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Basic Care and Comfort

Select all actions appropriate when an ICU client transitions to comfort-focused care.

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Explanation
Comfort-focused care aligns every intervention with relief of suffering and the documented goals of care. Stop burdensome non-comfort tests and treatments; prescribe and titrate opioids for pain or dyspnea and anxiolytics when indicated; deactivate ICD shock therapy; and reconsider vasopressors or other life-prolonging support through the authorized goals-of-care process. Support desired family and spiritual presence and continue mouth care, repositioning, secretion management, and other nursing comfort measures. Routine laboratory testing, escalating vasopressors, restrictive visitation, and non-beneficial monitoring are inconsistent with a comfort-only plan.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.