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35 Approach to the Patient in the Critical Care Setting 353

care for these cases is more complicated, with it comes a clinical knowledge should be used to assist clients in
VetBooks.ir greater feeling of success when a patient is discharged to making the best decision for them and their pet.
The care of critical patients can be exhausting for the
its family. Many critically ill patients will not have a posi-
tive outcome and often the deciding factor in outcome is
quently discuss the details of these cases with support staff
determined by the attention provided to the patient and entire medical team. Clinicians should take the time to fre-
owner. It is easy to influence a client to terminate care for to ensure that they understand the importance and moti-
a patient with a guarded prognosis, but experience and vation behind medical treatments and owners’ decisions.

Further Reading

Downing R. The role of physical medicine and Pachtinger G. Monitoring of the emergent small animal
rehabilitation for patients in palliative and hospice care. patient. Vet Clin North Am Small Anim Pract 2013;
Vet Clin North Am Small Anim Pract 2011; 41(3): 43(4):705–20.
591–608. Prittie J. Optimal endpoints of resuscitation and early goal
Hackett T. Physical examination. In: Silverstein D, Hopper directed therapy. J Vet Emerg Crit Care 2006; 16(4):
K, eds. Small Animal Critical Care Medicine. St Louis, 329–39.
MO: Saunders Elsevier, 2008, pp. 2–5. Rule of 20. http://files.dvm360.com/alfresco_images/
Hopper K, Powell L. Basics of mechanical ventilation for DVM360//2013/11/11/b67d4ee5‐e8cd‐4002‐8d45‐
dogs and cats. Vet Clin North Am Small Anim Pract 39e6ce9bd68f/article‐804765.pdf (accessed May 22,
2013; 43(4): 955–69. 2019).