Emotional Responses of Family Members of a Critically Ill Patient: A Hermeneutic Analysis

2014 ◽  
Vol 16 (1) ◽  
Author(s):  
Ingrid Johansson
Keyword(s):  
Critically Ill ◽  
Family Members ◽  
Emotional Responses ◽  
Critically Ill Patient

Perception of Nurses and Relatives on Family Needs of Critically Ill Patients: A Hospital Based Comparative Study

2020 ◽  
Vol 3 (2) ◽  
pp. 6-13
Author(s):  
Sabita Pandey ◽  
Roshanee Shrestha ◽  
Narayani Paudel
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Family Members ◽  
Holistic Health ◽  
Critically Ill Patient ◽  
Family Needs ◽  
Cross Sectional ◽  
Significant Difference

Background: Critical ill patients are not able to decide about their treatment and their relatives usually asked for the treatment decisions on behalf of the patient. At the time of critical illness, all family members or relatives experience crises and may be exhausted. Recognizing and addressing the relative’s needs is a very important aspect of holistic health care to critically ill patients. Methods: A descriptive cross-sectional study was conducted to make a comparison between the nurses’ and relatives’ perceptions regarding the needs of critically ill patients’ family members’ in the Nepalese context. A convenient sample of 50 nurses and 50 relatives who meet the inclusion criteria were selected and interviewed by using a structured questionnaire in the different intensive care units of Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal during the period of January to April 2018. The data were analyzed by using descriptive and inferential statistics in the statistical package for social sciences version 16. Results: The majority, (86%) of the relatives ranked “to know specific facts concerning the patient’s progress and treatment” as the topmost very important need, and 80% of the nurses’ ranked this need as a very important need. The majority of nurses (86%) ranked “to receive explanations about the environment of critical care unit for the first time” as a topmost very important need, whereas, only 54% of the relatives had ranked this need as very important to them. There was a statically significant positive correlation among some need statements between the two groups. Conclusion: There was a significant difference in the perception of some aspects of family needs by the nurses and relatives. Nurses’ mean score was lower than the relatives’ which can be a major source of disputes among nurses and relatives in the intensive care units. Keywords: Intensive Care Unit, critically ill patient, family needs, nurses’ perception and relatives, perception

Emotional responses of family members during a critical care hospitalization

1994 ◽  
Vol 3 (1) ◽  
pp. 70-76 ◽  
Author(s):  
C Kleiber ◽  
M Halm ◽  
M Titler ◽  
LA Montgomery ◽  
SK Johnson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Emotional Response ◽  
Family Members ◽  
Emotional Responses ◽  
Nursing Interventions ◽  
Supportive Behaviors

BACKGROUND: The needs and satisfaction levels of family members of critically ill patients have received much attention in the literature. The feelings of family members, however, have not been thoroughly investigated. To develop appropriate nursing interventions to assist family members in coping with a critical care hospitalization, accurate information about their emotional response to the situation is needed. OBJECTIVE: To examine emotional responses of family members and their descriptions of supportive behaviors of others during a critical care hospitalization. METHODS: An exploratory design was used to study 52 subjects with critically ill family members in the pediatric, neonatal, medical, surgical and cardiovascular intensive care units in a large tertiary care hospital. The subjects kept daily logs of their feelings and the supportive behaviors of others. Thematic analysis was used to identify major themes. RESULTS: Analysis revealed a broad range of powerful emotions throughout the intensive care unit stay. Negative and positive emotions such as despair and joy were sometimes identified by subjects within a 24-hour period. Although fear, worry, anger and exhaustion were dominant themes during the first 24 hours and when the family received bad news about the patient, there was no pattern of emotional response evident as the stay progressed. Some differences between subjects drawn from the medical and neonatal intensive care units were evident. CONCLUSIONS: The findings suggest that family members of critically ill patients experience deep emotional turmoil throughout the intensive care unit stay. Specific nursing interventions to promote adaptive coping are needed throughout the experience.

