Bereavement in critical care: A narrative review and practice exploration of current provision of support services and future challenges

Abstract

© The Intensive Care Society 2020. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1177%2F1751143720928898This special article outlines the background to bereavement in critical care and scopes the current provision and evidence for bereavement support following death in critical care. Co-authored by a family member and former critical care patient, we aim to draw out the current challenges and think about how and where support can be implemented along the bereavement pathway. We draw on the literature to examine different trajectories of dying in critical care and explore how these might impact bereavement, highlighting important points and risk factors for complicated grief. We present graphic representation of the critical junctures for bereavement in critical care. Adjustment disorders around grief are explored and the consequences for families, including the existing evidence base. Finally, we propose new areas for research in this field.Peer reviewedFinal Accepted Versio