Icu Family Needs Essay

Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four

Including the client as an expert member of the team creates an enhanced quality of care (Coad, Patel & Murray, 2014). In pediatrics, parents are often at the center of the child’s care. When asked to define what made the client care experience positive, parents stated that sensitivity, empathy and honesty were key factors (Coad, Patel & Murray, 2014). Working in healthcare, nurses can become desensitized to difficult experiences because they deal with them daily. Integrating the client and family as part of the healthcare team, allows the nurse to see the patient and family as a people first. By avoiding using illness as context, and instead using person as context, care will be more holistic (Coad, Patel & Murray, 2014). A family-focused approach helps to ensure that the whole family feels a part of the experience and is valued. In the case of bereavement, family centered care is particularly important. If the family is not included in the care from the start, it can provide barriers for grieving and impact how the family deals with loss (Jones, Contro & Koch, 2014). Nurses have an opportunity to help support the family through the grief process (Jones, Contro & Koch, 2014). Families have a significant impact on how the client heals, so by caring for the family’s needs, the nurse is indirectly caring for the patient. It is in the client’s best interest for the care to be holistic for the patient as well as the family (Jones, Contro & Koch, 2014). All

Families always affect one another, even when they feel distanced. The family unit can promote health or it can be a source of stress. It is the nurse's task to use family relationships to act as health facilitators for the patient, and, if necessary, treat the family as part of the patient's social environment. The family creates the patient's environment just as much as a clean room or an accessible place to exercise or access to appropriate medication.

According to Erlingsson and Brysiewicz (2015), family is considered a core, social institution and is our first interaction with human beings. When viewing the family as a context, the nurse assesses the patient that is in need of care while in the background, there are the family members of the patient. According to Kaakinen, Coehlo, Steel, Tabacco & Hanson (2015), the source of support to the patient is his or her family members. Usually family members are in attendance with the patient. This approach is used when a mother is admitted to the intensive care unit after falling and sustaining head trauma. The patient is the mother. The nurse is focused on the mother and care was directed

Discuss the nursing interventions to be utilized with a family member who is in crisis in the care setting and interfering with the healthcare team’s performance.

Restricting family presence contradicts patient- and family-centered care (PFCC). Within the PFCC paradigm, the patient and family relationship is recognized as an inseparable entity. Encouraging unrestrictive family presence through an open visitation policy can ensure patients and family members are provided with the opportunity to remain connected during a hospitalization experience.1 Despite professional organizations for critical care nursing and patient- and family-centered care advocating for unrestrictive family presence, many critical care units have not adopted an open visitation policy. According to the American Association of Critical-Care Nurses (AACCN),

Abstract: aims and goal – The study conducted with eight family members in one rehab ward in Queensland, Australia, in 2009. It is showing, bedside nursing handover provides an opportunity to the family members to participate and improve the accuracy off handover communication. It also helping them to understand the situation, patient condition, treatment, and feeling like informed.

Having families present during the resuscitation process has sparked much debate in the medical community because there are strong arguments for both sides. Health care providers tend to shy away from having families present for resuscitation because the process could be considered offensive, cause an increase of tension and pressure, and create distractions (Duran, Oman, Abel, Moziel, & Szymanski, 2007). Holzhauser, Finucane, and De Vries (2006) state family presences during resuscitation assists with coping after an unsuccessful event because they are able to witness the action taken by the team, provides an outlet for decision making, and fosters development of relationships between families and health care providers.

According to the Picker Institute & Planetree, “patient-centered care is a model in which providers partner with patients and their families to identify and satisfy the full range of patient needs and preferences, while simultaneously supporting the professional and personal aspirations of their staff”. With patient-centered care, becoming integral in medical care why is it that staff still feel as though family and friends visiting patients in the intensive care unit (ICU) is not beneficial to the patient and inhibits care? Do the old policies of restricted visitation actually hold some value in the care of patients or are they just left in place because of the beliefs held by hospital staff? It is important that we step back and evaluate our beliefs, but also examine the evidence that exists in support of open visitation and the benefits that could aid the patient, hospital, staff, and visitors.

Even though more and more intensive care units were being created and critical care nursing was becoming more important, the earlier days of critical care still did not compare to what critical care units are today. In fact, historically ICUs were looked at as frightening places, very mysterious, and every visitor or nurse had to be gowned from head to toe (Vincent, 2013). Also visiting was extremely limited and this caused anxiety for the patients and the family. Nowadays in the ICU the staff is very informative, friendly, and tries to make it as much of a comfortable place as possible. Even though it is still a frightening places, staff usually encourage visitors to visit their loved ones, unlike in the older days when they limit visiting because they thought it was more detrimental to patients then beneficial. We see today that visitors and family involvement is actually very beneficial to the patient’s well-being. Another historic aspect of CCUs is how the nurses address the care of the dying patients and the stress it put on the staff. According to Bryan-Brown (2007)

Family is playing an important part in helping to ensure that patients are fit and following the advice of health care professionals. This is because the family is a foundation of support for everyone. At the same time, members can learn about what is impacting their loved one and what kind of procedures need to be followed. When this happens, there will be higher amounts of compliance as they will ensure that the patient continues to stick with their treatment protocol. (Saleeba, 2009)

(Being There, Spliter,2006) should families presence during cardiopulmonary resuscitation (CPR) Dr.Guzzetta is the first one interested in this issue why a nurse asked her why does hospitals ben families to presence is CPR. Doctors, nurses and caregivers are worried about the emotional, interference, and private contracts by patients families. The truth the letting families presence in emergency room comforted the patients, gave them the support and the love.

Nursing has long been known to be a very demanding profession, requiring the Management of complex conditions, timing, staffing and demands made by patients, families and organizations. In this paper, I wanted to explore the Family Presence during Resuscitation (FPDR) and its impact on patients, nurses and the healthcare facility.

FPDR continues to be a topic that’s highly debated, however, many organizations continue to advocate to allow families to be present during the resuscitation period; these organizations include American Heart Association, the American Association of Critical Care Nurses, the Emergency Nurses Association, the UK Resuscitation Council, The Royal College of Nursing, the European Federation of Critical Care Nursing Association and many more (Lederman & Wacht, 2014).

Purpose statement and aims. The introduction will provide context for the following purpose statement: the purpose of this review article is to gain a better understanding of how critical care patients and families can benefit from open visitation policies. The review article aims to answer the following three inquiries: