In Reply Ms Remy and colleagues suggest that the intervention of 1 or 2 palliative care–led meetings to inform and support families of patients with chronic critical illness had little effect because it does not replicate the intensive and comprehensive intervention that palliative care consultations provide. Both Remy and colleagues and Dr Martin point out that in full palliative care consultations, patients are seen, examined, assessed, and offered a range of approaches to meet their needs as well as their families’ needs. They also note that palliative care, at its best, includes follow-up bereavement support for families of patients who die.
Danis M, Carson SS, Hanson LC. Palliative Care–Led Meetings for Families of ICU Patients—Reply. JAMA. 2016;316(15):1598-1599. doi:10.1001/jama.2016.14322