People with past documented severe intellectual problems otherwise neurological wreck tend to never be noticed with the studies

Aucune note

Introduction requirements

Clients entitled to inclusion are ? 18 age, likely to remain in the ICU (LOS-ICU) ? forty-eight h and you can likely to become mechanically vented ? 24 h. In addition, the average person should have one to personal cousin happy to participate in the analysis. People will be able to understand Danish, since the factual statements about the study plus the questionnaire is just offered from inside the Danish.

Relatives entitled to introduction try ? 18 years old, select themselves due to the fact a close relative towards the patient (e.grams., father or mother, lover, spouse, cousin, man or friend) consequently they are able to read Danish. A family member is placed here because the a guy which have good close and private link to the person and being in touch with the diligent several times during the times. Members of the family qualify through this meaning.

Different standards

Patients and relatives will be excluded from study if the patient’s LOS-ICU < 48 h or mechanically ventilated < 24 h. Relatives will not be excluded from study if the patient dies or does not consent to study participation.

Input

Nearest and dearest randomized towards the input group are certain to get a some good hardcover laptop for record explore, also composed pointers and you can advice out of nurses. Relatives and you may people randomized on the control class will receive basic care and attention (zero diary). Composed information towards family on how to copywriter the fresh diary try enclosed regarding journal (pick Table 1). The latest information explain the intention of the latest record as a way into the relative to increase the patient immediately after their ICU remain, plus the possible worth new log could have to own the fresh new relative. To greatly help new relative start creating, a list of possible subjects exists getting inspiration (look for Dining table step one). The brand new members of the family are encouraged to generate often and to explore its own way of expressing themselves. However, to quit harming the household members, they are warned facing composing feelings and thoughts as well personal or personal become shared . Ultimately, the fresh leaflet deliver advice about whenever and how to express the Intenta aquí fresh new journal for the patient, underscoring the requirement to hold back until the in-patient agrees observe new log to eliminate the person out-of being confronted with its hard time from the ICU until he is in a position .

Pictures

Two or more photos of each diligent might be pulled of the the new medical group and you will as part of the log . One to photo could well be drawn of your own diligent within the vital stage , showing the individual connected to the ventilator and the lines, pipe and you can technical devices essential intense proper care treatment. Additional images to be taken at the turning point , if patient will be weaned about ventilator or becoming mobilized to a chair, and perhaps about treatment phase , is likewise included. Family relations will be permitted to become shoot, professionals does not. Photos might be printed in color into partial-shine report (thirteen ? 18 cm) and made available to the average person of the ICU nurses inside the a close package having an explanation from just what should be expected while looking in the images. This process might have been chose to eliminate unnecessary problems, since the pictures let you know customers from inside the vulnerable issues. In addition, this method enable the person to reject the photographs altogether, whereby photographs would-be forgotten. Photographs may not be given to relatives in the case of good person’s demise.

At the rear of household members in writing the new journal

When the relative receives the journal, a comprehensive care and attention nurse will show you their play with. By using medical and you will verbal experiences to assess the requirements of the individual relative, pointers is customized, but given from inside the construction of one’s written guidance registered when you look at the the new record (discover Dining table 1). Stress might be for the improving the relative pick their unique method away from writing regarding diary. Family members might possibly be motivated to hold the diary with them and you may maybe not leave it regarding ICU. Additionally, nurses will continue to guide the fresh cousin with the access to the diary in the event the cousin check outs the new ICU otherwise when nurses chat into the mobile with the relative. In the event the dialogue into relative shows that she or he discovers challenging in conclusion the occurrences preceding hospitalization, the latest nursing assistant may suggest that the relative write on such occurrences into the phrase only or focus on the introduce instead. If for example the relative complains which they aren’t able to find the full time or room to type on diary during ICU, the newest nurse may indicate which they write in the latest record from the family.