5ndv5f 239 6 and and CC cord-354194-hf5ndv5f 239 7 empathetically empathetically RB cord-354194-hf5ndv5f 239 8 with with IN cord-354194-hf5ndv5f 239 9 patients patient NNS cord-354194-hf5ndv5f 239 10 and and CC cord-354194-hf5ndv5f 239 11 identify identify VB cord-354194-hf5ndv5f 239 12 primary primary JJ cord-354194-hf5ndv5f 239 13 GOC GOC NNP cord-354194-hf5ndv5f 239 14 is be VBZ cord-354194-hf5ndv5f 239 15 an an DT cord-354194-hf5ndv5f 239 16 essential essential JJ cord-354194-hf5ndv5f 239 17 part part NN cord-354194-hf5ndv5f 239 18 of of IN cord-354194-hf5ndv5f 239 19 trauma trauma NN cord-354194-hf5ndv5f 239 20 care care NN cord-354194-hf5ndv5f 239 21 in in IN cord-354194-hf5ndv5f 239 22 the the DT cord-354194-hf5ndv5f 239 23 ICU ICU NNP cord-354194-hf5ndv5f 239 24 [ [ -LRB- cord-354194-hf5ndv5f 239 25 1 1 CD cord-354194-hf5ndv5f 239 26 , , , cord-354194-hf5ndv5f 239 27 3 3 CD cord-354194-hf5ndv5f 239 28 ] ] -RRB- cord-354194-hf5ndv5f 239 29 . . . cord-354194-hf5ndv5f 240 1 While while IN cord-354194-hf5ndv5f 240 2 the the DT cord-354194-hf5ndv5f 240 3 optimal optimal JJ cord-354194-hf5ndv5f 240 4 design design NN cord-354194-hf5ndv5f 240 5 to to TO cord-354194-hf5ndv5f 240 6 support support VB cord-354194-hf5ndv5f 240 7 complex complex JJ cord-354194-hf5ndv5f 240 8 communication communication NN cord-354194-hf5ndv5f 240 9 in in IN cord-354194-hf5ndv5f 240 10 the the DT cord-354194-hf5ndv5f 240 11 ICU ICU NNP cord-354194-hf5ndv5f 240 12 will will MD cord-354194-hf5ndv5f 240 13 be be VB cord-354194-hf5ndv5f 240 14 dependent dependent JJ cord-354194-hf5ndv5f 240 15 on on IN cord-354194-hf5ndv5f 240 16 institutional institutional JJ cord-354194-hf5ndv5f 240 17 experience experience NN cord-354194-hf5ndv5f 240 18 and and CC cord-354194-hf5ndv5f 240 19 resources resource NNS cord-354194-hf5ndv5f 240 20 , , , cord-354194-hf5ndv5f 240 21 a a DT cord-354194-hf5ndv5f 240 22 PPC ppc NN cord-354194-hf5ndv5f 240 23 model model NN cord-354194-hf5ndv5f 240 24 or or CC cord-354194-hf5ndv5f 240 25 integrated integrated JJ cord-354194-hf5ndv5f 240 26 palliative palliative JJ cord-354194-hf5ndv5f 240 27 care care NN cord-354194-hf5ndv5f 240 28 model model NN cord-354194-hf5ndv5f 240 29 will will MD cord-354194-hf5ndv5f 240 30 allow allow VB cord-354194-hf5ndv5f 240 31 assessment assessment NN cord-354194-hf5ndv5f 240 32 of of IN cord-354194-hf5ndv5f 240 33 every every DT cord-354194-hf5ndv5f 240 34 patient patient NN cord-354194-hf5ndv5f 240 35 's 's POS cord-354194-hf5ndv5f 240 36 communication communication NN cord-354194-hf5ndv5f 240 37 needs need NNS cord-354194-hf5ndv5f 240 38 and and CC cord-354194-hf5ndv5f 240 39 may may MD cord-354194-hf5ndv5f 240 40 be be VB cord-354194-hf5ndv5f 240 41 superior superior JJ cord-354194-hf5ndv5f 240 42 to to IN cord-354194-hf5ndv5f 240 43 a a DT cord-354194-hf5ndv5f 240 44 purely purely RB cord-354194-hf5ndv5f 240 45 consult consult NN cord-354194-hf5ndv5f 240 46 - - HYPH cord-354194-hf5ndv5f 240 47 based base VBN cord-354194-hf5ndv5f 240 48 format format NN cord-354194-hf5ndv5f 240 49 . . . cord-354194-hf5ndv5f 241 1 A a DT cord-354194-hf5ndv5f 241 2 structured structured JJ cord-354194-hf5ndv5f 241 3 approach approach NN cord-354194-hf5ndv5f 241 4 to to IN cord-354194-hf5ndv5f 241 5 family family NN cord-354194-hf5ndv5f 241 6 meetings meeting NNS cord-354194-hf5ndv5f 241 7 may may MD cord-354194-hf5ndv5f 241 8 improve improve VB cord-354194-hf5ndv5f 241 9 our -PRON- PRP$ cord-354194-hf5ndv5f 241 10 ability ability NN cord-354194-hf5ndv5f 241 11 to to TO cord-354194-hf5ndv5f 241 12 communicate communicate VB cord-354194-hf5ndv5f 241 13 succinctly succinctly RB cord-354194-hf5ndv5f 241 14 and and CC cord-354194-hf5ndv5f 241 15 clearly clearly RB cord-354194-hf5ndv5f 241 16 in in IN cord-354194-hf5ndv5f 241 17 high high JJ cord-354194-hf5ndv5f 241 18 stress stress NN cord-354194-hf5ndv5f 241 19 situations situation NNS cord-354194-hf5ndv5f 241 20 . . . cord-354194-hf5ndv5f 242 1 Communication communication NN cord-354194-hf5ndv5f 242 2 skills skill NNS cord-354194-hf5ndv5f 242 3 are be VBP cord-354194-hf5ndv5f 242 4 teachable teachable JJ cord-354194-hf5ndv5f 242 5 and and CC cord-354194-hf5ndv5f 242 6 can can MD cord-354194-hf5ndv5f 242 7 be be VB cord-354194-hf5ndv5f 242 8 improved improve VBN cord-354194-hf5ndv5f 242 9 . . . cord-354194-hf5ndv5f 243 1 In in IN cord-354194-hf5ndv5f 243 2 an an DT cord-354194-hf5ndv5f 243 3 area area NN cord-354194-hf5ndv5f 243 4 of of IN cord-354194-hf5ndv5f 243 5 active active JJ cord-354194-hf5ndv5f 243 6 and and CC cord-354194-hf5ndv5f 243 7 dynamic dynamic JJ cord-354194-hf5ndv5f 243 8 research research NN cord-354194-hf5ndv5f 243 9 , , , cord-354194-hf5ndv5f 243 10 we -PRON- PRP cord-354194-hf5ndv5f 243 11 look look VBP cord-354194-hf5ndv5f 243 12 towards towards IN cord-354194-hf5ndv5f 243 13 a a DT cord-354194-hf5ndv5f 243 14 coming come VBG cord-354194-hf5ndv5f 243 15 explosion explosion NN cord-354194-hf5ndv5f 243 16 of of IN cord-354194-hf5ndv5f 243 17 research research NN cord-354194-hf5ndv5f 243 18 on on IN cord-354194-hf5ndv5f 243 19 surgical surgical JJ cord-354194-hf5ndv5f 243 20 palliative palliative JJ cord-354194-hf5ndv5f 243 21 care care NN cord-354194-hf5ndv5f 243 22 and and CC cord-354194-hf5ndv5f 243 23 complex complex JJ cord-354194-hf5ndv5f 243 24 communication communication NN cord-354194-hf5ndv5f 243 25 challenges challenge NNS cord-354194-hf5ndv5f 243 26 . . . cord-354194-hf5ndv5f 244 1 This this DT cord-354194-hf5ndv5f 244 2 is be VBZ cord-354194-hf5ndv5f 244 3 an an DT cord-354194-hf5ndv5f 244 4 exciting exciting JJ cord-354194-hf5ndv5f 244 5 time time NN cord-354194-hf5ndv5f 244 6 to to TO cord-354194-hf5ndv5f 244 7 be be VB cord-354194-hf5ndv5f 244 8 an an DT cord-354194-hf5ndv5f 244 9 acute acute JJ cord-354194-hf5ndv5f 244 10 care care NN cord-354194-hf5ndv5f 244 11 surgeon surgeon NN cord-354194-hf5ndv5f 244 12 and and CC cord-354194-hf5ndv5f 244 13 an an DT cord-354194-hf5ndv5f 244 14 exciting exciting JJ cord-354194-hf5ndv5f 244 15 time time NN cord-354194-hf5ndv5f 244 16 to to TO cord-354194-hf5ndv5f 244 17 build build VB cord-354194-hf5ndv5f 244 18 palliative palliative NN cord-354194-hf5ndv5f 244 19 and and CC cord-354194-hf5ndv5f 244 20 communication communication NN cord-354194-hf5ndv5f 244 21 capabilities capability NNS cord-354194-hf5ndv5f 244 22 . . . cord-354194-hf5ndv5f 245 1 Conflict conflict NN cord-354194-hf5ndv5f 245 2 of of IN cord-354194-hf5ndv5f 245 3 Interest interest NN cord-354194-hf5ndv5f 246 1 The the DT cord-354194-hf5ndv5f 246 2 authors author NNS cord-354194-hf5ndv5f 246 3 declare declare VBP cord-354194-hf5ndv5f 246 4 that that IN cord-354194-hf5ndv5f 246 5 they -PRON- PRP cord-354194-hf5ndv5f 246 6 have have VBP cord-354194-hf5ndv5f 246 7 no no DT cord-354194-hf5ndv5f 246 8 conflict conflict NN cord-354194-hf5ndv5f 246 9 of of IN cord-354194-hf5ndv5f 246 10 interest interest NN cord-354194-hf5ndv5f 246 11 . . . cord-354194-hf5ndv5f 247 1 Human human JJ cord-354194-hf5ndv5f 247 2 and and CC cord-354194-hf5ndv5f 247 3 Animal Animal NNP cord-354194-hf5ndv5f 247 4 Rights Rights NNPS cord-354194-hf5ndv5f 247 5 and and CC cord-354194-hf5ndv5f 247 6 Informed Informed NNP cord-354194-hf5ndv5f 247 7 Consent Consent NNP cord-354194-hf5ndv5f 247 8 All all DT cord-354194-hf5ndv5f 247 9 reported report VBD cord-354194-hf5ndv5f 247 10 studies/ studies/ CD cord-354194-hf5ndv5f 247 11 experiments experiment NNS cord-354194-hf5ndv5f 247 12 with with IN cord-354194-hf5ndv5f 247 13 human human JJ cord-354194-hf5ndv5f 247 14 or or CC cord-354194-hf5ndv5f 247 15 animal animal NN cord-354194-hf5ndv5f 247 16 subjects subject NNS cord-354194-hf5ndv5f 247 17 performed perform VBN cord-354194-hf5ndv5f 247 18 by by IN cord-354194-hf5ndv5f 247 19 the the DT cord-354194-hf5ndv5f 247 20 authors author NNS cord-354194-hf5ndv5f 247 21 were be VBD cord-354194-hf5ndv5f 247 22 performed perform VBN cord-354194-hf5ndv5f 247 23 in in IN cord-354194-hf5ndv5f 247 24 accordance accordance NN cord-354194-hf5ndv5f 247 25 with with IN cord-354194-hf5ndv5f 247 26 all all DT cord-354194-hf5ndv5f 247 27 applicable applicable JJ cord-354194-hf5ndv5f 247 28 ethical ethical JJ cord-354194-hf5ndv5f 247 29 standards standard NNS cord-354194-hf5ndv5f 247 30 including include VBG cord-354194-hf5ndv5f 247 31 the the DT cord-354194-hf5ndv5f 247 32 Helsinki Helsinki NNP cord-354194-hf5ndv5f 247 33 declaration declaration NN cord-354194-hf5ndv5f 247 34 and and CC cord-354194-hf5ndv5f 247 35 its -PRON- PRP$ cord-354194-hf5ndv5f 247 36 amendments amendment NNS cord-354194-hf5ndv5f 247 37 , , , cord-354194-hf5ndv5f 247 38 institutional/ institutional/ CD cord-354194-hf5ndv5f 247 39 national national NNP cord-354194-hf5ndv5f 247 40 research research NN cord-354194-hf5ndv5f 247 41 committee committee NN cord-354194-hf5ndv5f 247 42 standards standard NNS cord-354194-hf5ndv5f 247 43 , , , cord-354194-hf5ndv5f 247 44 and and CC cord-354194-hf5ndv5f 247 45 international international JJ cord-354194-hf5ndv5f 247 46 / / SYM cord-354194-hf5ndv5f 247 47 national national JJ cord-354194-hf5ndv5f 247 48 / / SYM cord-354194-hf5ndv5f 247 49 institutional institutional JJ cord-354194-hf5ndv5f 247 50 guidelines guideline NNS cord-354194-hf5ndv5f 247 51 . . . cord-354194-hf5ndv5f 248 1 Force Force NNP cord-354194-hf5ndv5f 248 2 on on IN cord-354194-hf5ndv5f 248 3 Surgical Surgical NNP cord-354194-hf5ndv5f 248 4 Palliative Palliative NNP cord-354194-hf5ndv5f 248 5 care care NN cord-354194-hf5ndv5f 248 6 ; ; : cord-354194-hf5ndv5f 248 7 Committee Committee NNP cord-354194-hf5ndv5f 248 8 on on IN cord-354194-hf5ndv5f 248 9 Ethics Ethics NNP cord-354194-hf5ndv5f 248 10 . . . cord-354194-hf5ndv5f 249 1 Statement statement NN cord-354194-hf5ndv5f 249 2 of of IN cord-354194-hf5ndv5f 249 3 principles principle NNS cord-354194-hf5ndv5f 249 4 of of IN cord-354194-hf5ndv5f 249 5 palliative palliative JJ cord-354194-hf5ndv5f 249 6 care care NN cord-354194-hf5ndv5f 249 7 Integrating Integrating NNP cord-354194-hf5ndv5f 249 8 palliative palliative JJ cord-354194-hf5ndv5f 249 9 care care NN cord-354194-hf5ndv5f 249 10 in in IN cord-354194-hf5ndv5f 249 11 the the DT cord-354194-hf5ndv5f 249 12 surgical surgical JJ cord-354194-hf5ndv5f 249 13 and and CC cord-354194-hf5ndv5f 249 14 trauma trauma NN cord-354194-hf5ndv5f 249 15 intensive intensive JJ cord-354194-hf5ndv5f 249 16 care care NN cord-354194-hf5ndv5f 249 17 unit unit NN cord-354194-hf5ndv5f 249 18 : : : cord-354194-hf5ndv5f 249 19 a a DT cord-354194-hf5ndv5f 249 20 report report NN cord-354194-hf5ndv5f 249 21 from from IN cord-354194-hf5ndv5f 249 22 the the DT cord-354194-hf5ndv5f 249 23 Improving Improving NNP cord-354194-hf5ndv5f 249 24 Palliative Palliative NNP cord-354194-hf5ndv5f 249 25 Care Care NNP cord-354194-hf5ndv5f 249 26 in in IN cord-354194-hf5ndv5f 249 27 the the DT cord-354194-hf5ndv5f 249 28 Intensive Intensive NNP cord-354194-hf5ndv5f 249 29 Care Care NNP cord-354194-hf5ndv5f 249 30 Unit Unit NNP cord-354194-hf5ndv5f 250 1 ( ( -LRB- cord-354194-hf5ndv5f 250 2 IPAL IPAL NNP cord-354194-hf5ndv5f 250 3 - - HYPH cord-354194-hf5ndv5f 250 4 ICU ICU NNP cord-354194-hf5ndv5f 250 5 ) ) -RRB- cord-354194-hf5ndv5f 250 6 Project Project NNP cord-354194-hf5ndv5f 250 7 Advisory Advisory NNP cord-354194-hf5ndv5f 250 8 Board Board NNP cord-354194-hf5ndv5f 250 9 and and CC cord-354194-hf5ndv5f 250 10 the the DT cord-354194-hf5ndv5f 250 11 Center Center NNP cord-354194-hf5ndv5f 250 12 to to IN cord-354194-hf5ndv5f 250 13 Advance Advance NNP cord-354194-hf5ndv5f 250 14 Palliative