Educational DIMENSION: Innovative SolutionsInnovative Solutions Family Conference Progress NoteWhitmer, Mary RN, APRN-BC-PC; Hughes, Brian MDiv, BCC; Hurst, Susan Marie MSN, RN, CCRN, CNRN; Young, Tye B. DO Author Information Mary Whitmer, RN, APRN-BC-PC, is Palliative Care Nurse Practitionner at Banner Good Samaritan Medical Center, Phoeniz, Arizona. Brian Hughes, MDiv, BCC, is Staff Chaplain at Banner Good Samaritan Medical Center, Phoeniz, Arizona. Susan Marie Hurst, MSN, RN, CCRN, CNRN, is Critical Care Clinical Nurse Specialist in Transplant, Medical-Surgical, Neuro and Trauma Intensive Care at Banner Good Samaritan Medical Center, Phoeniz, Arizona. Tye B. Young, DO, is Associate Medical Director and Hospitalist, American Physicians Inc, Phoenix, Arizona. Address correspondence and reprint requests to: Susan Marie Hurst, MSN, RN, CCRN, CNRN, Transplant, Medical-Surgical, Neuro and Trauma Intensive Care, Banner Good Samaritan Medical Center, 10410 N Cave Creek Rd, 2035, Phoenix, AZ 85020 ([email protected]). Editor's note: Nurses are encouraged to write about any policies, treatments, guidelines, and/or protocols they have successfully implemented for their units and wish to share with other nurses. For more information, please contact the editor at [email protected]. Dimensions of Critical Care Nursing: March 2005 - Volume 24 - Issue 2 - p 83-88 Buy AbstractIn Brief The grief and anxiety of complex medical illness, with a high likelihood of death, strains communication between medical staff and patients' families in the intensive care unit (ICU). For decades, the emphasis has been on curative intent and a paternalistic approach to decision making, which has been fostered by physicians, when patients are unable to communicate for themselves. However, the past 15 to 25 years have seen a paradigm shift in both what families expect from physicians and what physicians see as the goal of medical (especially ICU) care with respect to the patient and family wishes. This article will address this topic. This article describes one institution's efforts to meet the need of the family members of critically ill patients. The author used a family conference progress note. © 2005 Lippincott Williams & Wilkins, Inc.