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Nonetheless, the evolution of intensive care in Australia need not necessarily threaten or pose insurmountable challenges for physicians who need to manage dying patients and their families.
Although this study provided unique insights into Australian end-of-life care practices and the experiences of physicians who manage dying patients and patient families in critical and acute settings, some research limitations merit consideration.
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Hospice care is one option these facilities have to assist in managing dying patients.
Physicians negotiated multiple influences when managing dying patients and their families in the ICU.
Feelings of increased stress and less collegial support when managing dying patients might further contribute to this apprehension [ 18].
Although managing dying patients in the ICU is a positive experience for some intensivists like Keith, more often for most physicians it is a negative experience.
Jeremy challenges the idea of death as "medical failure" and illustrates how different ideological beliefs and prescriptions influence the physician's experiences and capacity for managing dying patients.
The experiences of physicians, patient families, and others involved in managing dying patients have benefitted with associated improvements in clinical practice.
Curative goals are at odds with comfort-based approaches to care, yet physicians across specialties recognise the importance of integrating their efforts in common goals when managing dying patients and their families.
Recent studies among general paediatricians (attending community physicians/physicians at a primary medical centre) reported that a large proportion of the respondents felt inexperienced in managing dying patients' symptoms and were not confident in their ability to use narcotics to manage chronic pain [ 1, 2].
The mob had heard only that he was an atheist and simply wondered how such an ogre would manage his dying.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com