Palliative NNP cord-354194-hf5ndv5f 250 15 Care Care NNP cord-354194-hf5ndv5f 250 16 584 584 CD cord-354194-hf5ndv5f 250 17 - - SYM cord-354194-hf5ndv5f 250 18 90 90 CD cord-354194-hf5ndv5f 251 1 A a DT cord-354194-hf5ndv5f 251 2 review review NN cord-354194-hf5ndv5f 251 3 and and CC cord-354194-hf5ndv5f 251 4 opinion opinion NN cord-354194-hf5ndv5f 251 5 piece piece NN cord-354194-hf5ndv5f 251 6 that that WDT cord-354194-hf5ndv5f 251 7 highlights highlight VBZ cord-354194-hf5ndv5f 251 8 the the DT cord-354194-hf5ndv5f 251 9 importance importance NN cord-354194-hf5ndv5f 251 10 of of IN cord-354194-hf5ndv5f 251 11 surgical surgical JJ cord-354194-hf5ndv5f 251 12 palliative palliative JJ cord-354194-hf5ndv5f 251 13 care care NN cord-354194-hf5ndv5f 251 14 as as IN cord-354194-hf5ndv5f 251 15 a a DT cord-354194-hf5ndv5f 251 16 co co JJ cord-354194-hf5ndv5f 251 17 - - JJ cord-354194-hf5ndv5f 251 18 equal equal JJ cord-354194-hf5ndv5f 251 19 part part NN cord-354194-hf5ndv5f 251 20 of of IN cord-354194-hf5ndv5f 251 21 that that DT cord-354194-hf5ndv5f 251 22 makes make VBZ cord-354194-hf5ndv5f 251 23 up up RP cord-354194-hf5ndv5f 252 1 Acute acute JJ cord-354194-hf5ndv5f 252 2 Care Care NNP cord-354194-hf5ndv5f 252 3 Surgery surgery NN cord-354194-hf5ndv5f 252 4 Shared share VBN cord-354194-hf5ndv5f 252 5 decision decision NN cord-354194-hf5ndv5f 252 6 making make VBG cord-354194-hf5ndv5f 252 7 in in IN cord-354194-hf5ndv5f 252 8 oncology oncology NN cord-354194-hf5ndv5f 252 9 practice practice NN cord-354194-hf5ndv5f 252 10 : : : cord-354194-hf5ndv5f 252 11 what what WP cord-354194-hf5ndv5f 252 12 do do VBP cord-354194-hf5ndv5f 252 13 oncologists oncologist NNS cord-354194-hf5ndv5f 252 14 need need VB cord-354194-hf5ndv5f 252 15 to to TO cord-354194-hf5ndv5f 252 16 know know VB cord-354194-hf5ndv5f 252 17 ? ? . cord-354194-hf5ndv5f 253 1 Shared share VBN cord-354194-hf5ndv5f 253 2 decision decision NN cord-354194-hf5ndv5f 253 3 - - HYPH cord-354194-hf5ndv5f 253 4 making making NN cord-354194-hf5ndv5f 253 5 in in IN cord-354194-hf5ndv5f 253 6 acute acute JJ cord-354194-hf5ndv5f 253 7 surgical surgical JJ cord-354194-hf5ndv5f 253 8 illness illness NN cord-354194-hf5ndv5f 253 9 : : : cord-354194-hf5ndv5f 254 1 the the DT cord-354194-hf5ndv5f 254 2 surgeon surgeon NN cord-354194-hf5ndv5f 254 3 's 's POS cord-354194-hf5ndv5f 254 4 perspective perspective NN cord-354194-hf5ndv5f 254 5 Trauma Trauma NNP cord-354194-hf5ndv5f 254 6 ICU ICU NNP cord-354194-hf5ndv5f 254 7 Prevalence Prevalence NNP cord-354194-hf5ndv5f 254 8 Project Project NNP cord-354194-hf5ndv5f 254 9 : : : cord-354194-hf5ndv5f 254 10 the the DT cord-354194-hf5ndv5f 254 11 diversity diversity NN cord-354194-hf5ndv5f 254 12 of of IN cord-354194-hf5ndv5f 254 13 surgical surgical JJ cord-354194-hf5ndv5f 254 14 critical critical JJ cord-354194-hf5ndv5f 254 15 care care NN cord-354194-hf5ndv5f 254 16 Use use NN cord-354194-hf5ndv5f 254 17 of of IN cord-354194-hf5ndv5f 254 18 intensive intensive JJ cord-354194-hf5ndv5f 254 19 care care NN cord-354194-hf5ndv5f 254 20 at at IN cord-354194-hf5ndv5f 254 21 the the DT cord-354194-hf5ndv5f 254 22 end end NN cord-354194-hf5ndv5f 254 23 of of IN cord-354194-hf5ndv5f 254 24 life life NN cord-354194-hf5ndv5f 254 25 in in IN cord-354194-hf5ndv5f 254 26 the the DT cord-354194-hf5ndv5f 254 27 United United NNP cord-354194-hf5ndv5f 254 28 States States NNP cord-354194-hf5ndv5f 254 29 : : : cord-354194-hf5ndv5f 254 30 an an DT cord-354194-hf5ndv5f 254 31 epidemiologic epidemiologic JJ cord-354194-hf5ndv5f 254 32 study study NN cord-354194-hf5ndv5f 254 33 Valuing value VBG cord-354194-hf5ndv5f 254 34 health health NN cord-354194-hf5ndv5f 254 35 at at IN cord-354194-hf5ndv5f 254 36 the the DT cord-354194-hf5ndv5f 254 37 end end NN cord-354194-hf5ndv5f 254 38 of of IN cord-354194-hf5ndv5f 254 39 life life NN cord-354194-hf5ndv5f 254 40 : : : cord-354194-hf5ndv5f 254 41 a a DT cord-354194-hf5ndv5f 254 42 review review NN cord-354194-hf5ndv5f 254 43 of of IN cord-354194-hf5ndv5f 254 44 stated state VBN cord-354194-hf5ndv5f 254 45 preference preference NN cord-354194-hf5ndv5f 254 46 studies study NNS cord-354194-hf5ndv5f 254 47 in in IN cord-354194-hf5ndv5f 254 48 the the DT cord-354194-hf5ndv5f 254 49 social social JJ cord-354194-hf5ndv5f 254 50 sciences sciences NNPS cord-354194-hf5ndv5f 254 51 literature literature NN cord-354194-hf5ndv5f 254 52 Priority Priority NNP cord-354194-hf5ndv5f 254 53 preferences preference NNS cord-354194-hf5ndv5f 254 54 : : : cord-354194-hf5ndv5f 254 55 " " `` cord-354194-hf5ndv5f 254 56 end end NN cord-354194-hf5ndv5f 254 57 of of IN cord-354194-hf5ndv5f 254 58 life life NN cord-354194-hf5ndv5f 254 59 " " '' cord-354194-hf5ndv5f 254 60 does do VBZ cord-354194-hf5ndv5f 254 61 not not RB cord-354194-hf5ndv5f 254 62 matter matter VB cord-354194-hf5ndv5f 254 63 , , , cord-354194-hf5ndv5f 254 64 but but CC cord-354194-hf5ndv5f 254 65 total total JJ cord-354194-hf5ndv5f 254 66 life life NN cord-354194-hf5ndv5f 254 67 does do VBZ cord-354194-hf5ndv5f 254 68 . . . cord-354194-hf5ndv5f 255 1 Value Value NNP cord-354194-hf5ndv5f 255 2 Health Health NNP cord-354194-hf5ndv5f 256 1 The the DT cord-354194-hf5ndv5f 256 2 intensity intensity NN cord-354194-hf5ndv5f 256 3 and and CC cord-354194-hf5ndv5f 256 4 variation variation NN cord-354194-hf5ndv5f 256 5 of of IN cord-354194-hf5ndv5f 256 6 surgical surgical JJ cord-354194-hf5ndv5f 256 7 care care NN cord-354194-hf5ndv5f 256 8 at at IN cord-354194-hf5ndv5f 256 9 the the DT cord-354194-hf5ndv5f 256 10 end end NN cord-354194-hf5ndv5f 256 11 of of IN cord-354194-hf5ndv5f 256 12 life life NN cord-354194-hf5ndv5f 256 13 : : : cord-354194-hf5ndv5f 256 14 a a DT cord-354194-hf5ndv5f 256 15 retrospective retrospective JJ cord-354194-hf5ndv5f 256 16 cohort cohort NN cord-354194-hf5ndv5f 256 17 study study NN cord-354194-hf5ndv5f 256 18 Endof Endof NNP cord-354194-hf5ndv5f 256 19 - - HYPH cord-354194-hf5ndv5f 256 20 life life NN cord-354194-hf5ndv5f 256 21 decision decision NN cord-354194-hf5ndv5f 256 22 - - HYPH cord-354194-hf5ndv5f 256 23 making making NN cord-354194-hf5ndv5f 256 24 for for IN cord-354194-hf5ndv5f 256 25 patients patient NNS cord-354194-hf5ndv5f 256 26 with with IN cord-354194-hf5ndv5f 256 27 geriatric geriatric JJ cord-354194-hf5ndv5f 256 28 trauma trauma NN cord-354194-hf5ndv5f 256 29 cared care VBN cord-354194-hf5ndv5f 256 30 for for IN cord-354194-hf5ndv5f 256 31 in in IN cord-354194-hf5ndv5f 256 32 a a DT cord-354194-hf5ndv5f 256 33 trauma trauma NN cord-354194-hf5ndv5f 256 34 intensive intensive JJ cord-354194-hf5ndv5f 256 35 care care NN cord-354194-hf5ndv5f 256 36 unit unit NN cord-354194-hf5ndv5f 256 37 Changing change VBG cord-354194-hf5ndv5f 256 38 the the DT cord-354194-hf5ndv5f 256 39 culture culture NN cord-354194-hf5ndv5f 256 40 around around IN cord-354194-hf5ndv5f 256 41 end end NN cord-354194-hf5ndv5f 256 42 - - HYPH cord-354194-hf5ndv5f 256 43 of of IN cord-354194-hf5ndv5f 256 44 - - HYPH cord-354194-hf5ndv5f 256 45 life life NN cord-354194-hf5ndv5f 256 46 care care NN cord-354194-hf5ndv5f 256 47 in in IN cord-354194-hf5ndv5f 256 48 the the DT cord-354194-hf5ndv5f 256 49 trauma trauma NN cord-354194-hf5ndv5f 256 50 intensive intensive JJ cord-354194-hf5ndv5f 256 51 care care NN cord-354194-hf5ndv5f 256 52 unit unit NN cord-354194-hf5ndv5f 256 53 Impact Impact NNP cord-354194-hf5ndv5f 256 54 of of IN cord-354194-hf5ndv5f 256 55 advanced advanced JJ cord-354194-hf5ndv5f 256 56 directives directive NNS cord-354194-hf5ndv5f 256 57 on on IN cord-354194-hf5ndv5f 256 58 outcomes outcome NNS cord-354194-hf5ndv5f 256 59 and and CC cord-354194-hf5ndv5f 256 60 charges charge NNS cord-354194-hf5ndv5f 256 61 in in IN cord-354194-hf5ndv5f 256 62 elderly elderly JJ cord-354194-hf5ndv5f 256 63 trauma trauma NN cord-354194-hf5ndv5f 256 64 patients patient NNS cord-354194-hf5ndv5f 256 65 Critical Critical NNP cord-354194-hf5ndv5f 256 66 Care Care NNP cord-354194-hf5ndv5f 256 67 Committee Committee NNP cord-354194-hf5ndv5f 256 68 of of IN cord-354194-hf5ndv5f 256 69 the the DT cord-354194-hf5ndv5f 256 70 A. a. NN cord-354194-hf5ndv5f 257 1 Defining define VBG cord-354194-hf5ndv5f 257 2 the the DT cord-354194-hf5ndv5f 257 3 surgical surgical JJ cord-354194-hf5ndv5f 257 4 critical critical JJ cord-354194-hf5ndv5f 257 5 care care NN cord-354194-hf5ndv5f 257 6 research research NN cord-354194-hf5ndv5f 257 7 agenda agenda NN cord-354194-hf5ndv5f 257 8 : : : cord-354194-hf5ndv5f 257 9 results result NNS cord-354194-hf5ndv5f 257 10 of of IN cord-354194-hf5ndv5f 257 11 a a DT cord-354194-hf5ndv5f 257 12 gaps gap NNS cord-354194-hf5ndv5f 257 13 analysis analysis NN cord-354194-hf5ndv5f 257 14 from from IN cord-354194-hf5ndv5f 257 15 the the DT cord-354194-hf5ndv5f 257 16 Critical Critical NNP cord-354194-hf5ndv5f 257 17 Care Care NNP cord-354194-hf5ndv5f 257 18 Committee Committee NNP cord-354194-hf5ndv5f 257 19 of of IN cord-354194-hf5ndv5f 257 20 the the DT cord-354194-hf5ndv5f 257 21 American American NNP cord-354194-hf5ndv5f 257 22 Association Association NNP cord-354194-hf5ndv5f 257 23 for for IN cord-354194-hf5ndv5f 257 24 the the DT cord-354194-hf5ndv5f 257 25 Surgery Surgery NNP cord-354194-hf5ndv5f 257 26 of of IN cord-354194-hf5ndv5f 257 27 Trauma Trauma NNP cord-354194-hf5ndv5f 257 28 Critical Critical NNP cord-354194-hf5ndv5f 257 29 Care Care NNP cord-354194-hf5ndv5f 257 30 Societies Societies NNPS cord-354194-hf5ndv5f 257 31 Collaborative Collaborative NNP cord-354194-hf5ndv5f 257 32 UTFoCCR utfoccr NN cord-354194-hf5ndv5f 257 33 . . . cord-354194-hf5ndv5f 258 1 Multisociety Multisociety NNP cord-354194-hf5ndv5f 258 2 Task Task NNP cord-354194-hf5ndv5f 258 3 Force Force NNP cord-354194-hf5ndv5f 258 4 for for IN cord-354194-hf5ndv5f 258 5 Critical Critical NNP cord-354194-hf5ndv5f 258 6 Care Care NNP cord-354194-hf5ndv5f 258 7 Research Research NNP cord-354194-hf5ndv5f 258 8 : : : cord-354194-hf5ndv5f 258 9 key key JJ cord-354194-hf5ndv5f 258 10 issues issue NNS cord-354194-hf5ndv5f 258 11 and and CC cord-354194-hf5ndv5f 258 12 recommendations recommendation NNS cord-354194-hf5ndv5f 258 13 Palliative Palliative NNP cord-354194-hf5ndv5f 258 14 care care NN cord-354194-hf5ndv5f 258 15 in in IN cord-354194-hf5ndv5f 258 16 surgery surgery NN cord-354194-hf5ndv5f 258 17 : : : cord-354194-hf5ndv5f 258 18 defining define VBG cord-354194-hf5ndv5f 258 19 the the DT cord-354194-hf5ndv5f 258 20 research research NN cord-354194-hf5ndv5f 258 21 priorities priority NNS cord-354194-hf5ndv5f 258 22 National National NNP cord-354194-hf5ndv5f 258 23 Center Center NNP cord-354194-hf5ndv5f 258 24 for for IN cord-354194-hf5ndv5f 258 25 Injury Injury NNP cord-354194-hf5ndv5f 258 26 Prevention Prevention NNP cord-354194-hf5ndv5f 258 27 and and CC cord-354194-hf5ndv5f 258 28 Control Control NNP cord-354194-hf5ndv5f 258 29 . . . cord-354194-hf5ndv5f 259 1 Web web NN cord-354194-hf5ndv5f 259 2 - - HYPH cord-354194-hf5ndv5f 259 3 based base VBN cord-354194-hf5ndv5f 259 4 Injury Injury NNP cord-354194-hf5ndv5f 259 5 Statistics Statistics NNP cord-354194-hf5ndv5f 259 6 Query Query NNP cord-354194-hf5ndv5f 259 7 and and CC cord-354194-hf5ndv5f 259 8 Reporting Reporting NNP cord-354194-hf5ndv5f 259 9 System System NNP cord-354194-hf5ndv5f 259 10 ( ( -LRB- cord-354194-hf5ndv5f 259 11 WISQARS WISQARS NNP cord-354194-hf5ndv5f 259 12 ) ) -RRB- cord-354194-hf5ndv5f 259 13 . . . cord-354194-hf5ndv5f 260 1 ( ( -LRB- cord-354194-hf5ndv5f 260 2 online online JJ cord-354194-hf5ndv5f 260 3 ) ) -RRB- cord-354194-hf5ndv5f 260 4 Completion completion