Multiple Symptoms in Family Caregivers of Intensive Care Unit Patients

Alfheim, Hanne Birgit; Rosseland, Leiv Arne; Hofsø, Kristin; Småstuen, Milada Cvancarova; Rustøen, Tone

doi:10.1016/j.jpainsymman.2017.08.018

Cited by 33 publications

(18 citation statements)

References 31 publications

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“…The wide range of rates is due to differences in each study's patient population, measurement tools, and time frames varying from 1 week to 1 year. The risk factors for PICS‐F include female sex, younger relative and patient age, lower educational level, having a critically ill spouse, having more comorbidities, and being an unmarried parent of a critically ill child . Other baseline risk factors include a history of anxiety, depression, or severe mental disease…”

Section: Introductionmentioning

confidence: 99%

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Inoue

Hatakeyama

Kondo

et al. 2019

Acute Medicine & Surgery

378

365

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Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). Innovative advances in medical technology have enabled lifesaving of patients in ICUs, but there remain various problems to improve their long‐term prognoses. Post‐intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long‐term prognosis of ICU patients. Its concept also applies to pediatric patients (PICS‐p) and the mental status of their family (PICS‐F). Intensive care unit‐acquired weakness, a syndrome characterized by acute symmetrical limb muscle weakness after ICU admission, belongs to physical impairments in three domains of PICS. Prevention of PICS requires performance of the ABCDEFGH bundle, which incorporates the prevention of delirium, early rehabilitation, family intervention, and follow‐up from the time of ICU admission to the time of discharge. Diary, nutrition, nursing care, and environmental management for healing are also important in the prevention of PICS. This review outlines the pathophysiology, prevention, and future directions of PICS.

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Section: Introductionmentioning

confidence: 99%

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Inoue

Hatakeyama

Kondo

et al. 2019

Acute Medicine & Surgery

378

365

View full text Add to dashboard Cite

show abstract

“…The family member’s relationship to the patient may impact the rounding process and family outcomes. For example, spousal relationship is associated with a higher burden of depressive and anxiety symptoms in family members of ICU patients both during and after their loved one’s ICU stay (34, 35). However, despite our broad search criteria, we did not identify any studies that explored how different family-patient relationships may impact family presence on rounds.…”

Section: Discussionmentioning

confidence: 99%

Family Presence on Rounds in Adult Critical Care: A Scoping Review

Calderone

Debay

Goldfarb

2022

Critical Care Explorations

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OBJECTIVES: Family presence on rounds involves allowing family members to participate in daily healthcare team rounds and is recommended by critical care professional societies. Yet, family presence on rounds is not performed in many institutions. There is a need to synthesize the current evidence base for this practice to inform healthcare providers of the potential benefits and challenges of this approach. The main objective of this study was to explore the impact of family presence on adult ICU rounds on family and healthcare providers.DATA SOURCES: Ovid Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, and PubMed databases were last searched on January 28, 2022. Studies published during the COVID-19 pandemic were included. STUDY SELECTION:Studies involving family presence during rounds that included family or healthcare provider perspectives or outcomes were selected. There were no limitations on study design. DATA EXTRACTION:Qualitative and quantitative family and provider perspectives, barriers and challenges to family presence, and study outcomes were extracted from studies. The JBI Manual for Evidence Synthesis published guidelines were followed.DATA SYNTHESIS: There were 16 studies included. Family reported family presence on rounds as a means of information transfer and an opportunity to ask care-related questions. Family presence on rounds was associated with increased family satisfaction with care, physician comfort, and improved physician-family relationship. Healthcare providers reported a positive perception of family presence on rounds but were concerned about patient confidentiality and perceived efficacy of rounds. Family presence was found to increase rounding time and was felt to negatively impact teaching and opportunities for academic discussions. CONCLUSIONS:Family presence on rounds has potential advantages for family and healthcare providers, but important challenges exist. Further studies are needed to understand how to best implement family presence on adult ICU rounds.

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“…Ved hjelp av MSAS har vi funnet at pårørende til intensivpasienter i gjennomsnitt har ni symptomer etter at pasienten har blitt innlagt på intensivavdeling (10).…”

Section: Smertebehandling Til Kreftpasienterunclassified