Using the Improving Palliative Care in the Intensive Care Unit (IPAL-ICU) Project to Promote Palliative Care Consultation
Specific efforts have been underway for several years to improve palliative care in the intensive care unit (ICU). These efforts have culminated in the Improving Palliative Care in the ICU (IPAL-ICU) project, which provides tools to assist in the creation of an ICU palliative care initiative. 1 The framework provided by the IPAL-ICU project monographs allows an institution the flexibility to conduct its own needs assessment and subsequent action plan. 2,3 The goal is to improve palliative and end-of-life care in a manner that is feasible, enduring, and acceptable in the local institutional culture.
The first step toward action plan development is the identification of the problem.