NN cord-354194-hf5ndv5f 260 5 of of IN cord-354194-hf5ndv5f 260 6 advance advance NN cord-354194-hf5ndv5f 260 7 directives directive NNS cord-354194-hf5ndv5f 260 8 among among IN cord-354194-hf5ndv5f 260 9 U.S. U.S. NNP cord-354194-hf5ndv5f 260 10 consumers consumer NNS cord-354194-hf5ndv5f 260 11 Decisionmaking decisionmake VBG cord-354194-hf5ndv5f 260 12 in in IN cord-354194-hf5ndv5f 260 13 the the DT cord-354194-hf5ndv5f 260 14 moments moment NNS cord-354194-hf5ndv5f 260 15 before before IN cord-354194-hf5ndv5f 260 16 death death NN cord-354194-hf5ndv5f 260 17 : : : cord-354194-hf5ndv5f 260 18 challenges challenge NNS cord-354194-hf5ndv5f 260 19 in in IN cord-354194-hf5ndv5f 260 20 prehospital prehospital JJ cord-354194-hf5ndv5f 260 21 care care NN cord-354194-hf5ndv5f 261 1 We -PRON- PRP cord-354194-hf5ndv5f 261 2 are be VBP cord-354194-hf5ndv5f 261 3 strangers stranger NNS cord-354194-hf5ndv5f 261 4 walking walk VBG cord-354194-hf5ndv5f 261 5 into into IN cord-354194-hf5ndv5f 261 6 their -PRON- PRP$ cord-354194-hf5ndv5f 261 7 life life NN cord-354194-hf5ndv5f 261 8 - - HYPH cord-354194-hf5ndv5f 261 9 changing change VBG cord-354194-hf5ndv5f 261 10 event event NN cord-354194-hf5ndv5f 261 11 " " '' cord-354194-hf5ndv5f 261 12 : : : cord-354194-hf5ndv5f 261 13 how how WRB cord-354194-hf5ndv5f 261 14 prehospital prehospital JJ cord-354194-hf5ndv5f 261 15 providers provider NNS cord-354194-hf5ndv5f 261 16 manage manage VBP cord-354194-hf5ndv5f 261 17 emergency emergency NN cord-354194-hf5ndv5f 261 18 calls call NNS cord-354194-hf5ndv5f 261 19 at at IN cord-354194-hf5ndv5f 261 20 the the DT cord-354194-hf5ndv5f 261 21 end end NN cord-354194-hf5ndv5f 261 22 of of IN cord-354194-hf5ndv5f 261 23 life life NN cord-354194-hf5ndv5f 261 24 Missed miss VBN cord-354194-hf5ndv5f 261 25 opportunities opportunity NNS cord-354194-hf5ndv5f 261 26 : : : cord-354194-hf5ndv5f 261 27 integrating integrate VBG cord-354194-hf5ndv5f 261 28 palliative palliative JJ cord-354194-hf5ndv5f 261 29 care care NN cord-354194-hf5ndv5f 261 30 into into IN cord-354194-hf5ndv5f 261 31 the the DT cord-354194-hf5ndv5f 261 32 emergency emergency NN cord-354194-hf5ndv5f 261 33 department department NN cord-354194-hf5ndv5f 261 34 for for IN cord-354194-hf5ndv5f 261 35 older old JJR cord-354194-hf5ndv5f 261 36 adults adult NNS cord-354194-hf5ndv5f 261 37 presenting present VBG cord-354194-hf5ndv5f 261 38 as as IN cord-354194-hf5ndv5f 261 39 level level NN cord-354194-hf5ndv5f 262 1 I -PRON- PRP cord-354194-hf5ndv5f 262 2 triage triage VBP cord-354194-hf5ndv5f 262 3 priority priority NN cord-354194-hf5ndv5f 262 4 from from IN cord-354194-hf5ndv5f 262 5 long long JJ cord-354194-hf5ndv5f 262 6 - - HYPH cord-354194-hf5ndv5f 262 7 term term NN cord-354194-hf5ndv5f 262 8 care care NN cord-354194-hf5ndv5f 262 9 facilities facility NNS cord-354194-hf5ndv5f 262 10 Preadmission preadmission NN cord-354194-hf5ndv5f 262 11 Do do VBP cord-354194-hf5ndv5f 262 12 Not not RB cord-354194-hf5ndv5f 262 13 Resuscitate resuscitate VB cord-354194-hf5ndv5f 262 14 advanced advanced JJ cord-354194-hf5ndv5f 262 15 directive directive NN cord-354194-hf5ndv5f 262 16 is be VBZ cord-354194-hf5ndv5f 262 17 associated associate VBN cord-354194-hf5ndv5f 262 18 with with IN cord-354194-hf5ndv5f 262 19 adverse adverse JJ cord-354194-hf5ndv5f 262 20 outcomes outcome NNS cord-354194-hf5ndv5f 262 21 following follow VBG cord-354194-hf5ndv5f 262 22 acute acute JJ cord-354194-hf5ndv5f 262 23 traumatic traumatic JJ cord-354194-hf5ndv5f 262 24 injury injury NN cord-354194-hf5ndv5f 262 25 Experiences experience NNS cord-354194-hf5ndv5f 262 26 with with IN cord-354194-hf5ndv5f 262 27 POLST POLST NNP cord-354194-hf5ndv5f 262 28 : : : cord-354194-hf5ndv5f 262 29 opportunities opportunity NNS cord-354194-hf5ndv5f 262 30 for for IN cord-354194-hf5ndv5f 262 31 improving improve VBG cord-354194-hf5ndv5f 262 32 advance advance NN cord-354194-hf5ndv5f 262 33 care care NN cord-354194-hf5ndv5f 262 34 planning planning NN cord-354194-hf5ndv5f 262 35 : : : cord-354194-hf5ndv5f 263 1 Editorial Editorial NNP cord-354194-hf5ndv5f 263 2 & & CC cord-354194-hf5ndv5f 263 3 Comment Comment NNP cord-354194-hf5ndv5f 263 4 on on IN cord-354194-hf5ndv5f 263 5 Association Association NNP cord-354194-hf5ndv5f 263 6 between between IN cord-354194-hf5ndv5f 263 7 physician physician NN cord-354194-hf5ndv5f 263 8 orders order NNS cord-354194-hf5ndv5f 263 9 for for IN cord-354194-hf5ndv5f 263 10 life life NN cord-354194-hf5ndv5f 263 11 - - HYPH cord-354194-hf5ndv5f 263 12 sustaining sustain VBG cord-354194-hf5ndv5f 263 13 treatment treatment NN cord-354194-hf5ndv5f 263 14 for for IN cord-354194-hf5ndv5f 263 15 scope scope NN cord-354194-hf5ndv5f 263 16 of of IN cord-354194-hf5ndv5f 263 17 treatment treatment NN cord-354194-hf5ndv5f 263 18 and and CC cord-354194-hf5ndv5f 263 19 in in IN cord-354194-hf5ndv5f 263 20 - - HYPH cord-354194-hf5ndv5f 263 21 hospital hospital NN cord-354194-hf5ndv5f 263 22 death death NN cord-354194-hf5ndv5f 263 23 in in IN cord-354194-hf5ndv5f 263 24 Oregon Oregon NNP cord-354194-hf5ndv5f 263 25 Injured injure VBN cord-354194-hf5ndv5f 263 26 older old JJR cord-354194-hf5ndv5f 263 27 adults adult NNS cord-354194-hf5ndv5f 263 28 transported transport VBN cord-354194-hf5ndv5f 263 29 by by IN cord-354194-hf5ndv5f 263 30 emergency emergency NN cord-354194-hf5ndv5f 263 31 medical medical JJ cord-354194-hf5ndv5f 263 32 services service NNS cord-354194-hf5ndv5f 263 33 : : : cord-354194-hf5ndv5f 263 34 one one CD cord-354194-hf5ndv5f 263 35 year year NN cord-354194-hf5ndv5f 263 36 outcomes outcome NNS cord-354194-hf5ndv5f 263 37 by by IN cord-354194-hf5ndv5f 263 38 POLST POLST NNP cord-354194-hf5ndv5f 263 39 status status NN cord-354194-hf5ndv5f 263 40 Physician physician NN cord-354194-hf5ndv5f 263 41 orders order NNS cord-354194-hf5ndv5f 263 42 for for IN cord-354194-hf5ndv5f 263 43 life life NN cord-354194-hf5ndv5f 263 44 - - HYPH cord-354194-hf5ndv5f 263 45 sustaining sustain VBG cord-354194-hf5ndv5f 263 46 treatment treatment NN cord-354194-hf5ndv5f 263 47 ( ( -LRB- cord-354194-hf5ndv5f 263 48 POLST POLST NNP cord-354194-hf5ndv5f 263 49 ) ) -RRB- cord-354194-hf5ndv5f 263 50 : : : cord-354194-hf5ndv5f 264 1 lessons lesson NNS cord-354194-hf5ndv5f 264 2 learned learn VBN cord-354194-hf5ndv5f 264 3 from from IN cord-354194-hf5ndv5f 264 4 analysis analysis NN cord-354194-hf5ndv5f 264 5 of of IN cord-354194-hf5ndv5f 264 6 the the DT cord-354194-hf5ndv5f 264 7 Oregon Oregon NNP cord-354194-hf5ndv5f 264 8 POLST POLST NNP cord-354194-hf5ndv5f 264 9 Registry Registry NNP cord-354194-hf5ndv5f 264 10 Lessons Lessons NNP cord-354194-hf5ndv5f 264 11 from from IN cord-354194-hf5ndv5f 264 12 Oregon Oregon NNP cord-354194-hf5ndv5f 264 13 in in IN cord-354194-hf5ndv5f 264 14 Embracing embrace VBG cord-354194-hf5ndv5f 264 15 Complexity Complexity NNP cord-354194-hf5ndv5f 264 16 in in IN cord-354194-hf5ndv5f 264 17 End end NN cord-354194-hf5ndv5f 264 18 - - HYPH cord-354194-hf5ndv5f 264 19 of of IN cord-354194-hf5ndv5f 264 20 - - HYPH cord-354194-hf5ndv5f 264 21 Life life NN cord-354194-hf5ndv5f 264 22 Care Care NNP cord-354194-hf5ndv5f 265 1 A a DT cord-354194-hf5ndv5f 265 2 comparison comparison NN cord-354194-hf5ndv5f 265 3 of of IN cord-354194-hf5ndv5f 265 4 methods method NNS cord-354194-hf5ndv5f 265 5 to to TO cord-354194-hf5ndv5f 265 6 communicate communicate VB cord-354194-hf5ndv5f 265 7 treatment treatment NN cord-354194-hf5ndv5f 265 8 preferences preference NNS cord-354194-hf5ndv5f 265 9 in in IN cord-354194-hf5ndv5f 265 10 nursing nursing NN cord-354194-hf5ndv5f 265 11 facilities facility NNS cord-354194-hf5ndv5f 265 12 : : : cord-354194-hf5ndv5f 265 13 traditional traditional JJ cord-354194-hf5ndv5f 265 14 practices practice NNS cord-354194-hf5ndv5f 265 15 versus versus IN cord-354194-hf5ndv5f 265 16 the the DT cord-354194-hf5ndv5f 265 17 physician physician NN cord-354194-hf5ndv5f 265 18 orders order NNS cord-354194-hf5ndv5f 265 19 for for IN cord-354194-hf5ndv5f 265 20 life life NN cord-354194-hf5ndv5f 265 21 - - HYPH cord-354194-hf5ndv5f 265 22 sustaining sustain VBG cord-354194-hf5ndv5f 265 23 treatment treatment NN cord-354194-hf5ndv5f 265 24 program program NN cord-354194-hf5ndv5f 265 25 Family Family NNP cord-354194-hf5ndv5f 265 26 presence presence NN cord-354194-hf5ndv5f 265 27 during during IN cord-354194-hf5ndv5f 265 28 resuscitation resuscitation NN cord-354194-hf5ndv5f 265 29 after after IN cord-354194-hf5ndv5f 265 30 trauma trauma NN cord-354194-hf5ndv5f 265 31 Family Family NNP cord-354194-hf5ndv5f 265 32 presence presence NN cord-354194-hf5ndv5f 265 33 during during IN cord-354194-hf5ndv5f 265 34 trauma trauma NN cord-354194-hf5ndv5f 265 35 resuscitation resuscitation NN cord-354194-hf5ndv5f 265 36 : : : cord-354194-hf5ndv5f 265 37 ready ready JJ cord-354194-hf5ndv5f 265 38 for for IN cord-354194-hf5ndv5f 265 39 primetime primetime NN cord-354194-hf5ndv5f 265 40 ? ? . cord-354194-hf5ndv5f 266 1 Effects effect NNS cord-354194-hf5ndv5f 266 2 of of IN cord-354194-hf5ndv5f 266 3 family family NN cord-354194-hf5ndv5f 266 4 - - HYPH cord-354194-hf5ndv5f 266 5 witnessed witness VBN cord-354194-hf5ndv5f 266 6 resuscitation resuscitation NN cord-354194-hf5ndv5f 266 7 after after IN cord-354194-hf5ndv5f 266 8 trauma trauma NN cord-354194-hf5ndv5f 266 9 prior prior RB cord-354194-hf5ndv5f 266 10 to to IN cord-354194-hf5ndv5f 266 11 hospitalization hospitalization NN cord-354194-hf5ndv5f 266 12 Experiences experience NNS cord-354194-hf5ndv5f 266 13 of of IN cord-354194-hf5ndv5f 266 14 families family NNS cord-354194-hf5ndv5f 266 15 when when WRB cord-354194-hf5ndv5f 266 16 present present JJ cord-354194-hf5ndv5f 266 17 during during IN cord-354194-hf5ndv5f 266 18 resuscitation resuscitation NN cord-354194-hf5ndv5f 266 19 in in IN cord-354194-hf5ndv5f 266 20 the the DT cord-354194-hf5ndv5f 266 21 emergency emergency NN cord-354194-hf5ndv5f 266 22 department department NN cord-354194-hf5ndv5f 266 23 after after IN cord-354194-hf5ndv5f 266 24 trauma trauma NN cord-354194-hf5ndv5f 266 25 Family Family NNP cord-354194-hf5ndv5f 266 26 presence presence NN cord-354194-hf5ndv5f 266 27 during during IN cord-354194-hf5ndv5f 266 28 trauma trauma NN cord-354194-hf5ndv5f 266 29 resuscitation resuscitation NN cord-354194-hf5ndv5f 266 30 : : : cord-354194-hf5ndv5f 266 31 family family NN cord-354194-hf5ndv5f 266 32 members member NNS cord-354194-hf5ndv5f 266 33 ' ' POS cord-354194-hf5ndv5f 266 34 attitudes attitude NNS cord-354194-hf5ndv5f 266 35 , , , cord-354194-hf5ndv5f 266 36 behaviors behavior NNS cord-354194-hf5ndv5f 266 37 , , , cord-354194-hf5ndv5f 266 38 and and CC cord-354194-hf5ndv5f 266 39 experiences experience NNS cord-354194-hf5ndv5f 266 40 Family Family NNP cord-354194-hf5ndv5f 266 41 presence presence NN cord-354194-hf5ndv5f 266 42 during during IN cord-354194-hf5ndv5f 266 43 cardiopulmonary cardiopulmonary JJ cord-354194-hf5ndv5f 266 44 resuscitation resuscitation NN cord-354194-hf5ndv5f 266 45 153 153 CD cord-354194-hf5ndv5f 266 46 - - SYM cord-354194-hf5ndv5f 266 47 60 60 CD cord-354194-hf5ndv5f 266 48 Propensitymatched Propensitymatched NNP cord-354194-hf5ndv5f 266 49 study study NN cord-354194-hf5ndv5f 266 50 showing show VBG cord-354194-hf5ndv5f 266 51 that that IN cord-354194-hf5ndv5f 266 52 POLST POLST NNP cord-354194-hf5ndv5f 266 53 forms form NNS cord-354194-hf5ndv5f 266 54 available available JJ cord-354194-hf5ndv5f 266 55 in in IN cord-354194-hf5ndv5f 266 56 the the DT cord-354194-hf5ndv5f 266 57 early early JJ cord-354194-hf5ndv5f 266 58 phases