Family and Psychosocial Considerations in Critical Care

2021 ◽  
pp. 251-273
Author(s):  
Macarena Gálvez Herrer ◽  
Judy E. Davidson ◽  
Gabriel Heras La Calle

This chapter discusses the expanding movement to humanize critical care and intensive care settings. An international perspective is provided with regard to how patients, families, and professionals, along with health care managers and authorities, can redesign health care systems to overcome the obstacles of dehumanization in hospitals and health centers, with social interest at the core. The authors maintain that caring for all parties, including the family, that coexist in the health care system is critical to building an excellent and effective service.

2020 ◽  
Vol 44 (3) ◽  
pp. 113-115
Author(s):  
Gerhard Pütz ◽  
Manuela Müller ◽  
Karl Winkler

Abstract Objectives Clinical laboratory analyses are essential part of critical care. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)/coronavirus disease 2019 (COVID-19)-confirmed cases were doubling in Germany every 3 days during March 2020. Health care systems are preparing for an epidemic crisis. Methods We outline a cohort-based emergency planning. The plan is based on three independent self-sufficient cohorts that maintain duty for 7 days, followed by quarantine-like rest for 14 days. COVID-19-infected and otherwise ill personnel will be replaced by a tactical reserve, which is again replaced by recovered staff. Results We switched to the outlined system when incidence of confirmed COVID-19 cases surpassed 50/100,000 residents. Our parameter spectrum was reduced to the essential analyses in agreement with our clinical colleagues. So far the system works well. In model calculations, the system is robust to maintain essential laboratory functionality even when incidence of COVID-19 is higher than that currently observed in the most severely hit countries. Conclusions We outline a cohort-based emergency planning to maintain essential functionality of a clinical laboratory while minimizing the risk of spreading infection with COVID-19 among our workforce during the COVID-19 epidemic faced in 2020.


2000 ◽  
Vol 29 (1) ◽  
pp. 245 ◽  
Author(s):  
Jennie Jacobs Kronenfeld ◽  
Francis D. Powell ◽  
Albert F. Wessen

2003 ◽  
Vol 7 (3) ◽  
pp. 51-62 ◽  
Author(s):  
Chantal Cara,

As most health care systems around the world are undergoing major administrative restructuring, we expose ourselves to the risk of dehumanizing patient care. If we are to consider caring as the core of nursing, nurses will have to make a conscious effort to preserve human caring within their clinical, administrative, educational, and/or research practice. Caring must not be allowed to simply wither away from our heritage.To help preserve this heritage, caring theories such as those from Jean Watson, Madeleine Leininger, Simone Roach, and Anne Boykin are vital. Through this continuing education paper we will learn the essential elements of Watson’s caring theory and explore an example of a clinical application of her work.


2018 ◽  
Vol 178 (12) ◽  
pp. 1729
Author(s):  
Ashraf Roshdy ◽  
Jayachandran Radhakrishnan ◽  
Kevin Kiff

2018 ◽  
Vol 5 (2) ◽  
pp. 69-114
Author(s):  
Mélanie Bourguignon ◽  
Jean-Paul Sanderson ◽  
Catherine Gourbin

For many decades now, population ageing is observed in every Western countries, as the result of the demographic transition. This article focuses on these issues through the particular lens of the demographer. The first section is focused on the evolution of ageing since 1970, situating Belgium in its wider context as a European nation and analysing spatial differences within Belgium according to standard demo-graphic indicators. The increase in the population over 60 and especially over 80 comes along with a transformation in the population profile. In the second section we look at consequences of ageing in terms of health through an indicator that has now become standard, that of healthy life expectancy. With death taking place at ever older ages, the chance of experiencing health problems has also risen. If to-day’s health-care systems are vitally important in helping older people remain at home for longer, we have focused on the role of the family caregiver, a vital facet of health-care systems for the old. Finally, the third section is devoted to the socioec-onomic consequences of demographic ageing, especially in terms of the resilience of the social security system. Where possible, we draw comparisons with the situation in other European countries.    


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