Thai family caregivers' experiences helping dependent elders during medical emergencies: a qualitative study

Soontorn, Thassanee; Pongtriang, Praditporn; Songwathana, Praneed

doi:10.1016/j.auec.2019.11.002

Cited by 7 publications

(11 citation statements)

References 14 publications

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“…All participants were satisfied with death determination in the home rather than transportation to a hospital. This pilot study suggests that paramedics are able to meet the needs of survivors at the time of an out-of-hospital death 3, 4, 5 Soontorn et al, (2020) [ 49 ] Thail& To describe the experience of rural Thai family caregivers helping dependent elders during medical emergencies 15 family caregivers of elderly dependents experiencing medical emergencies Qualitative, interviews The setting of rural Thailand resulted in many challenges for family members in receiving emergency medical care. Barriers to emergency care were lack of home monitoring equipment, inexperienced caregivers in assessing warning signs, lack of information & understanding of emergency health services, & delayed arrival of EMS 2, 3 Swetenham et al, (2014) [ 50 ] Australia To explore the introduction of an extended care paramedics rapid response palliative care team 24 carers of palliative care patients Mixed methods, interviews with service users & surveys of paramedics Extended care paramedics are able to meet the needs of patients & family members undergoing palliative care treatment 1, 3 Thoren et al, (2010) [ 51 ] Sweden To describe spouses' experiences of witnessing their partners' cardiac arrest at home, including the time before the event & when it happened 15 spouses of deceased adult OHCA patients Qualitative methodology, individual Interviews Major domains were identified of ‘time before the cardiac arrest’ & ‘the cardiac arrest event’.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 35 included articles, 21 utilised a qualitive research design [ 25 , 26 , 31 , 34 , 35 , 37 – 41 , 43 – 47 , 49 , 51 – 55 ]; Two used quantitative design [ 32 ] (including one randomised control trial)[ 36 ]; two were review papers (one systematic integrative review[ 6 ], one scoping review)[ 5 ]; and 10 were mixed-methods [ 23 , 24 , 27 – 30 , 33 , 42 , 48 , 50 ]. The predominate population group of the included studies was family members with 18 studies solely focused on family perspectives [ 26 , 29 , 31 – 33 , 35 , 37 – 39 , 42 , 47 – 49 , 51 – 55 ]. Some studies included family participants alongside other perspectives including patients [ 28 ] and emergency ambulance personnel [ 27 , 36 , 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…A single study reported on emergency ambulance care in the event of a suicide [ 47 ]. Lastly, eight studies described other medical emergencies where emergency ambulance treatment was given on scene prior to transportation of the patient to a healthcare facility [ 34 , 35 , 37 , 38 , 45 , 46 , 49 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

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Family & bystander experiences of emergency ambulance services care: a scoping review

Satchell,

Carey,

Dicker

et al. 2023

BMC Emerg Med

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Background Emergency ambulance personnel respond to a variety of incidents in the community, including medical, trauma and obstetric emergencies. Family and bystanders present on scene may provide first aid, reassurance, background information or even act as proxy decision-makers. For most people, involvement in any event requiring an emergency ambulance response is a stressful and salient experience. The aim of this scoping review is to identify and synthesise all published, peer-reviewed research describing family and bystanders’ experiences of emergency ambulance care. Methods This scoping review included peer-reviewed studies that reported on family or bystander experiences where emergency ambulance services responded. Five databases were searched in May 2022: Medline, CINAHL, Scopus, ProQuest Dissertation & Theses and PsycINFO. After de-duplication and title and abstract screening, 72 articles were reviewed in full by two authors for inclusion. Data analysis was completed using thematic synthesis. Results Thirty-five articles reporting heterogeneous research designs were included in this review (Qualitative = 21, Quantitative = 2, Mixed methods = 10, Evidence synthesis = 2). Thematic synthesis developed five key themes characterising family member and bystander experiences. In an emergency event, family members and bystanders described chaotic and unreal scenes and emotional extremes of hope and hopelessness. Communication with emergency ambulance personnel played a key role in family member and bystander experience both during and after an emergency event. It is particularly important to family members that they are present during emergencies not just as witnesses but as partners in decision-making. In the event of a death, family and bystanders want access to psychological post-event support. Conclusion By incorporating patient and family-centred care into practice emergency ambulance personnel can influence the experience of family members and bystanders during emergency ambulance responses. More research is needed to explore the needs of diverse populations, particularly regarding differences in cultural and family paradigms as current research reports the experiences of westernised nuclear family experiences.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Family & bystander experiences of emergency ambulance services care: a scoping review