phase NNS cord-354194-hf5ndv5f 266 59 of of IN cord-354194-hf5ndv5f 266 60 trauma trauma NN cord-354194-hf5ndv5f 266 61 care care NN cord-354194-hf5ndv5f 266 62 do do VBP cord-354194-hf5ndv5f 266 63 indeed indeed RB cord-354194-hf5ndv5f 266 64 alter alter VB cord-354194-hf5ndv5f 266 65 the the DT cord-354194-hf5ndv5f 266 66 management management NN cord-354194-hf5ndv5f 266 67 of of IN cord-354194-hf5ndv5f 266 68 patients patient NNS cord-354194-hf5ndv5f 266 69 and and CC cord-354194-hf5ndv5f 266 70 that that IN cord-354194-hf5ndv5f 266 71 , , , cord-354194-hf5ndv5f 266 72 when when WRB cord-354194-hf5ndv5f 266 73 specified specify VBN cord-354194-hf5ndv5f 266 74 Palliative Palliative NNP cord-354194-hf5ndv5f 266 75 care care NN cord-354194-hf5ndv5f 266 76 interventions intervention NNS cord-354194-hf5ndv5f 266 77 for for IN cord-354194-hf5ndv5f 266 78 surgical surgical JJ cord-354194-hf5ndv5f 266 79 patients patient NNS cord-354194-hf5ndv5f 266 80 : : : cord-354194-hf5ndv5f 266 81 a a DT cord-354194-hf5ndv5f 266 82 systematic systematic JJ cord-354194-hf5ndv5f 266 83 review review NN cord-354194-hf5ndv5f 266 84 Structure structure NN cord-354194-hf5ndv5f 266 85 and and CC cord-354194-hf5ndv5f 266 86 function function NN cord-354194-hf5ndv5f 266 87 of of IN cord-354194-hf5ndv5f 266 88 a a DT cord-354194-hf5ndv5f 266 89 trauma trauma NN cord-354194-hf5ndv5f 266 90 intensive intensive JJ cord-354194-hf5ndv5f 266 91 care care NN cord-354194-hf5ndv5f 266 92 unit unit NN cord-354194-hf5ndv5f 266 93 : : : cord-354194-hf5ndv5f 266 94 a a DT cord-354194-hf5ndv5f 266 95 report report NN cord-354194-hf5ndv5f 266 96 from from IN cord-354194-hf5ndv5f 266 97 the the DT cord-354194-hf5ndv5f 266 98 Trauma Trauma NNP cord-354194-hf5ndv5f 266 99 Intensive Intensive NNP cord-354194-hf5ndv5f 266 100 Care Care NNP cord-354194-hf5ndv5f 266 101 Unit Unit NNP cord-354194-hf5ndv5f 266 102 Prevalence prevalence NN cord-354194-hf5ndv5f 266 103 Project Project NNP cord-354194-hf5ndv5f 266 104 A a DT cord-354194-hf5ndv5f 266 105 structured structured JJ cord-354194-hf5ndv5f 266 106 approach approach NN cord-354194-hf5ndv5f 266 107 to to IN cord-354194-hf5ndv5f 266 108 supporting support VBG cord-354194-hf5ndv5f 266 109 communciation communciation NN cord-354194-hf5ndv5f 266 110 with with IN cord-354194-hf5ndv5f 266 111 families family NNS cord-354194-hf5ndv5f 266 112 in in IN cord-354194-hf5ndv5f 266 113 the the DT cord-354194-hf5ndv5f 266 114 ICU ICU NNP cord-354194-hf5ndv5f 266 115 can can MD cord-354194-hf5ndv5f 266 116 improve improve VB cord-354194-hf5ndv5f 266 117 family family NN cord-354194-hf5ndv5f 266 118 perceptions perception NNS cord-354194-hf5ndv5f 266 119 of of IN cord-354194-hf5ndv5f 266 120 the the DT cord-354194-hf5ndv5f 266 121 patient patient NN cord-354194-hf5ndv5f 266 122 and and CC cord-354194-hf5ndv5f 266 123 family family NN cord-354194-hf5ndv5f 266 124 centeredness centeredness NN cord-354194-hf5ndv5f 266 125 of of IN cord-354194-hf5ndv5f 266 126 the the DT cord-354194-hf5ndv5f 266 127 care care NN cord-354194-hf5ndv5f 266 128 as as RB cord-354194-hf5ndv5f 266 129 well well RB cord-354194-hf5ndv5f 266 130 as as IN cord-354194-hf5ndv5f 266 131 reduce reduce NN cord-354194-hf5ndv5f 266 132 hospital hospital NN cord-354194-hf5ndv5f 266 133 length length NN cord-354194-hf5ndv5f 266 134 of of IN cord-354194-hf5ndv5f 266 135 stay stay JJ cord-354194-hf5ndv5f 266 136 Effect effect NN cord-354194-hf5ndv5f 266 137 of of IN cord-354194-hf5ndv5f 266 138 palliative palliative JJ cord-354194-hf5ndv5f 266 139 care care NN cord-354194-hf5ndv5f 266 140 - - HYPH cord-354194-hf5ndv5f 266 141 led lead VBN cord-354194-hf5ndv5f 266 142 meetings meeting NNS cord-354194-hf5ndv5f 266 143 for for IN cord-354194-hf5ndv5f 266 144 families family NNS cord-354194-hf5ndv5f 266 145 of of IN cord-354194-hf5ndv5f 266 146 patients patient NNS cord-354194-hf5ndv5f 266 147 with with IN cord-354194-hf5ndv5f 266 148 chronic chronic JJ cord-354194-hf5ndv5f 266 149 critical critical JJ cord-354194-hf5ndv5f 266 150 illness illness NN cord-354194-hf5ndv5f 266 151 : : : cord-354194-hf5ndv5f 266 152 a a DT cord-354194-hf5ndv5f 266 153 randomized randomized JJ cord-354194-hf5ndv5f 266 154 clinical clinical JJ cord-354194-hf5ndv5f 266 155 trial trial NN cord-354194-hf5ndv5f 266 156 Identifying identify VBG cord-354194-hf5ndv5f 266 157 patients patient NNS cord-354194-hf5ndv5f 266 158 in in IN cord-354194-hf5ndv5f 266 159 need need NN cord-354194-hf5ndv5f 266 160 of of IN cord-354194-hf5ndv5f 266 161 a a DT cord-354194-hf5ndv5f 266 162 palliative palliative JJ cord-354194-hf5ndv5f 266 163 care care NN cord-354194-hf5ndv5f 266 164 assessment assessment NN cord-354194-hf5ndv5f 266 165 in in IN cord-354194-hf5ndv5f 266 166 the the DT cord-354194-hf5ndv5f 266 167 hospital hospital NN cord-354194-hf5ndv5f 266 168 setting setting NN cord-354194-hf5ndv5f 266 169 : : : cord-354194-hf5ndv5f 266 170 a a DT cord-354194-hf5ndv5f 266 171 consensus consensus NN cord-354194-hf5ndv5f 266 172 report report NN cord-354194-hf5ndv5f 266 173 from from IN cord-354194-hf5ndv5f 266 174 the the DT cord-354194-hf5ndv5f 266 175 Center Center NNP cord-354194-hf5ndv5f 266 176 to to IN cord-354194-hf5ndv5f 266 177 Advance Advance NNP cord-354194-hf5ndv5f 266 178 Palliative Palliative NNP cord-354194-hf5ndv5f 266 179 Care Care NNP cord-354194-hf5ndv5f 266 180 1173 1173 CD cord-354194-hf5ndv5f 266 181 - - SYM cord-354194-hf5ndv5f 266 182 5 5 CD cord-354194-hf5ndv5f 267 1 An an DT cord-354194-hf5ndv5f 267 2 outline outline NN cord-354194-hf5ndv5f 267 3 of of IN cord-354194-hf5ndv5f 267 4 the the DT cord-354194-hf5ndv5f 267 5 model model NN cord-354194-hf5ndv5f 267 6 of of IN cord-354194-hf5ndv5f 267 7 palliative palliative JJ cord-354194-hf5ndv5f 267 8 care care NN cord-354194-hf5ndv5f 267 9 that that WDT cord-354194-hf5ndv5f 267 10 may may MD cord-354194-hf5ndv5f 267 11 be be VB cord-354194-hf5ndv5f 267 12 the the DT cord-354194-hf5ndv5f 267 13 most most RBS cord-354194-hf5ndv5f 267 14 successful successful JJ cord-354194-hf5ndv5f 267 15 - - HYPH cord-354194-hf5ndv5f 267 16 primary primary JJ cord-354194-hf5ndv5f 267 17 palliative palliative JJ cord-354194-hf5ndv5f 267 18 care care NN cord-354194-hf5ndv5f 267 19 from from IN cord-354194-hf5ndv5f 267 20 the the DT cord-354194-hf5ndv5f 267 21 ICU ICU NNP cord-354194-hf5ndv5f 267 22 team team NN cord-354194-hf5ndv5f 267 23 with with IN cord-354194-hf5ndv5f 267 24 subspecialty subspecialty JJ cord-354194-hf5ndv5f 267 25 consultation consultation NN cord-354194-hf5ndv5f 268 1 The the DT cord-354194-hf5ndv5f 268 2 costs cost NNS cord-354194-hf5ndv5f 268 3 of of IN cord-354194-hf5ndv5f 268 4 waiting wait VBG cord-354194-hf5ndv5f 268 5 : : : cord-354194-hf5ndv5f 268 6 implications implication NNS cord-354194-hf5ndv5f 268 7 of of IN cord-354194-hf5ndv5f 268 8 the the DT cord-354194-hf5ndv5f 268 9 timing timing NN cord-354194-hf5ndv5f 268 10 of of IN cord-354194-hf5ndv5f 268 11 palliative palliative JJ cord-354194-hf5ndv5f 268 12 care care NN cord-354194-hf5ndv5f 268 13 consultation consultation NN cord-354194-hf5ndv5f 268 14 among among IN cord-354194-hf5ndv5f 268 15 a a DT cord-354194-hf5ndv5f 268 16 cohort cohort NN cord-354194-hf5ndv5f 268 17 of of IN cord-354194-hf5ndv5f 268 18 decedents decedent NNS cord-354194-hf5ndv5f 268 19 at at IN cord-354194-hf5ndv5f 268 20 a a DT cord-354194-hf5ndv5f 268 21 comprehensive comprehensive JJ cord-354194-hf5ndv5f 268 22 cancer cancer NN cord-354194-hf5ndv5f 268 23 center center NN cord-354194-hf5ndv5f 268 24 To to TO cord-354194-hf5ndv5f 268 25 operate operate VB cord-354194-hf5ndv5f 268 26 or or CC cord-354194-hf5ndv5f 268 27 not not RB cord-354194-hf5ndv5f 268 28 to to TO cord-354194-hf5ndv5f 268 29 operate operate VB cord-354194-hf5ndv5f 268 30 ? ? . cord-354194-hf5ndv5f 269 1 A a DT cord-354194-hf5ndv5f 269 2 multi multi JJ cord-354194-hf5ndv5f 269 3 - - JJ cord-354194-hf5ndv5f 269 4 method method JJ cord-354194-hf5ndv5f 269 5 analysis analysis NN cord-354194-hf5ndv5f 269 6 of of IN cord-354194-hf5ndv5f 269 7 decision decision NN cord-354194-hf5ndv5f 269 8 - - HYPH cord-354194-hf5ndv5f 269 9 making making NN cord-354194-hf5ndv5f 269 10 in in IN cord-354194-hf5ndv5f 269 11 emergency emergency NN cord-354194-hf5ndv5f 269 12 surgery surgery NN cord-354194-hf5ndv5f 269 13 Surgeon surgeon NN cord-354194-hf5ndv5f 269 14 - - HYPH cord-354194-hf5ndv5f 269 15 reported report VBN cord-354194-hf5ndv5f 269 16 conflict conflict NN cord-354194-hf5ndv5f 269 17 with with IN cord-354194-hf5ndv5f 269 18 intensivists intensivist NNS cord-354194-hf5ndv5f 269 19 about about IN cord-354194-hf5ndv5f 269 20 postoperative postoperative JJ cord-354194-hf5ndv5f 269 21 goals goal NNS cord-354194-hf5ndv5f 269 22 of of IN cord-354194-hf5ndv5f 269 23 care care NN cord-354194-hf5ndv5f 269 24 Palliative Palliative NNP cord-354194-hf5ndv5f 269 25 care care NN cord-354194-hf5ndv5f 269 26 assessment assessment NN cord-354194-hf5ndv5f 269 27 in in IN cord-354194-hf5ndv5f 269 28 the the DT cord-354194-hf5ndv5f 269 29 surgical surgical JJ cord-354194-hf5ndv5f 269 30 and and CC cord-354194-hf5ndv5f 269 31 trauma trauma NN cord-354194-hf5ndv5f 269 32 intensive intensive JJ cord-354194-hf5ndv5f 269 33 care care NN cord-354194-hf5ndv5f 269 34 unit unit NN cord-354194-hf5ndv5f 269 35 A a DT cord-354194-hf5ndv5f 269 36 model model NN cord-354194-hf5ndv5f 269 37 for for IN cord-354194-hf5ndv5f 269 38 increasing increase VBG cord-354194-hf5ndv5f 269 39 palliative palliative JJ cord-354194-hf5ndv5f 269 40 care care NN cord-354194-hf5ndv5f 269 41 in in IN cord-354194-hf5ndv5f 269 42 the the DT cord-354194-hf5ndv5f 269 43 intensive intensive JJ cord-354194-hf5ndv5f 269 44 care care NN cord-354194-hf5ndv5f 269 45 unit unit NN cord-354194-hf5ndv5f 269 46 : : : cord-354194-hf5ndv5f 269 47 enhancing enhance VBG cord-354194-hf5ndv5f 269 48 interprofessional interprofessional JJ cord-354194-hf5ndv5f 269 49 consultation consultation NN cord-354194-hf5ndv5f 269 50 rates rate NNS cord-354194-hf5ndv5f 269 51 and and CC cord-354194-hf5ndv5f 269 52 communication communication NN cord-354194-hf5ndv5f 269 53 Family family NN cord-354194-hf5ndv5f 269 54 perspectives perspective NNS cord-354194-hf5ndv5f 269 55 on on IN cord-354194-hf5ndv5f 269 56 end end NN cord-354194-hf5ndv5f 269 57 - - HYPH cord-354194-hf5ndv5f 269 58 of of IN cord-354194-hf5ndv5f 269 59 - - HYPH cord-354194-hf5ndv5f 269 60 life life NN cord-354194-hf5ndv5f 269 61 care care NN cord-354194-hf5ndv5f 269 62 at at IN cord-354194-hf5ndv5f 269 63 the the DT cord-354194-hf5ndv5f 269 64 last last JJ cord-354194-hf5ndv5f 269 65 place place NN cord-354194-hf5ndv5f 269 66 of of IN cord-354194-hf5ndv5f 269 67 care care NN cord-354194-hf5ndv5f 269 68 Characterizing characterize VBG cord-354194-hf5ndv5f 269 69 the the DT cord-354194-hf5ndv5f 269 70 role role NN cord-354194-hf5ndv5f 269 71 of of IN cord-354194-hf5ndv5f 269 72 U.S. U.S. NNP cord-354194-hf5ndv5f 269 73 surgeons surgeon NNS cord-354194-hf5ndv5f 269 74 in in IN cord-354194-hf5ndv5f 269 75 the the DT cord-354194-hf5ndv5f 269 76 provision provision NN cord-354194-hf5ndv5f 269 77 of of IN cord-354194-hf5ndv5f 269 78 palliative palliative JJ cord-354194-hf5ndv5f 269 79 care care NN cord-354194-hf5ndv5f 269 80 : : : cord-354194-hf5ndv5f 269 81 a a DT cord-354194-hf5ndv5f 269 82 systematic systematic JJ cord-354194-hf5ndv5f 269 83 review review NN cord-354194-hf5ndv5f 269 84 and and CC cord-354194-hf5ndv5f 269 85 mixed mix VBN cord-354194-hf5ndv5f 269 86 - - HYPH cord-354194-hf5ndv5f 269 87 methods method NNS