The timing of tracheostomy in critically ill patient

ORL ro ◽  
2017 ◽  
Vol 2 (35) ◽  
pp. 20
Author(s):  
Liliana Mirea ◽  
Raluca Ungureanu ◽  
Daniel Mirea ◽  
Mirela Țigliș ◽  
Ioana Cristina Grințescu ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patient

scholarly journals Impact of Renal Replacement Therapy on Mortality in Critically Ill Patients—The Nephrologist’s View within an Interdisciplinary Intensive Care Team

2021 ◽  
Vol 10 (15) ◽  
pp. 3379
Author(s):  
Matthias Klingele ◽  
Lea Baerens
Keyword(s):  
Intensive Care ◽  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Positive Impact ◽  
Kidney Injury ◽  
Care Team ◽  
Critically Ill Patient ◽  
Late Start

Acute kidney injury (AKI) is a common complication in critically ill patients with an incidence of up to 50% in intensive care patients. The mortality of patients with AKI requiring dialysis in the intensive care unit is up to 50%, especially in the context of sepsis. Different approaches have been undertaken to reduce this high mortality by changing modalities and techniques of renal replacement therapy: an early versus a late start of dialysis, high versus low dialysate flows, intermittent versus continuous dialysis, anticoagulation with citrate or heparin, the use of adsorber or special filters in case of sepsis. Although in smaller studies some of these approaches seemed to have a positive impact on the reduction of mortality, in larger studies these effects could not been reproduced. This raises the question of whether there exists any impact of renal replacement therapy on mortality in critically ill patients—beyond an undeniable impact on uremia, hyperkalemia and/or hypervolemia. Indeed, this is one of the essential challenges of a nephrologist within an interdisciplinary intensive care team: according to the individual situation of a critically ill patient the main indication of dialysis has to be identified and all parameters of dialysis have to be individually chosen with respect to the patient’s situation and targeting the main dialysis indication. Such an interdisciplinary and individual approach would probably be able to reduce mortality in critically ill patients with dialysis requiring AKI.

scholarly journals UK consultants’ experiences of the decision-making process around referral to intensive care: an interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044752
Author(s):  
Kaja Heidenreich ◽  
Anne-Marie Slowther ◽  
Frances Griffiths ◽  
Anders Bremer ◽  
Mia Svantesson
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Moral Responsibility ◽  
Critically Ill ◽  
Interpersonal Relationships ◽  
Qualitative Interviews ◽  
Working Environment ◽  
Critically Ill Patient ◽  
Decision Making Process ◽  
Moral Duties

ObjectiveThe decision whether to initiate intensive care for the critically ill patient involves ethical questions regarding what is good and right for the patient. It is not clear how referring doctors negotiate these issues in practice. The aim of this study was to describe and understand consultants’ experiences of the decision-making process around referral to intensive care.DesignQualitative interviews were analysed according to a phenomenological hermeneutical method.Setting and participantsConsultant doctors (n=27) from departments regularly referring patients to intensive care in six UK hospitals.ResultsIn the precarious and uncertain situation of critical illness, trust in the decision-making process is needed and can be enhanced through the way in which the process unfolds. When there are no obvious right or wrong answers as to what ought to be done, how the decision is made and how the process unfolds is morally important. Through acknowledging the burdensome doubts in the process, contributing to an emerging, joint understanding of the patient’s situation, and responding to mutual moral duties of the doctors involved, trust in the decision-making process can be enhanced and a shared moral responsibility between the stake holding doctors can be assumed.ConclusionThe findings highlight the importance of trust in the decision-making process and how the relationships between the stakeholding doctors are crucial to support their moral responsibility for the patient. Poor interpersonal relationships can damage trust and negatively impact decisions made on behalf of a critically ill patient. For this reason, active attempts must be made to foster good relationships between doctors. This is not only important to create a positive working environment, but a mechanism to improve patient outcomes.

scholarly journals Simultaneous spontaneous pneumomediastinum and pneumopericardium in a critically ill patient with COVID-19

2021 ◽  
Author(s):  
Mohammad Javad Behzadnia ◽  
Abbas Samim ◽  
Fatemeh Saboori ◽  
Mosa Asadi ◽  
Mohammad Javanbakht
Keyword(s):  
Critically Ill ◽  
Critically Ill Patient ◽  
Spontaneous Pneumomediastinum

scholarly journals Pneumocystis and SARS-CoV-2 Co-Infection: A Case Report and Review of an Emerging Diagnostic Dilemma

2020 ◽  
Author(s):  
Carlos Rubiano ◽  
Kathleen Tompkins ◽  
Subhashini A Sellers ◽  
Brian Bramson ◽  
Joseph Eron ◽  
...  
Keyword(s):  
Case Report ◽  
Critically Ill ◽  
Therapeutic Strategies ◽  
Pneumocystis Jirovecii ◽  
Critically Ill Patient ◽  
Pneumocystis Jirovecii Pneumonia ◽  
Diagnostic Dilemma

Abstract We present a case of a critically ill patient with COVID-19 found to have AIDS and Pneumocystis jirovecii pneumonia (PCP). COVID-19 and PCP co-occurrence is increasingly reported and may complicate diagnostic and therapeutic strategies. Patients with severe COVID-19 should be screened for underlying immunocompromise and coinfections should be considered.

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