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A Time for Trauma End-of-Life Optimum Support: The TELOS Best-Practice Model

Burns, Karyl J. PhD, RN; Jacobs, Barbara B. MPH, PhD, RN, CHPN; Jacobs, Lenworth M. MD, MPH, FACS

doi: 10.1097/JTN.0b013e31821f182e

The development of the trauma end-of-life optimum support best-practice model was a result of a national call for improved end-of-life care for trauma victims and their families. The model describes best practices for end-of-life care in the prehospital setting, the emergency department, and the intensive care unit. The focus of the best practices is in 6 clinical domains. These include decision making, communication, physical care, psychological care, spiritual care, and culturally sensitive social care. The model has a foundation in the areas of engagement, ethics, education, evaluation, and economics.

Department of Traumatology and Emergency Medicine, Hartford Hospital, Hartford, Connecticut (Dr Burns); Hartford Hospital, Hartford, Connecticut, and University of Connecticut, Storrs (Dr B.B. Jacobs); and Department of Traumatology and Emergency Medicine, University of Connecticut School of Medicine, Farmington, and Hartford Hospital, Hartford, Connecticut (Dr L.M. Jacobs).

Correspondence: Karyl J. Burns, PhD, RN, Trauma Program, Hartford Hospital, 80 Seymour St, Hartford, CT 06102 (

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© 2011 Society of Trauma Nurses