cord-354194-hf5ndv5f 269 88 meta meta JJ cord-354194-hf5ndv5f 269 89 - - HYPH cord-354194-hf5ndv5f 269 90 synthesis synthesis NN cord-354194-hf5ndv5f 269 91 Preliminary preliminary JJ cord-354194-hf5ndv5f 269 92 report report NN cord-354194-hf5ndv5f 269 93 of of IN cord-354194-hf5ndv5f 269 94 the the DT cord-354194-hf5ndv5f 269 95 integration integration NN cord-354194-hf5ndv5f 269 96 of of IN cord-354194-hf5ndv5f 269 97 a a DT cord-354194-hf5ndv5f 269 98 palliative palliative JJ cord-354194-hf5ndv5f 269 99 care care NN cord-354194-hf5ndv5f 269 100 team team NN cord-354194-hf5ndv5f 269 101 into into IN cord-354194-hf5ndv5f 269 102 an an DT cord-354194-hf5ndv5f 269 103 intensive intensive JJ cord-354194-hf5ndv5f 269 104 care care NN cord-354194-hf5ndv5f 269 105 unit unit NN cord-354194-hf5ndv5f 269 106 Utilization utilization NN cord-354194-hf5ndv5f 269 107 of of IN cord-354194-hf5ndv5f 269 108 palliative palliative JJ cord-354194-hf5ndv5f 269 109 care care NN cord-354194-hf5ndv5f 269 110 consultation consultation NN cord-354194-hf5ndv5f 269 111 service service NN cord-354194-hf5ndv5f 269 112 by by IN cord-354194-hf5ndv5f 269 113 surgical surgical JJ cord-354194-hf5ndv5f 269 114 services service NNS cord-354194-hf5ndv5f 269 115 Characteristics characteristic NNS cord-354194-hf5ndv5f 269 116 of of IN cord-354194-hf5ndv5f 269 117 palliative palliative JJ cord-354194-hf5ndv5f 269 118 care care NN cord-354194-hf5ndv5f 269 119 consultation consultation NN cord-354194-hf5ndv5f 269 120 at at IN cord-354194-hf5ndv5f 269 121 an an DT cord-354194-hf5ndv5f 269 122 academic academic JJ cord-354194-hf5ndv5f 269 123 level level NN cord-354194-hf5ndv5f 269 124 one one CD cord-354194-hf5ndv5f 269 125 trauma trauma NN cord-354194-hf5ndv5f 269 126 center center NN cord-354194-hf5ndv5f 269 127 Choosing choose VBG cord-354194-hf5ndv5f 269 128 and and CC cord-354194-hf5ndv5f 269 129 using use VBG cord-354194-hf5ndv5f 269 130 screening screen VBG cord-354194-hf5ndv5f 269 131 criteria criterion NNS cord-354194-hf5ndv5f 269 132 for for IN cord-354194-hf5ndv5f 269 133 palliative palliative JJ cord-354194-hf5ndv5f 269 134 care care NN cord-354194-hf5ndv5f 269 135 consultation consultation NN cord-354194-hf5ndv5f 269 136 in in IN cord-354194-hf5ndv5f 269 137 the the DT cord-354194-hf5ndv5f 269 138 ICU ICU NNP cord-354194-hf5ndv5f 269 139 : : : cord-354194-hf5ndv5f 269 140 a a DT cord-354194-hf5ndv5f 269 141 report report NN cord-354194-hf5ndv5f 269 142 from from IN cord-354194-hf5ndv5f 269 143 the the DT cord-354194-hf5ndv5f 269 144 Improving Improving NNP cord-354194-hf5ndv5f 269 145 Palliative Palliative NNP cord-354194-hf5ndv5f 269 146 Care Care NNP cord-354194-hf5ndv5f 269 147 in in IN cord-354194-hf5ndv5f 269 148 the the DT cord-354194-hf5ndv5f 269 149 ICU ICU NNP cord-354194-hf5ndv5f 270 1 ( ( -LRB- cord-354194-hf5ndv5f 270 2 IPAL IPAL NNP cord-354194-hf5ndv5f 270 3 - - HYPH cord-354194-hf5ndv5f 270 4 ICU ICU NNP cord-354194-hf5ndv5f 270 5 ) ) -RRB- cord-354194-hf5ndv5f 271 1 Advisory Advisory NNP cord-354194-hf5ndv5f 271 2 Board Board NNP cord-354194-hf5ndv5f 271 3 Estimates Estimates NNPS cord-354194-hf5ndv5f 271 4 of of IN cord-354194-hf5ndv5f 271 5 the the DT cord-354194-hf5ndv5f 271 6 need need NN cord-354194-hf5ndv5f 271 7 for for IN cord-354194-hf5ndv5f 271 8 palliative palliative JJ cord-354194-hf5ndv5f 271 9 care care NN cord-354194-hf5ndv5f 271 10 consultation consultation NN cord-354194-hf5ndv5f 271 11 across across IN cord-354194-hf5ndv5f 271 12 United United NNP cord-354194-hf5ndv5f 271 13 States States NNP cord-354194-hf5ndv5f 271 14 intensive intensive JJ cord-354194-hf5ndv5f 271 15 care care NN cord-354194-hf5ndv5f 271 16 units unit NNS cord-354194-hf5ndv5f 271 17 using use VBG cord-354194-hf5ndv5f 271 18 a a DT cord-354194-hf5ndv5f 271 19 trigger trigger NN cord-354194-hf5ndv5f 271 20 - - HYPH cord-354194-hf5ndv5f 271 21 based base VBN cord-354194-hf5ndv5f 271 22 model model NN cord-354194-hf5ndv5f 271 23 The the DT cord-354194-hf5ndv5f 271 24 " " `` cord-354194-hf5ndv5f 271 25 surprise surprise NN cord-354194-hf5ndv5f 271 26 question question NN cord-354194-hf5ndv5f 271 27 " " '' cord-354194-hf5ndv5f 271 28 for for IN cord-354194-hf5ndv5f 271 29 predicting predict VBG cord-354194-hf5ndv5f 271 30 death death NN cord-354194-hf5ndv5f 271 31 in in IN cord-354194-hf5ndv5f 271 32 seriously seriously RB cord-354194-hf5ndv5f 271 33 ill ill JJ cord-354194-hf5ndv5f 271 34 patients patient NNS cord-354194-hf5ndv5f 271 35 : : : cord-354194-hf5ndv5f 271 36 a a DT cord-354194-hf5ndv5f 271 37 systematic systematic JJ cord-354194-hf5ndv5f 271 38 review review NN cord-354194-hf5ndv5f 271 39 and and CC cord-354194-hf5ndv5f 271 40 meta meta NNP cord-354194-hf5ndv5f 271 41 - - HYPH cord-354194-hf5ndv5f 271 42 analysis analysis NN cord-354194-hf5ndv5f 271 43 Predicting predict VBG cord-354194-hf5ndv5f 271 44 in in IN cord-354194-hf5ndv5f 271 45 - - HYPH cord-354194-hf5ndv5f 271 46 hospital hospital NN cord-354194-hf5ndv5f 271 47 and and CC cord-354194-hf5ndv5f 271 48 1-year 1-year CD cord-354194-hf5ndv5f 271 49 mortality mortality NN cord-354194-hf5ndv5f 271 50 in in IN cord-354194-hf5ndv5f 271 51 geriatric geriatric JJ cord-354194-hf5ndv5f 271 52 trauma trauma NN cord-354194-hf5ndv5f 271 53 patients patient NNS cord-354194-hf5ndv5f 271 54 using use VBG cord-354194-hf5ndv5f 271 55 geriatric geriatric JJ cord-354194-hf5ndv5f 271 56 trauma trauma NN cord-354194-hf5ndv5f 271 57 outcome outcome NN cord-354194-hf5ndv5f 271 58 score score NN cord-354194-hf5ndv5f 272 1 Multicenter multicenter JJ cord-354194-hf5ndv5f 272 2 external external JJ cord-354194-hf5ndv5f 272 3 validation validation NN cord-354194-hf5ndv5f 272 4 of of IN cord-354194-hf5ndv5f 272 5 the the DT cord-354194-hf5ndv5f 272 6 Geriatric Geriatric NNP cord-354194-hf5ndv5f 272 7 Trauma Trauma NNP cord-354194-hf5ndv5f 272 8 Outcome outcome NN cord-354194-hf5ndv5f 272 9 Score score NN cord-354194-hf5ndv5f 272 10 : : : cord-354194-hf5ndv5f 273 1 a a DT cord-354194-hf5ndv5f 273 2 study study NN cord-354194-hf5ndv5f 273 3 by by IN cord-354194-hf5ndv5f 273 4 the the DT cord-354194-hf5ndv5f 273 5 Prognostic Prognostic NNP cord-354194-hf5ndv5f 273 6 Assessment Assessment NNP cord-354194-hf5ndv5f 273 7 of of IN cord-354194-hf5ndv5f 273 8 Life Life NNP cord-354194-hf5ndv5f 273 9 and and CC cord-354194-hf5ndv5f 273 10 Limitations Limitations NNPS cord-354194-hf5ndv5f 273 11 After after IN cord-354194-hf5ndv5f 273 12 Trauma trauma NN cord-354194-hf5ndv5f 273 13 in in IN cord-354194-hf5ndv5f 273 14 the the DT cord-354194-hf5ndv5f 273 15 Elderly elderly JJ cord-354194-hf5ndv5f 273 16 ( ( -LRB- cord-354194-hf5ndv5f 273 17 PALLIATE PALLIATE NNP cord-354194-hf5ndv5f 273 18 ) ) -RRB- cord-354194-hf5ndv5f 273 19 consortium consortium NN cord-354194-hf5ndv5f 273 20 Estimating Estimating NNP cord-354194-hf5ndv5f 273 21 geriatric geriatric JJ cord-354194-hf5ndv5f 273 22 mortality mortality NN cord-354194-hf5ndv5f 273 23 after after IN cord-354194-hf5ndv5f 273 24 injury injury NN cord-354194-hf5ndv5f 273 25 using use VBG cord-354194-hf5ndv5f 273 26 age age NN cord-354194-hf5ndv5f 273 27 , , , cord-354194-hf5ndv5f 273 28 injury injury NN cord-354194-hf5ndv5f 273 29 severity severity NN cord-354194-hf5ndv5f 273 30 , , , cord-354194-hf5ndv5f 273 31 and and CC cord-354194-hf5ndv5f 273 32 performance performance NN cord-354194-hf5ndv5f 273 33 of of IN cord-354194-hf5ndv5f 273 34 a a DT cord-354194-hf5ndv5f 273 35 transfusion transfusion NN cord-354194-hf5ndv5f 273 36 : : : cord-354194-hf5ndv5f 273 37 the the DT cord-354194-hf5ndv5f 273 38 geriatric geriatric JJ cord-354194-hf5ndv5f 273 39 trauma trauma NN cord-354194-hf5ndv5f 273 40 outcome outcome NN cord-354194-hf5ndv5f 273 41 score score NN cord-354194-hf5ndv5f 273 42 Duration duration NN cord-354194-hf5ndv5f 273 43 of of IN cord-354194-hf5ndv5f 273 44 respiratory respiratory JJ cord-354194-hf5ndv5f 273 45 failure failure NN cord-354194-hf5ndv5f 273 46 after after IN cord-354194-hf5ndv5f 273 47 trauma trauma NN cord-354194-hf5ndv5f 273 48 is be VBZ cord-354194-hf5ndv5f 273 49 not not RB cord-354194-hf5ndv5f 273 50 associated associate VBN cord-354194-hf5ndv5f 273 51 with with IN cord-354194-hf5ndv5f 273 52 increased increase VBN cord-354194-hf5ndv5f 273 53 long long JJ cord-354194-hf5ndv5f 273 54 - - HYPH cord-354194-hf5ndv5f 273 55 term term NN cord-354194-hf5ndv5f 273 56 mortality mortality NN cord-354194-hf5ndv5f 273 57 Statewide statewide JJ cord-354194-hf5ndv5f 273 58 data datum NNS cord-354194-hf5ndv5f 273 59 that that WDT cord-354194-hf5ndv5f 273 60 highlights highlight VBZ cord-354194-hf5ndv5f 273 61 that that IN cord-354194-hf5ndv5f 273 62 , , , cord-354194-hf5ndv5f 273 63 in in IN cord-354194-hf5ndv5f 273 64 trauma trauma NN cord-354194-hf5ndv5f 273 65 , , , cord-354194-hf5ndv5f 273 66 discharge discharge NN cord-354194-hf5ndv5f 273 67 is be VBZ cord-354194-hf5ndv5f 273 68 not not RB cord-354194-hf5ndv5f 273 69 the the DT cord-354194-hf5ndv5f 273 70 end end NN cord-354194-hf5ndv5f 273 71 of of IN cord-354194-hf5ndv5f 273 72 the the DT cord-354194-hf5ndv5f 273 73 mortality mortality NN cord-354194-hf5ndv5f 273 74 risk risk NN cord-354194-hf5ndv5f 273 75 . . . cord-354194-hf5ndv5f 274 1 When when WRB cord-354194-hf5ndv5f 274 2 guiding guide VBG cord-354194-hf5ndv5f 274 3 patients patient NNS cord-354194-hf5ndv5f 274 4 , , , cord-354194-hf5ndv5f 274 5 it -PRON- PRP cord-354194-hf5ndv5f 274 6 is be VBZ cord-354194-hf5ndv5f 274 7 important important JJ cord-354194-hf5ndv5f 274 8 to to TO cord-354194-hf5ndv5f 274 9 explain explain VB cord-354194-hf5ndv5f 274 10 that that IN cord-354194-hf5ndv5f 274 11 a a DT cord-354194-hf5ndv5f 274 12 bad bad JJ cord-354194-hf5ndv5f 274 13 injury injury NN cord-354194-hf5ndv5f 274 14 places place VBZ cord-354194-hf5ndv5f 274 15 them -PRON- PRP cord-354194-hf5ndv5f 274 16 or or CC cord-354194-hf5ndv5f 274 17 their -PRON- PRP$ cord-354194-hf5ndv5f 274 18 loved love VBN cord-354194-hf5ndv5f 274 19 one one NN cord-354194-hf5ndv5f 274 20 at at IN cord-354194-hf5ndv5f 274 21 an an DT cord-354194-hf5ndv5f 274 22 increased increase VBN cord-354194-hf5ndv5f 274 23 risk risk NN cord-354194-hf5ndv5f 274 24 of of IN cord-354194-hf5ndv5f 274 25 How how WRB cord-354194-hf5ndv5f 274 26 do do VBP cord-354194-hf5ndv5f 274 27 clinicians clinician NNS cord-354194-hf5ndv5f 274 28 prepare prepare VB cord-354194-hf5ndv5f 274 29 family family NN cord-354194-hf5ndv5f 274 30 members member NNS cord-354194-hf5ndv5f 274 31 for for IN cord-354194-hf5ndv5f 274 32 the the DT cord-354194-hf5ndv5f 274 33 role role NN cord-354194-hf5ndv5f 274 34 of of IN cord-354194-hf5ndv5f 274 35 surrogate surrogate JJ cord-354194-hf5ndv5f 274 36 decision decision NN cord-354194-hf5ndv5f 274 37 - - HYPH cord-354194-hf5ndv5f 274 38 maker maker NN cord-354194-hf5ndv5f 274 39 ? ? . cord-354194-hf5ndv5f 275 1 Risk risk NN cord-354194-hf5ndv5f 275 2 of of IN cord-354194-hf5ndv5f 275 3 post post JJ cord-354194-hf5ndv5f 275 4 - - JJ cord-354194-hf5ndv5f 275 5 traumatic traumatic JJ cord-354194-hf5ndv5f 275 6 stress stress NN cord-354194-hf5ndv5f 275 7 symptoms symptom NNS cord-354194-hf5ndv5f 275 8 in in IN cord-354194-hf5ndv5f 275 9 family family NN cord-354194-hf5ndv5f 275 10 members member NNS cord-354194-hf5ndv5f 275 11 of of IN cord-354194-hf5ndv5f 275 12 intensive intensive JJ cord-354194-hf5ndv5f 275 13 care care NN cord-354194-hf5ndv5f 275 14 unit unit NN cord-354194-hf5ndv5f 275 15 patients patient NNS cord-354194-hf5ndv5f 275 16 Substituted substituted JJ cord-354194-hf5ndv5f 275 17 judgment judgment NN cord-354194-hf5ndv5f 