Satchell,

Carey,

Dicker

et al. 2023

BMC Emerg Med

View full text Add to dashboard Cite

show abstract

“…Salienta-se que, embora o papel de mediar a desospitalização, a oferta de capacitação e recomendações ao cuidador seja atribuído ao serviço de saúde, os participantes referiram-se às dificuldades vivenciadas e às limitações frente ao cuidado domiciliar, com destaque para a insegurança na realização dos procedimentos invasivos no domicílio. Estudo que explorou a experiência de 15 cuidadores familiares de idosos na Tailândia demonstrou que os obstáculos do cuidado domiciliar estão na inexperiência do cuidador, principalmente na presença de agravamento da clínica do idoso, que consiste em dificuldades na identificação precoce dos sinais de alerta, na execução de técnicas corretas e na falta de dispositivos para monitoramento (21) .…”

Section: Discussionunclassified

Desafios Para O Internamento Domiciliar Do Idoso Na Perspectiva Da Família

Ferreira

Teston

Andrade

et al. 2021

Rev. baiana enferm.

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<p>Objetivo: conhecer as vivências que permeiam o internamento domiciliar do idoso na perspectiva da família. Método: estudo exploratório de abordagem qualitativa, desenvolvido com dez cuidadores familiares de idosos cadastrados em um Serviço de Atenção Domiciliar. Os dados foram coletados de abril a junho de 2019, por meio de entrevista individual semiestruturada e submetida à análise de conteúdo. Resultados: a atenção domiciliar proporciona benefícios ao cuidado, como o conforto do lar, vínculos afetivos e apoio dos profissionais de saúde. A inexperiência nos cuidados diretos no domicílio, a escassez de recursos materiais e financeiros e a ausência de integração entre os serviços foram descritos como desafios para o cuidado. As ações de capacitação do cuidador para a alta hospitalar implicam na continuidade do cuidado e aperfeiçoamento das habilidades necessárias. Considerações finais: os resultados demonstraram a importância da compreensão das potencialidades e os desafios para as famílias cuidarem do idoso no domicilio.</p><p>Descritores: Cuidador. Assistência Domiciliar. Enfermagem. Idoso.</p>

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“…72 Lack of monitoring device in home care and inability to assess warning signs in older people are barriers to safe medicines management by family caregivers. 73 Medication management skills by family caregivers as the appropriate identification of symptoms in older people and the administration of PRN medications accordingly are required to enhance the appropriate use of medications and prevent over and under medication use. 74 Family caregivers should be empowered to be involved in shared decision making that helps with developing an individualized programme for the appropriate prescription of medications with the consideration of older people's medical needs, functional abilities, and well-being.…”

Section: Empowerment Of Family Caregiversmentioning

confidence: 99%

PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care

Vaismoradi¹,

Jamshed²,

Lorenzl³

et al. 2021

RMHP

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Older people with long-term mental health conditions who receive care in their own home are vulnerable to the inappropriate use of medications and polypharmacy given their underlying health conditions and comorbidities. Inappropriate use of pro re nata (PRN) medications in these older people can enhance their suffering and have negative consequences for their quality of life and well-being, leading to readmission to healthcare settings and the increased cost of health care. This narrative review on published international literature aims at improving our understanding of medicines management in home care and how to improve PRN medication use among older people with long-term health conditions in their own home. Accordingly, the improvement of PRN medicines management for these older people requires the development of an individualised care plan considering 'reduction of older people's dependence on PRN medications', 'empowerment of family caregivers', and 'support by healthcare professionals.' PRN medication use should be reduced through deprescription and discontinuation strategies. Also, older people and their family caregivers should be encouraged to prioritize the use of non-pharmacologic methods to relieve physical and psychological problems. Besides the empowerment of family caregivers through role development, education and training about PRN medications, and involvement in decision-making, they need support by the multidisciplinary network in terms of supervision, monitoring, and home visits.

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Thai family caregivers' experiences helping dependent elders during medical emergencies: a qualitative study

Cited by 7 publications

References 14 publications

Family & bystander experiences of emergency ambulance services care: a scoping review

Family & bystander experiences of emergency ambulance services care: a scoping review

Desafios Para O Internamento Domiciliar Do Idoso Na Perspectiva Da Família

PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care

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