Palliative care has evolved as a vital method in delivering comprehensive and compassionate treatment to patients confronting severe illnesses in the intensive care unit (ICU). Palliative care, which focuses on patients' physical, emotional, and spiritual needs, is increasingly incorporated early in critical care to enhance patient outcomes and overall quality of care (Mercadante et al., 2018). It is crucial to understand the signicance of palliative care in this environment and the impact one has as an Advanced Practice Registered Nurse (APRN). This discussion aims to investigate the impact of early palliative care utilization in critical care settings by examining the current guidelines, barriers, and stakeholders' role in identifying, managing, and implementing a successful strategy. Appraisal of Position Statement The 4th edition of the Clinical Practice Guidelines for Quality Palliative Care aims to provide evidence-based guidelines and recommendations for delivering high-quality palliative care in various healthcare settings. The guidelines seek to enhance the quality of life for patients at the end of life and their families by addressing physical, emotional, and spiritual needs, encouraging good communication, and fostering collaborative decision-making (National Consensus Project [NCP], 2018). The guidelines impact medical professionals, palliative care teams, executives, policymakers, and other stakeholders involved with palliative care service delivery and organization. The guidelines do not solely focus on the ICU setting but are easily applicable to various healthcare settings. The NCP collaborated with various groups and organizations for the NCP Guidelines Steering Committee. The National Coalition for Hospice and Palliative recognized 16 nationa
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