275 18 : : : cord-354194-hf5ndv5f 275 19 how how WRB cord-354194-hf5ndv5f 275 20 accurate accurate JJ cord-354194-hf5ndv5f 275 21 are be VBP cord-354194-hf5ndv5f 275 22 proxy proxy JJ cord-354194-hf5ndv5f 275 23 predictions prediction NNS cord-354194-hf5ndv5f 275 24 ? ? . cord-354194-hf5ndv5f 276 1 Perceived perceive VBN cord-354194-hf5ndv5f 276 2 quality quality NN cord-354194-hf5ndv5f 276 3 of of IN cord-354194-hf5ndv5f 276 4 life life NN cord-354194-hf5ndv5f 276 5 and and CC cord-354194-hf5ndv5f 276 6 preferences preference NNS cord-354194-hf5ndv5f 276 7 for for IN cord-354194-hf5ndv5f 276 8 life life NN cord-354194-hf5ndv5f 276 9 - - HYPH cord-354194-hf5ndv5f 276 10 sustaining sustain VBG cord-354194-hf5ndv5f 276 11 treatment treatment NN cord-354194-hf5ndv5f 276 12 in in IN cord-354194-hf5ndv5f 276 13 older old JJR cord-354194-hf5ndv5f 276 14 adults adult NNS cord-354194-hf5ndv5f 276 15 Pitfalls pitfall NNS cord-354194-hf5ndv5f 276 16 in in IN cord-354194-hf5ndv5f 276 17 communication communication NN cord-354194-hf5ndv5f 276 18 that that WDT cord-354194-hf5ndv5f 276 19 lead lead VBP cord-354194-hf5ndv5f 276 20 to to IN cord-354194-hf5ndv5f 276 21 nonbeneficial nonbeneficial JJ cord-354194-hf5ndv5f 276 22 emergency emergency NN cord-354194-hf5ndv5f 276 23 surgery surgery NN cord-354194-hf5ndv5f 276 24 in in IN cord-354194-hf5ndv5f 276 25 elderly elderly JJ cord-354194-hf5ndv5f 276 26 patients patient NNS cord-354194-hf5ndv5f 276 27 with with IN cord-354194-hf5ndv5f 276 28 serious serious JJ cord-354194-hf5ndv5f 276 29 illness illness NN cord-354194-hf5ndv5f 276 30 : : : cord-354194-hf5ndv5f 276 31 description description NN cord-354194-hf5ndv5f 276 32 of of IN cord-354194-hf5ndv5f 276 33 the the DT cord-354194-hf5ndv5f 276 34 problem problem NN cord-354194-hf5ndv5f 276 35 and and CC cord-354194-hf5ndv5f 276 36 elements element NNS cord-354194-hf5ndv5f 276 37 of of IN cord-354194-hf5ndv5f 276 38 a a DT cord-354194-hf5ndv5f 276 39 solution solution NN cord-354194-hf5ndv5f 277 1 And and CC cord-354194-hf5ndv5f 277 2 I -PRON- PRP cord-354194-hf5ndv5f 277 3 think think VBP cord-354194-hf5ndv5f 277 4 that that IN cord-354194-hf5ndv5f 277 5 we -PRON- PRP cord-354194-hf5ndv5f 277 6 can can MD cord-354194-hf5ndv5f 277 7 fix fix VB cord-354194-hf5ndv5f 277 8 it -PRON- PRP cord-354194-hf5ndv5f 277 9 " " '' cord-354194-hf5ndv5f 277 10 : : : cord-354194-hf5ndv5f 277 11 mental mental JJ cord-354194-hf5ndv5f 277 12 models model NNS cord-354194-hf5ndv5f 277 13 used use VBN cord-354194-hf5ndv5f 277 14 in in IN cord-354194-hf5ndv5f 277 15 high high JJ cord-354194-hf5ndv5f 277 16 - - HYPH cord-354194-hf5ndv5f 277 17 risk risk NN cord-354194-hf5ndv5f 277 18 surgical surgical JJ cord-354194-hf5ndv5f 277 19 decision decision NN cord-354194-hf5ndv5f 277 20 making make VBG cord-354194-hf5ndv5f 277 21 Discussing discuss VBG cord-354194-hf5ndv5f 277 22 treatment treatment NN cord-354194-hf5ndv5f 277 23 preferences preference NNS cord-354194-hf5ndv5f 277 24 with with IN cord-354194-hf5ndv5f 277 25 patients patient NNS cord-354194-hf5ndv5f 277 26 who who WP cord-354194-hf5ndv5f 277 27 want want VBP cord-354194-hf5ndv5f 277 28 " " `` cord-354194-hf5ndv5f 277 29 everything everything NN cord-354194-hf5ndv5f 277 30 Best good JJS cord-354194-hf5ndv5f 277 31 case case NN cord-354194-hf5ndv5f 277 32 / / SYM cord-354194-hf5ndv5f 277 33 worst bad JJS cord-354194-hf5ndv5f 277 34 case case NN cord-354194-hf5ndv5f 277 35 " " '' cord-354194-hf5ndv5f 277 36 : : : cord-354194-hf5ndv5f 277 37 training training NN cord-354194-hf5ndv5f 277 38 surgeons surgeon NNS cord-354194-hf5ndv5f 277 39 to to TO cord-354194-hf5ndv5f 277 40 use use VB cord-354194-hf5ndv5f 277 41 a a DT cord-354194-hf5ndv5f 277 42 novel novel JJ cord-354194-hf5ndv5f 277 43 communication communication NN cord-354194-hf5ndv5f 277 44 tool tool NN cord-354194-hf5ndv5f 277 45 for for IN cord-354194-hf5ndv5f 277 46 high high JJ cord-354194-hf5ndv5f 277 47 - - HYPH cord-354194-hf5ndv5f 277 48 risk risk NN cord-354194-hf5ndv5f 277 49 acute acute JJ cord-354194-hf5ndv5f 277 50 surgical surgical JJ cord-354194-hf5ndv5f 277 51 problems problem NNS cord-354194-hf5ndv5f 278 1 Best good JJS cord-354194-hf5ndv5f 278 2 case case NN cord-354194-hf5ndv5f 278 3 / / SYM cord-354194-hf5ndv5f 278 4 worst bad JJS cord-354194-hf5ndv5f 278 5 case case NN cord-354194-hf5ndv5f 278 6 " " '' cord-354194-hf5ndv5f 278 7 : : : cord-354194-hf5ndv5f 278 8 qualitative qualitative JJ cord-354194-hf5ndv5f 278 9 evaluation evaluation NN cord-354194-hf5ndv5f 278 10 of of IN cord-354194-hf5ndv5f 278 11 a a DT cord-354194-hf5ndv5f 278 12 novel novel JJ cord-354194-hf5ndv5f 278 13 communication communication NN cord-354194-hf5ndv5f 278 14 tool tool NN cord-354194-hf5ndv5f 278 15 for for IN cord-354194-hf5ndv5f 278 16 difficult difficult JJ cord-354194-hf5ndv5f 278 17 in in IN cord-354194-hf5ndv5f 278 18 - - HYPH cord-354194-hf5ndv5f 278 19 the the DT cord-354194-hf5ndv5f 278 20 - - HYPH cord-354194-hf5ndv5f 278 21 moment moment NN cord-354194-hf5ndv5f 278 22 surgical surgical JJ cord-354194-hf5ndv5f 278 23 decisions decision NNS cord-354194-hf5ndv5f 278 24 Description description NN cord-354194-hf5ndv5f 278 25 of of IN cord-354194-hf5ndv5f 278 26 the the DT cord-354194-hf5ndv5f 278 27 best good JJS cord-354194-hf5ndv5f 278 28 / / SYM cord-354194-hf5ndv5f 278 29 worst bad JJS cord-354194-hf5ndv5f 278 30 case case NN cord-354194-hf5ndv5f 278 31 tool tool NN cord-354194-hf5ndv5f 278 32 - - : cord-354194-hf5ndv5f 278 33 one one CD cord-354194-hf5ndv5f 278 34 of of IN cord-354194-hf5ndv5f 278 35 the the DT cord-354194-hf5ndv5f 278 36 best good JJS cord-354194-hf5ndv5f 278 37 standardized standardized JJ cord-354194-hf5ndv5f 278 38 communication communication NN cord-354194-hf5ndv5f 278 39 tools tool NNS cord-354194-hf5ndv5f 278 40 available available JJ cord-354194-hf5ndv5f 278 41 at at IN cord-354194-hf5ndv5f 278 42 this this DT cord-354194-hf5ndv5f 278 43 point point NN cord-354194-hf5ndv5f 278 44 . . . cord-354194-hf5ndv5f 279 1 Adaptable adaptable JJ cord-354194-hf5ndv5f 279 2 to to IN cord-354194-hf5ndv5f 279 3 the the DT cord-354194-hf5ndv5f 279 4 clinical clinical JJ cord-354194-hf5ndv5f 279 5 situation situation NN cord-354194-hf5ndv5f 279 6 and and CC cord-354194-hf5ndv5f 279 7 allows allow VBZ cord-354194-hf5ndv5f 279 8 easy easy JJ cord-354194-hf5ndv5f 279 9 integration integration NN cord-354194-hf5ndv5f 279 10 of of IN cord-354194-hf5ndv5f 279 11 complex complex JJ cord-354194-hf5ndv5f 279 12 data datum NNS cord-354194-hf5ndv5f 279 13 in in IN cord-354194-hf5ndv5f 279 14 a a DT cord-354194-hf5ndv5f 279 15 graphical graphical JJ cord-354194-hf5ndv5f 279 16 format format NN cord-354194-hf5ndv5f 280 1 An an DT cord-354194-hf5ndv5f 280 2 intensive intensive JJ cord-354194-hf5ndv5f 280 3 communication communication NN cord-354194-hf5ndv5f 280 4 intervention intervention NN cord-354194-hf5ndv5f 280 5 for for IN cord-354194-hf5ndv5f 280 6 the the DT cord-354194-hf5ndv5f 280 7 critically critically RB cord-354194-hf5ndv5f 280 8 ill ill JJ cord-354194-hf5ndv5f 280 9 Integrating integrate VBG cord-354194-hf5ndv5f 280 10 palliative palliative JJ cord-354194-hf5ndv5f 280 11 and and CC cord-354194-hf5ndv5f 280 12 critical critical JJ cord-354194-hf5ndv5f 280 13 care care NN cord-354194-hf5ndv5f 280 14 : : : cord-354194-hf5ndv5f 280 15 evaluation evaluation NN cord-354194-hf5ndv5f 280 16 of of IN cord-354194-hf5ndv5f 280 17 a a DT cord-354194-hf5ndv5f 280 18 quality quality NN cord-354194-hf5ndv5f 280 19 - - HYPH cord-354194-hf5ndv5f 280 20 improvement improvement NN cord-354194-hf5ndv5f 280 21 intervention intervention NN cord-354194-hf5ndv5f 280 22 Grey Grey NNP cord-354194-hf5ndv5f 280 23 's 's POS cord-354194-hf5ndv5f 280 24 Anatomy Anatomy NNP cord-354194-hf5ndv5f 280 25 effect effect NN cord-354194-hf5ndv5f 280 26 : : : cord-354194-hf5ndv5f 280 27 television television NN cord-354194-hf5ndv5f 280 28 portrayal portrayal NN cord-354194-hf5ndv5f 280 29 of of IN cord-354194-hf5ndv5f 280 30 patients patient NNS cord-354194-hf5ndv5f 280 31 with with IN cord-354194-hf5ndv5f 280 32 trauma trauma NN cord-354194-hf5ndv5f 280 33 may may MD cord-354194-hf5ndv5f 280 34 cultivate cultivate VB cord-354194-hf5ndv5f 280 35 unrealistic unrealistic JJ cord-354194-hf5ndv5f 280 36 patient patient NN cord-354194-hf5ndv5f 280 37 and and CC cord-354194-hf5ndv5f 280 38 family family NN cord-354194-hf5ndv5f 280 39 expectations expectation NNS cord-354194-hf5ndv5f 280 40 after after IN cord-354194-hf5ndv5f 280 41 injury injury NN cord-354194-hf5ndv5f 280 42 Intensity intensity NN cord-354194-hf5ndv5f 280 43 of of IN cord-354194-hf5ndv5f 280 44 treatment treatment NN cord-354194-hf5ndv5f 280 45 , , , cord-354194-hf5ndv5f 280 46 end end NN cord-354194-hf5ndv5f 280 47 - - HYPH cord-354194-hf5ndv5f 280 48 of of IN cord-354194-hf5ndv5f 280 49 - - HYPH cord-354194-hf5ndv5f 280 50 life life NN cord-354194-hf5ndv5f 280 51 care care NN cord-354194-hf5ndv5f 280 52 , , , cord-354194-hf5ndv5f 280 53 and and CC cord-354194-hf5ndv5f 280 54 mortality mortality NN cord-354194-hf5ndv5f 280 55 for for IN cord-354194-hf5ndv5f 280 56 older old JJR cord-354194-hf5ndv5f 280 57 patients patient NNS cord-354194-hf5ndv5f 280 58 with with IN cord-354194-hf5ndv5f 280 59 severe severe JJ cord-354194-hf5ndv5f 280 60 traumatic traumatic JJ cord-354194-hf5ndv5f 280 61 brain brain NN cord-354194-hf5ndv5f 280 62 injury injury NN cord-354194-hf5ndv5f 280 63 Goals goal NNS cord-354194-hf5ndv5f 280 64 of of IN cord-354194-hf5ndv5f 280 65 care care NN cord-354194-hf5ndv5f 280 66 discussions discussion NNS cord-354194-hf5ndv5f 280 67 for for IN cord-354194-hf5ndv5f 280 68 the the DT cord-354194-hf5ndv5f 280 69 imminently imminently RB cord-354194-hf5ndv5f 280 70 dying die VBG cord-354194-hf5ndv5f 280 71 trauma trauma NN cord-354194-hf5ndv5f 280 72 patient patient NN cord-354194-hf5ndv5f 280 73 Advance Advance NNP cord-354194-hf5ndv5f 280 74 care care NN cord-354194-hf5ndv5f 280 75 planning planning NN cord-354194-hf5ndv5f 280 76 : : : cord-354194-hf5ndv5f 280 77 beyond beyond IN cord-354194-hf5ndv5f 280 78 the the DT cord-354194-hf5ndv5f 280 79 living living NN cord-354194-hf5ndv5f 280 80 will will MD cord-354194-hf5ndv5f 280 81 Care care VB cord-354194-hf5ndv5f 280 82 planning plan VBG cord-354194-hf5ndv5f 280 83 for for IN cord-354194-hf5ndv5f 280 84 inpatients inpatient NNS cord-354194-hf5ndv5f 280 85 referred refer VBN cord-354194-hf5ndv5f 280 86 for for IN cord-354194-hf5ndv5f 280 87 palliative palliative JJ cord-354194-hf5ndv5f 280 88 care care NN cord-354194-hf5ndv5f 280 89 consultation consultation NN cord-354194-hf5ndv5f 281 1 An an DT cord-354194-hf5ndv5f 281 2 outstanding outstanding JJ cord-354194-hf5ndv5f 281 3 free free JJ cord-354194-hf5ndv5f 281 4 and and CC cord-354194-hf5ndv5f 281 5 electronic electronic JJ cord-354194-hf5ndv5f 281 6 resource resource NN cord-354194-hf5ndv5f 281 7 for for IN cord-354194-hf5ndv5f 281 8 those those DT cord-354194-hf5ndv5f 281 9 interested interested JJ cord-354194-hf5ndv5f 281 10 in in IN cord-354194-hf5ndv5f 281 11 building build VBG cord-354194-hf5ndv5f 281 12 their -PRON- PRP$ cord-354194-hf5ndv5f 281 13 palliative palliative JJ cord-354194-hf5ndv5f 281 14 care care NN cord-354194-hf5ndv5f 281 15 communication communication NN cord-354194-hf5ndv5f 281 16 tool tool NN cord-354194-hf5ndv5f 281 17 box box NN cord-354194-hf5ndv5f 281 18 . . . cord-354194-hf5ndv5f 282 1 They -PRON- PRP cord-354194-hf5ndv5f 282 2 have have VBP cord-354194-hf5ndv5f 282 3 an an DT cord-354194-hf5ndv5f 282 4 