pulljosh

we have been taking care of a frequent flyer in our unit and the patient is a chronic meth user and all his respiratory drive is gone. the patient has been back and forth into the ICU for years, the patient refuses to take care of himself and shows no signs of changing. His family is ready for it to all be over. is there any way to help this patient or are we stuck in the same cycle of the patient's father calling 911 when the patient stops breathing until he quits for good?

Right now I'm precepting in the ICU and all the nurses are angry because of what was said in their peer evaluations and I couldn't help but think that peer evaluations don't seem very effective. I feel like a unit like the ICU needs to be able to trust those they work with and if you got an evaluation that poor from someone on your team and it was anonymous wouldn't that create more distrust and not be as effective? I've never been a manager or even a leader for that matter so I'm just curious what you guys think.