extensive extensive JJ cord-354194-hf5ndv5f 282 5 library library NN cord-354194-hf5ndv5f 282 6 of of IN cord-354194-hf5ndv5f 282 7 evidence evidence NN cord-354194-hf5ndv5f 282 8 - - HYPH cord-354194-hf5ndv5f 282 9 based base VBN cord-354194-hf5ndv5f 282 10 communication communication NN cord-354194-hf5ndv5f 282 11 strategies strategy NNS cord-354194-hf5ndv5f 282 12 Communicating communicate VBG cord-354194-hf5ndv5f 282 13 about about IN cord-354194-hf5ndv5f 282 14 end end NN cord-354194-hf5ndv5f 282 15 - - HYPH cord-354194-hf5ndv5f 282 16 of of IN cord-354194-hf5ndv5f 282 17 - - HYPH cord-354194-hf5ndv5f 282 18 life life NN cord-354194-hf5ndv5f 282 19 care care NN cord-354194-hf5ndv5f 282 20 with with IN cord-354194-hf5ndv5f 282 21 patients patient NNS cord-354194-hf5ndv5f 282 22 and and CC cord-354194-hf5ndv5f 282 23 families family NNS cord-354194-hf5ndv5f 282 24 in in IN cord-354194-hf5ndv5f 282 25 the the DT cord-354194-hf5ndv5f 282 26 intensive intensive JJ cord-354194-hf5ndv5f 282 27 care care NN cord-354194-hf5ndv5f 282 28 unit unit NN cord-354194-hf5ndv5f 282 29 Prospective prospective JJ cord-354194-hf5ndv5f 282 30 analysis analysis NN cord-354194-hf5ndv5f 282 31 of of IN cord-354194-hf5ndv5f 282 32 life life NN cord-354194-hf5ndv5f 282 33 - - HYPH cord-354194-hf5ndv5f 282 34 sustaining sustain VBG cord-354194-hf5ndv5f 282 35 therapy therapy NN cord-354194-hf5ndv5f 282 36 discussions discussion NNS cord-354194-hf5ndv5f 282 37 in in IN cord-354194-hf5ndv5f 282 38 the the DT cord-354194-hf5ndv5f 282 39 surgical surgical JJ cord-354194-hf5ndv5f 282 40 intensive intensive JJ cord-354194-hf5ndv5f 282 41 care care NN cord-354194-hf5ndv5f 282 42 unit unit NN cord-354194-hf5ndv5f 282 43 : : : cord-354194-hf5ndv5f 282 44 a a DT cord-354194-hf5ndv5f 282 45 housestaff housestaff NN cord-354194-hf5ndv5f 282 46 perspective perspective NN cord-354194-hf5ndv5f 282 47 Patient Patient NNP cord-354194-hf5ndv5f 282 48 characteristics characteristic NNS cord-354194-hf5ndv5f 282 49 associated associate VBN cord-354194-hf5ndv5f 282 50 with with IN cord-354194-hf5ndv5f 282 51 comfort comfort NN cord-354194-hf5ndv5f 282 52 care care NN cord-354194-hf5ndv5f 282 53 among among IN cord-354194-hf5ndv5f 282 54 trauma trauma NN cord-354194-hf5ndv5f 282 55 patients patient NNS cord-354194-hf5ndv5f 282 56 at at IN cord-354194-hf5ndv5f 282 57 a a DT cord-354194-hf5ndv5f 282 58 level level NN cord-354194-hf5ndv5f 282 59 I -PRON- PRP cord-354194-hf5ndv5f 282 60 trauma trauma NN cord-354194-hf5ndv5f 282 61 center center NN cord-354194-hf5ndv5f 282 62 Moving move VBG cord-354194-hf5ndv5f 282 63 from from IN cord-354194-hf5ndv5f 282 64 empathy empathy NN cord-354194-hf5ndv5f 282 65 to to IN cord-354194-hf5ndv5f 282 66 action action NN cord-354194-hf5ndv5f 282 67 in in IN cord-354194-hf5ndv5f 282 68 discussing discuss VBG cord-354194-hf5ndv5f 282 69 goals goal NNS cord-354194-hf5ndv5f 282 70 of of IN cord-354194-hf5ndv5f 282 71 care care NN cord-354194-hf5ndv5f 282 72 Barriers barrier NNS cord-354194-hf5ndv5f 282 73 to to IN cord-354194-hf5ndv5f 282 74 goal goal VB cord-354194-hf5ndv5f 282 75 - - HYPH cord-354194-hf5ndv5f 282 76 concordant concordant JJ cord-354194-hf5ndv5f 282 77 care care NN cord-354194-hf5ndv5f 282 78 for for IN cord-354194-hf5ndv5f 282 79 older old JJR cord-354194-hf5ndv5f 282 80 patients patient NNS cord-354194-hf5ndv5f 282 81 with with IN cord-354194-hf5ndv5f 282 82 acute acute JJ cord-354194-hf5ndv5f 282 83 surgical surgical JJ cord-354194-hf5ndv5f 282 84 illness illness NN cord-354194-hf5ndv5f 282 85 : : : cord-354194-hf5ndv5f 282 86 communication communication NN cord-354194-hf5ndv5f 282 87 patterns pattern NNS cord-354194-hf5ndv5f 282 88 extrinsic extrinsic JJ cord-354194-hf5ndv5f 282 89 to to IN cord-354194-hf5ndv5f 282 90 decision decision NN cord-354194-hf5ndv5f 282 91 aids aids NNP cord-354194-hf5ndv5f 282 92 Duration Duration NNP cord-354194-hf5ndv5f 282 93 of of IN cord-354194-hf5ndv5f 282 94 withdrawal withdrawal NN cord-354194-hf5ndv5f 282 95 of of IN cord-354194-hf5ndv5f 282 96 life life NN cord-354194-hf5ndv5f 282 97 support support NN cord-354194-hf5ndv5f 282 98 in in IN cord-354194-hf5ndv5f 282 99 the the DT cord-354194-hf5ndv5f 282 100 intensive intensive JJ cord-354194-hf5ndv5f 282 101 care care NN cord-354194-hf5ndv5f 282 102 unit unit NN cord-354194-hf5ndv5f 282 103 and and CC cord-354194-hf5ndv5f 282 104 association association NN cord-354194-hf5ndv5f 282 105 with with IN cord-354194-hf5ndv5f 282 106 family family NN cord-354194-hf5ndv5f 282 107 satisfaction satisfaction NN cord-354194-hf5ndv5f 282 108 Family Family NNP cord-354194-hf5ndv5f 282 109 satisfaction satisfaction NN cord-354194-hf5ndv5f 282 110 in in IN cord-354194-hf5ndv5f 282 111 the the DT cord-354194-hf5ndv5f 282 112 ICU ICU NNP cord-354194-hf5ndv5f 282 113 : : : cord-354194-hf5ndv5f 282 114 differences difference NNS cord-354194-hf5ndv5f 282 115 between between IN cord-354194-hf5ndv5f 282 116 families family NNS cord-354194-hf5ndv5f 282 117 of of IN cord-354194-hf5ndv5f 282 118 survivors survivor NNS cord-354194-hf5ndv5f 282 119 and and CC cord-354194-hf5ndv5f 282 120 nonsurvivors nonsurvivors NNP cord-354194-hf5ndv5f 282 121 Informative informative JJ cord-354194-hf5ndv5f 282 122 work work NN cord-354194-hf5ndv5f 282 123 that that WDT cord-354194-hf5ndv5f 282 124 guides guide VBZ cord-354194-hf5ndv5f 282 125 an an DT cord-354194-hf5ndv5f 282 126 approach approach NN cord-354194-hf5ndv5f 282 127 to to IN cord-354194-hf5ndv5f 282 128 readdressing readdresse VBG cord-354194-hf5ndv5f 282 129 patient patient NN cord-354194-hf5ndv5f 282 130 's 's POS cord-354194-hf5ndv5f 282 131 goals goal NNS cord-354194-hf5ndv5f 282 132 in in IN cord-354194-hf5ndv5f 282 133 the the DT cord-354194-hf5ndv5f 282 134 setting setting NN cord-354194-hf5ndv5f 282 135 of of IN cord-354194-hf5ndv5f 282 136 a a DT cord-354194-hf5ndv5f 282 137 severe severe JJ cord-354194-hf5ndv5f 282 138 illness illness NN cord-354194-hf5ndv5f 282 139 or or CC cord-354194-hf5ndv5f 282 140 injury injury NN cord-354194-hf5ndv5f 283 1 Emotional emotional JJ cord-354194-hf5ndv5f 283 2 and and CC cord-354194-hf5ndv5f 283 3 informational informational JJ cord-354194-hf5ndv5f 283 4 patient patient NN cord-354194-hf5ndv5f 283 5 cues cue NNS cord-354194-hf5ndv5f 283 6 : : : cord-354194-hf5ndv5f 283 7 the the DT cord-354194-hf5ndv5f 283 8 impact impact NN cord-354194-hf5ndv5f 283 9 of of IN cord-354194-hf5ndv5f 283 10 nurses nurse NNS cord-354194-hf5ndv5f 283 11 ' ' POS cord-354194-hf5ndv5f 283 12 responses response NNS cord-354194-hf5ndv5f 283 13 on on IN cord-354194-hf5ndv5f 283 14 recall recall NN cord-354194-hf5ndv5f 284 1 Why why WRB cord-354194-hf5ndv5f 284 2 should should MD cord-354194-hf5ndv5f 284 3 I -PRON- PRP cord-354194-hf5ndv5f 284 4 talk talk VB cord-354194-hf5ndv5f 284 5 about about IN cord-354194-hf5ndv5f 284 6 emotion emotion NN cord-354194-hf5ndv5f 284 7 ? ? . cord-354194-hf5ndv5f 285 1 Communication communication NN cord-354194-hf5ndv5f 285 2 patterns pattern NNS cord-354194-hf5ndv5f 285 3 associated associate VBN cord-354194-hf5ndv5f 285 4 with with IN cord-354194-hf5ndv5f 285 5 physician physician NN cord-354194-hf5ndv5f 285 6 discussion discussion NN cord-354194-hf5ndv5f 285 7 of of IN cord-354194-hf5ndv5f 285 8 patient patient JJ cord-354194-hf5ndv5f 285 9 expressions expression NNS cord-354194-hf5ndv5f 285 10 of of IN cord-354194-hf5ndv5f 285 11 negative negative JJ cord-354194-hf5ndv5f 285 12 emotion emotion NN cord-354194-hf5ndv5f 285 13 in in IN cord-354194-hf5ndv5f 285 14 hospital hospital NN cord-354194-hf5ndv5f 285 15 admission admission NN cord-354194-hf5ndv5f 285 16 encounters encounter VBZ cord-354194-hf5ndv5f 285 17 Aligning align VBG cord-354194-hf5ndv5f 285 18 ethics ethic NNS cord-354194-hf5ndv5f 285 19 with with IN cord-354194-hf5ndv5f 285 20 medical medical JJ cord-354194-hf5ndv5f 285 21 decision decision NN cord-354194-hf5ndv5f 285 22 - - HYPH cord-354194-hf5ndv5f 285 23 making making NN cord-354194-hf5ndv5f 285 24 : : : cord-354194-hf5ndv5f 285 25 the the DT cord-354194-hf5ndv5f 285 26 quest quest NN cord-354194-hf5ndv5f 285 27 for for IN cord-354194-hf5ndv5f 285 28 informed informed JJ cord-354194-hf5ndv5f 285 29 patient patient NN cord-354194-hf5ndv5f 285 30 choice choice NN cord-354194-hf5ndv5f 285 31 Rethinking rethink VBG cord-354194-hf5ndv5f 285 32 informed informed JJ cord-354194-hf5ndv5f 285 33 consent consent NN cord-354194-hf5ndv5f 285 34 : : : cord-354194-hf5ndv5f 285 35 the the DT cord-354194-hf5ndv5f 285 36 case case NN cord-354194-hf5ndv5f 285 37 for for IN cord-354194-hf5ndv5f 285 38 shared share VBN cord-354194-hf5ndv5f 285 39 medical medical JJ cord-354194-hf5ndv5f 285 40 decision decision NN cord-354194-hf5ndv5f 285 41 - - HYPH cord-354194-hf5ndv5f 285 42 making make VBG cord-354194-hf5ndv5f 285 43 Patients patient NNS cord-354194-hf5ndv5f 285 44 ' ' POS cord-354194-hf5ndv5f 285 45 expectations expectation NNS cord-354194-hf5ndv5f 285 46 about about IN cord-354194-hf5ndv5f 285 47 effects effect NNS cord-354194-hf5ndv5f 285 48 of of IN cord-354194-hf5ndv5f 285 49 chemotherapy chemotherapy NN cord-354194-hf5ndv5f 285 50 for for IN cord-354194-hf5ndv5f 285 51 advanced advanced JJ cord-354194-hf5ndv5f 285 52 cancer cancer NN cord-354194-hf5ndv5f 285 53 Patients patient NNS cord-354194-hf5ndv5f 285 54 ' ' POS cord-354194-hf5ndv5f 285 55 understanding understanding NN cord-354194-hf5ndv5f 285 56 of of IN cord-354194-hf5ndv5f 285 57 treatment treatment NN cord-354194-hf5ndv5f 285 58 goals goal NNS cord-354194-hf5ndv5f 285 59 and and CC cord-354194-hf5ndv5f 285 60 disease disease NN cord-354194-hf5ndv5f 285 61 course course NN cord-354194-hf5ndv5f 285 62 and and CC cord-354194-hf5ndv5f 285 63 their -PRON- PRP$ cord-354194-hf5ndv5f 285 64 relationship relationship NN cord-354194-hf5ndv5f 285 65 with with IN cord-354194-hf5ndv5f 285 66 optimism optimism NN cord-354194-hf5ndv5f 285 67 , , , cord-354194-hf5ndv5f 285 68 hope hope NN cord-354194-hf5ndv5f 285 69 , , , cord-354194-hf5ndv5f 285 70 and and CC cord-354194-hf5ndv5f 285 71 quality quality NN cord-354194-hf5ndv5f 285 72 of of IN cord-354194-hf5ndv5f 285 73 life life NN cord-354194-hf5ndv5f 285 74 : : : cord-354194-hf5ndv5f 285 75 a a DT cord-354194-hf5ndv5f 285 76 preliminary preliminary JJ cord-354194-hf5ndv5f 285 77 study study NN cord-354194-hf5ndv5f 285 78 among among IN cord-354194-hf5ndv5f 285 79 advanced advanced JJ cord-354194-hf5ndv5f 285 80 breast breast NN cord-354194-hf5ndv5f 285 81 cancer cancer NN cord-354194-hf5ndv5f 285 82 outpatients outpatient NNS cord-354194-hf5ndv5f 285 83 before before IN cord-354194-hf5ndv5f 285 84 receiving receive VBG cord-354194-hf5ndv5f 285 85 palliative palliative JJ cord-354194-hf5ndv5f 285 86 treatment treatment NN cord-354194-hf5ndv5f 285 87 Recommendations recommendation NNS cord-354194-hf5ndv5f 285 88 for for IN cord-354194-hf5ndv5f 285 89 end end NN cord-354194-hf5ndv5f 285 90 - - HYPH cord-354194-hf5ndv5f 285 91 of of IN cord-354194-hf5ndv5f 285 92 - - HYPH cord-354194-hf5ndv5f 285 93 life life NN cord-354194-hf5ndv5f 285 94 care care NN cord-354194-hf5ndv5f 285 95 in in IN cord-354194-hf5ndv5f 285 96 the the DT cord-354194-hf5ndv5f 285 97 intensive intensive JJ cord-354194-hf5ndv5f 285 98 care care NN cord-354194-hf5ndv5f 285 99 unit unit NN cord-354194-hf5ndv5f 285 100 : : : cord-354194-hf5ndv5f 285 101 a a DT cord-354194-hf5ndv5f 285 102 consensus consensus NN cord-354194-hf5ndv5f 285 103 statement statement NN cord-354194-hf5ndv5f 285 104 by by IN cord-354194-hf5ndv5f 285 105 the the DT cord-354194-hf5ndv5f 285 106 American American NNP cord-354194-hf5ndv5f 285 107 College College NNP cord-354194-hf5ndv5f 285 108 [ [ -LRB- cord-354194-hf5ndv5f 285 109 corrected correct VBD cord-354194-hf5ndv5f 285 110 ] ] -RRB- cord-354194-hf5ndv5f 285 111 of of IN cord-354194-hf5ndv5f 285 112 Critical Critical NNP cord-354194-hf5ndv5f 285 113 Care Care NNP cord-354194-hf5ndv5f 285 114 Medicine Medicine NNP cord-354194-hf5ndv5f 285 115 Family Family NNP cord-354194-hf5ndv5f 285 116 members member NNS cord-354194-hf5ndv5f 285 117 ' ' POS cord-354194-hf5ndv5f 285 118 perceptions perception NNS cord-354194-hf5ndv5f 285 119 of of IN cord-354194-hf5ndv5f 285 120 inpatient inpatient JJ cord-354194-hf5ndv5f 285 121 palliative palliative JJ cord-354194-hf5ndv5f 285 122 care care NN cord-354194-hf5ndv5f 285 123 consult consult NN cord-354194-hf5ndv5f 285 124 services service NNS cord-354194-hf5ndv5f 285 125 : : : cord-354194-hf5ndv5f 285 126 a a DT cord-354194-hf5ndv5f 285 127 qualitative qualitative JJ cord-354194-hf5ndv5f 285 128 study study NN cord-354194-hf5ndv5f 285 129 What what WP cord-354194-hf5ndv5f 285 130 constitutes constitute VBZ cord-354194-hf5ndv5f 285 131 quality quality NN cord-354194-hf5ndv5f 285 132 of of IN cord-354194-hf5ndv5f 285 133 family family NN cord-354194-hf5ndv5f 285 134 experience experience NN cord-354194-hf5ndv5f 285 135 at at IN cord-354194-hf5ndv5f 285 136 the the DT cord-354194-hf5ndv5f 285 137 end end NN cord-354194-hf5ndv5f 285 138 of of IN cord-354194-hf5ndv5f 285 139 life life NN cord-354194-hf5ndv5f 285 140 ? ? . cord-354194-hf5ndv5f 286 1 Perspectives perspective NNS cord-354194-hf5ndv5f 286 2 from from IN cord-354194-hf5ndv5f 286 3 family family NN cord-354194-hf5ndv5f 286 4 members member NNS cord-354194-hf5ndv5f 286 5 of of IN cord-354194-hf5ndv5f 286 6 patients patient NNS cord-354194-hf5ndv5f 286 7 who who WP cord-354194-hf5ndv5f 286 8 died die VBD cord-354194-hf5ndv5f 286 9 in in IN cord-354194-hf5ndv5f 286 10 the the DT cord-354194-hf5ndv5f 286 11 hospital hospital NN cord-354194-hf5ndv5f 286 12 Communication Communication NNP cord-354194-hf5ndv5f 286 13 with with IN cord-354194-hf5ndv5f 286 14 patients patient NNS cord-354194-hf5ndv5f 286 15 ' ' POS cord-354194-hf5ndv5f 286 16 families family NNS cord-354194-hf5ndv5f 286 17 in in IN cord-354194-hf5ndv5f 286 18 the the DT cord-354194-hf5ndv5f 286 19 intensive intensive JJ cord-354194-hf5ndv5f 286 20 care care NN cord-354194-hf5ndv5f 286 21 unit unit NN cord-354194-hf5ndv5f 286 22 : : : cord-354194-hf5ndv5f 286 23 a a DT cord-354194-hf5ndv5f 286 24 point point NN cord-354194-hf5ndv5f 286 25 prevalence prevalence NN cord-354194-hf5ndv5f 286 26 study study NN cord-354194-hf5ndv5f 287 1 The the DT cord-354194-hf5ndv5f 287 2 effectiveness effectiveness NN cord-354194-hf5ndv5f 287 3 of of IN cord-354194-hf5ndv5f 287 4 interventions intervention NNS cord-354194-hf5ndv5f 287 5 to to TO cord-354194-hf5ndv5f 287 6 meet meet VB cord-354194-hf5ndv5f 287 7 family family NN cord-354194-hf5ndv5f 287 8 needs need NNS cord-354194-hf5ndv5f 287 9 of of IN cord-354194-hf5ndv5f 287 10 critically critically RB cord-354194-hf5ndv5f 287 11 ill ill JJ cord-354194-hf5ndv5f 287 12 patients patient NNS cord-354194-hf5ndv5f 287 13 in in IN cord-354194-hf5ndv5f 287 14 an an DT cord-354194-hf5ndv5f 287 15 adult adult NN cord-354194-hf5ndv5f 287 16 intensive intensive JJ cord-354194-hf5ndv5f 287 17 care care NN cord-354194-hf5ndv5f 287 18 unit unit NN cord-354194-hf5ndv5f 287 19 : : : cord-354194-hf5ndv5f 287 20 a a DT cord-354194-hf5ndv5f 287 21 systematic systematic JJ cord-354194-hf5ndv5f 287 22 review review NN cord-354194-hf5ndv5f 287 23 update update NN cord-354194-hf5ndv5f 287 24 Communication communication NN cord-354194-hf5ndv5f 287 25 tools tool NNS cord-354194-hf5ndv5f 287 26 for for IN cord-354194-hf5ndv5f 287 27 end end NN cord-354194-hf5ndv5f 287 28 - - HYPH cord-354194-hf5ndv5f 287 29 of of IN cord-354194-hf5ndv5f 287 30 - - HYPH cord-354194-hf5ndv5f 287 31 life life NN cord-354194-hf5ndv5f 287 32 decision decision NN cord-354194-hf5ndv5f 287 33 - - HYPH cord-354194-hf5ndv5f 287 34 making making NN cord-354194-hf5ndv5f 287 35 in in IN cord-354194-hf5ndv5f 287 36 the the DT cord-354194-hf5ndv5f 287 37 intensive intensive JJ cord-354194-hf5ndv5f 287 38 care care NN cord-354194-hf5ndv5f 287 39 unit unit NN cord-354194-hf5ndv5f 287 40 : : : cord-354194-hf5ndv5f 287 41 a a DT cord-354194-hf5ndv5f 287 42 systematic systematic JJ cord-354194-hf5ndv5f 287 43 review review NN cord-354194-hf5ndv5f 287 44 and and CC cord-354194-hf5ndv5f 287 45 meta meta NNP cord-354194-hf5ndv5f 287 46 - - HYPH cord-354194-hf5ndv5f 287 47 analysis analysis NN cord-354194-hf5ndv5f 287 48 Perspectives perspective NNS cord-354194-hf5ndv5f 287 49 on on IN cord-354194-hf5ndv5f 287 50 death death NN cord-354194-hf5ndv5f 287 51 and and CC cord-354194-hf5ndv5f 287 52 dying dying NN cord-354194-hf5ndv5f 287 53 : : : cord-354194-hf5ndv5f 287 54 a a DT cord-354194-hf5ndv5f 287 55 study study NN cord-354194-hf5ndv5f 287 56 of of IN cord-354194-hf5ndv5f 287 57 resident resident JJ cord-354194-hf5ndv5f 287 58 comfort comfort NN cord-354194-hf5ndv5f 287 59 with with IN cord-354194-hf5ndv5f 287 60 end end NN cord-354194-hf5ndv5f 287 61 - - HYPH cord-354194-hf5ndv5f 287 62 of of IN cord-354194-hf5ndv5f 287 63 - - HYPH cord-354194-hf5ndv5f 287 64 life life NN cord-354194-hf5ndv5f 287 65 care care NN cord-354194-hf5ndv5f 287 66 Palliative Palliative NNP cord-354194-hf5ndv5f 287 67 care care NN cord-354194-hf5ndv5f 287 68 and and CC cord-354194-hf5ndv5f 287 69 surgical surgical JJ cord-354194-hf5ndv5f 287 70 training training NN cord-354194-hf5ndv5f 287 71 : : : cord-354194-hf5ndv5f 287 72 are be VBP cord-354194-hf5ndv5f 287 73 we -PRON- PRP cord-354194-hf5ndv5f 287 74 being be VBG cord-354194-hf5ndv5f 287 75 trained train VBN cord-354194-hf5ndv5f 287 76 to to TO cord-354194-hf5ndv5f 287 77 be be VB cord-354194-hf5ndv5f 287 78 unprepared unprepared JJ cord-354194-hf5ndv5f 287 79 ? ? . cord-354194-hf5ndv5f 288 1 Training training NN cord-354194-hf5ndv5f 288 2 surgeons surgeon NNS cord-354194-hf5ndv5f 288 3 and and CC cord-354194-hf5ndv5f 288 4 anesthesiologists anesthesiologist NNS cord-354194-hf5ndv5f 289 1 to to TO cord-354194-hf5ndv5f 289 2 facilitate facilitate VB cord-354194-hf5ndv5f 289 3 end end NN cord-354194-hf5ndv5f 289 4 - - HYPH cord-354194-hf5ndv5f 289 5 of of IN cord-354194-hf5ndv5f 289 6 - - HYPH cord-354194-hf5ndv5f 289 7 life life NN cord-354194-hf5ndv5f 289 8 conversations conversation NNS cord-354194-hf5ndv5f 289 9 with with IN cord-354194-hf5ndv5f 289 10 patients patient NNS cord-354194-hf5ndv5f 289 11 and and CC cord-354194-hf5ndv5f 289 12 families family NNS cord-354194-hf5ndv5f 289 13 : : : cord-354194-hf5ndv5f 289 14 a a DT cord-354194-hf5ndv5f 289 15 systematic systematic JJ cord-354194-hf5ndv5f 289 16 review review NN cord-354194-hf5ndv5f 289 17 of of IN cord-354194-hf5ndv5f 289 18 existing exist VBG cord-354194-hf5ndv5f 289 19 educational educational JJ cord-354194-hf5ndv5f 289 20 models model NNS cord-354194-hf5ndv5f 289 21 Evaluation Evaluation NNP cord-354194-hf5ndv5f 289 22 of of IN cord-354194-hf5ndv5f 289 23 palliative palliative JJ cord-354194-hf5ndv5f 289 24 care care NN cord-354194-hf5ndv5f 289 25 training training NN cord-354194-hf5ndv5f 289 26 and and CC cord-354194-hf5ndv5f 289 27 skills skill NNS cord-354194-hf5ndv5f 289 28 retention retention NN cord-354194-hf5ndv5f 289 29 by by IN cord-354194-hf5ndv5f 289 30 medical medical JJ cord-354194-hf5ndv5f 289 31 students student NNS cord-354194-hf5ndv5f 289 32 Resident Resident NNP cord-354194-hf5ndv5f 289 33 education education NN cord-354194-hf5ndv5f 289 34 in in IN cord-354194-hf5ndv5f 289 35 end end NN cord-354194-hf5ndv5f 289 36 - - HYPH cord-354194-hf5ndv5f 289 37 of of IN cord-354194-hf5ndv5f 289 38 - - HYPH cord-354194-hf5ndv5f 289 39 life life NN cord-354194-hf5ndv5f 289 40 communication communication NN cord-354194-hf5ndv5f 289 41 and and CC cord-354194-hf5ndv5f 289 42 management management NN cord-354194-hf5ndv5f 289 43 : : : cord-354194-hf5ndv5f 289 44 assessing assess VBG cord-354194-hf5ndv5f 289 45 comfort comfort NN cord-354194-hf5ndv5f 289 46 level level NN cord-354194-hf5ndv5f 289 47 to to TO cord-354194-hf5ndv5f 289 48 enhance enhance VB cord-354194-hf5ndv5f 289 49 competence competence NN cord-354194-hf5ndv5f 289 50 and and CC cord-354194-hf5ndv5f 289 51 confidence confidence NN cord-354194-hf5ndv5f 289 52 Training train VBG cord-354194-hf5ndv5f 289 53 surgical surgical JJ cord-354194-hf5ndv5f 289 54 residents resident NNS cord-354194-hf5ndv5f 289 55 to to TO cord-354194-hf5ndv5f 289 56 use use VB cord-354194-hf5ndv5f 289 57 a a DT cord-354194-hf5ndv5f 289 58 framework framework NN cord-354194-hf5ndv5f 289 59 to to TO cord-354194-hf5ndv5f 289 60 promote promote VB cord-354194-hf5ndv5f 289 61 shared share VBN cord-354194-hf5ndv5f 289 62 decision decision NN cord-354194-hf5ndv5f 289 63 - - HYPH cord-354194-hf5ndv5f 289 64 making making NN cord-354194-hf5ndv5f 289 65 for for IN cord-354194-hf5ndv5f 289 66 patients patient NNS cord-354194-hf5ndv5f 289 67 with with IN cord-354194-hf5ndv5f 289 68 poor poor JJ cord-354194-hf5ndv5f 289 69 prognosis prognosis NN cord-354194-hf5ndv5f 289 70 experiencing experience VBG cord-354194-hf5ndv5f 289 71 surgical surgical JJ cord-354194-hf5ndv5f 289 72 emergencies emergency NNS cord-354194-hf5ndv5f 289 73 Surgical surgical JJ cord-354194-hf5ndv5f 289 74 palliative palliative JJ cord-354194-hf5ndv5f 289 75 care care NN cord-354194-hf5ndv5f 289 76 education education NN cord-354194-hf5ndv5f 290 1 A a DT cord-354194-hf5ndv5f 290 2 brief brief JJ cord-354194-hf5ndv5f 290 3 educational educational JJ cord-354194-hf5ndv5f 290 4 intervention intervention NN cord-354194-hf5ndv5f 290 5 to to TO cord-354194-hf5ndv5f 290 6 teach teach VB cord-354194-hf5ndv5f 290 7 residents resident NNS cord-354194-hf5ndv5f 290 8 shared share VBN cord-354194-hf5ndv5f 290 9 decision decision NN cord-354194-hf5ndv5f 290 10 making make VBG cord-354194-hf5ndv5f 290 11 in in IN cord-354194-hf5ndv5f 290 12 the the DT cord-354194-hf5ndv5f 290 13 intensive intensive JJ cord-354194-hf5ndv5f 290 14 care care NN cord-354194-hf5ndv5f 290 15 unit unit NN cord-354194-hf5ndv5f 290 16 To to TO cord-354194-hf5ndv5f 290 17 face face VB cord-354194-hf5ndv5f 290 18 coronovirus coronovirus NNP cord-354194-hf5ndv5f 290 19 disease disease NN cord-354194-hf5ndv5f 290 20 2019 2019 CD cord-354194-hf5ndv5f 290 21 , , , cord-354194-hf5ndv5f 290 22 surgeons surgeon NNS cord-354194-hf5ndv5f 290 23 must must MD cord-354194-hf5ndv5f 290 24 embrace embrace VB cord-354194-hf5ndv5f 290 25 palliative palliative JJ cord-354194-hf5ndv5f 290 26 care care NN cord-354194-hf5ndv5f 290 27 Publisher Publisher NNP cord-354194-hf5ndv5f 290 28 's 's POS cord-354194-hf5ndv5f 290 29 Note Note NNP cord-354194-hf5ndv5f 290 30 Springer Springer NNP cord-354194-hf5ndv5f 290 31 Nature Nature NNP cord-354194-hf5ndv5f 290 32 remains remain VBZ cord-354194-hf5ndv5f 290 33 neutral neutral JJ cord-354194-hf5ndv5f 290 34 with with IN cord-354194-hf5ndv5f 290 35 regard regard NN cord-354194-hf5ndv5f 290 36 to to IN cord-354194-hf5ndv5f 290 37 jurisdictional jurisdictional JJ cord-354194-hf5ndv5f 290 38 claims claim NNS cord-354194-hf5ndv5f 290 39 in in IN cord-354194-hf5ndv5f 290 40 published publish VBN cord-354194-hf5ndv5f 290 41 maps map NNS cord-354194-hf5ndv5f 290 42 and and CC cord-354194-hf5ndv5f 290 43 institutional institutional JJ cord-354194-hf5ndv5f 290 44 affiliations affiliation NNS