ipl-logo

ICU Integrative Review

982 Words4 Pages

Patients in ICU usually suffer from serious diseases and has difficult of communication, so their families take the decision behalf them about end of life. The communication between professional health care giver and family is the main key for discuss end of life decision in ICU. The purpose of this integrative review is to identify best communication strategies that professional health care giver can use for discuss end of life decision with families in ICU. This review analyzed 18 primary research studies, which obtained from electronic databases and included adult patients in an ICU setting. The findings there are many strategies with deal with families of this review support the communication strategies; different strategies were effective …show more content…

the communication is the main key for process of end-of-life decision in the ICU, there are many communication strategies have been found (including decision aids, structured meeting plans, and educational interventions help to improve outcome for the patients and family members (Lautrette et al., 2007; Oczkowski, Chung, Hanvey, Mbuagbaw, & You, 2016), to discuss and respect the families and patients value and respect their own wishes about decision of end of …show more content…

In addition, help to remove conflict between family members and health professional (Lilly et al., 2000). However, the quality of communication about end of life has been shown poor with families in ICU and families not satisfy compare with other care area in ICU which need to be improve (Wall, Curtis, Cooke, & Engelberg, 2007) and health care professional especially the physicians are usually not concerned about patient’s wishes regarding end of life care (Hofmann et al., 1997).
Is difficult for the family member to hear bad news or there a negative progress on their relative, sohealth care professional have to provide support the families and provide communication with a holistic perspective and provide information by simply and clear way to be understandable (Gutierrez, 2012). Using communication strategies such as communicating with compassion, sensitivity, and a genuine sense of caring can be useful to provide emotional support and decrease stress with family(Gutierrez,

Show More
Related
93 Words | 1 Pages

I spoke with the patient 's wife via phone, The wife states that she needs additional assistance for the patient. She states that she is aware that the patient 's health is declining and that she wants him to be comfortable at home. I discussed hospice services with the patient and the wife. The wife states that she would like hospice to evaluate the patient, the patient also agree for hospice to evaluate. Case reviewed with the patient 's nurse, the charge nurse, case management and hospice.

Read More
968 Words | 4 Pages

End of Life care This important documentary does not come close to doing justice to Gawande 's video: Being Mortal. The book is rich with excellent examples of doctors, nurses and family members doing their level best assisting others to live the fullest and richest lives possible right up until and including the very end of their lives. As Dr. Atul Gawande would say, the point isn 't to strive for a good death but rather to have the best possible life that is congruent with one 's own values; and to make medical decisions and choices accordingly. By living each day in harmony with one 's goals and values, one is likely to have a good death.

Read More
735 Words | 3 Pages

The services provided by Hospice are emotional support, medical services and spiritual resources for people who are in their last stage of a serious illness. Family members are not forgotten as services are provided to them for managing practical details and emotional challenges of caring for someone who is dying. The loved one that comes to Hospice is usually within the life expectancy of 6 months. BBH uses a team approach to provide professional services to provide individualized care to the client. The health care team includes attending physician, the registered nurse, hospice aides, social workers, the hospice chaplain, music therapist, trained volunteers and

Read More
165 Words | 1 Pages

Sheriff and Van Sell are nursing professors at the Women’s Texas University and Strasen is a nursing director at the University of Texas Southwest. Sheriff, Van Sell and Strasen present research that suggests nurses and physicians are more likely to encourage family presence during resuscitation (FPDR) if there is a written policy addressing specific criteria for the inclusion and exclusion of family during these procedures. The authors provide a framework to use when writing a hospital policy regarding FPDR. The authors identified several common barriers healthcare professionals have about FPDR and found educational programs about the positive outcomes of FPDR could drastically increase the number of physicians and nurses who would encourage

Read More
1020 Words | 5 Pages

1 Outline the factors that can affect an individual’s views on death and dying •Social •Cultural •Religious •Spiritual 2 Outline the factors that can affect own views on death and dying •Emotional •Past experience •Psychological •Religious •Social •Spiritual 3 Outline how the factors relating to views on death and dying can impact on practice Current and previous professional roles and responsibilities and past; boundaries limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred

Read More
959 Words | 4 Pages

Death, facing it can paralyze people with so much fear, anxiety, and/or regret that they lose sight of the life still left ahead of them. Death is something that everyone has to face, and sometimes we forget to look at the needs of others, or even our own needs, when death is near. Introduction to Health Communication showed me the amazing work that San Diego Hospice does for people, and has given me a new path to follow in life so I can one day work in a hospice to bring peace to those that may feel that they are at their lowest. Working at a hospice will have its own challenges that I am willing to face because compassion and caring is what we need more of in the world today. I will first explain how uncertainty affects patients at a hospice, then I will examine the problems the caregivers and the patients

Read More
440 Words | 2 Pages

Hospice Isn’t Just for the Sick HospiceDirectory goes on to promote hospice’s commitment to improving overall quality of life, not only for terminally ill patients, but for everyone who surrounds them. Every quality hospice care facility knows that the involvement of friends and family members is an absolutely essential component of effective treatment and care. That’s why, in addition to looking after terminally ill patients directly, hospice serves caregivers http://auburncrest.com/services/what-is-hospice/ by training them in basic support functions and educating them about the intricacies of terminal care. Friends and family members can also access counseling to prepare them for the many losses they will face as illness progresses and bereavement care to help them cope with postmortem grief.

Read More
9923 Words | 40 Pages

Quiet time for prayer, reading material, tapes/CDs, church bulletins, newspapers, and visits from parishioners and clergy provide a sense of connectedness. It is important to recognize the patient, even those who suffer from terminal illness, as living, not merely dying. Providing the patient and family members with updates regarding the patient’s Plan of Care provides the patient and family members with a sense of empowerment, control, and inclusion in the treatment process. Do a life review with the patient and encourage family members to reminisce with the patient. Reflection on the meaning and values can widen a patient’s perspective of life, death, and outcome of present circumstances.

Read More
703 Words | 3 Pages

When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives. The end of life care is to relieve the weight of the patient 's shoulders physically and mentally. I approve of end of life caring. Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person. The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.

Read More
736 Words | 3 Pages

Death and Dying: The benefits and detriments of hospice Hospice is considered to be the model for quality, compassionate care for people facing a life-limiting illness or injury, hospice care involves a team-oriented approach to expert medical care, pain management, and emotional and spiritual support ("Hospice Care", 2016). As with any circumstance that deals with the quality of life of a person, there are going to be many pros and cons to this way of life. Hospice can be a very hard time for not only the person going through it but also their friends and family, but if it is handled properly it can also be a very peaceful and loving time for a person who is near the end of their days. I will delineate many of these advantages and disadvantages

Read More
1013 Words | 5 Pages

In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.

Read More
597 Words | 3 Pages

A team of specialists and care providers provide palliative care in an aim to control, improve patient quality of live and increase the functional and decision making among the patients (Medline). Palliative care seeks to attain personal satisfaction for both the patient and his or her family. Reduction of suffering, improvement of the patient quality of life and helping the patient and his/her family in decision making is the purpose of palliative care. Some of the issue that are addressed by the palliative care team include releasing the pain of physical sickness, addressing emotional stress as well as the financial concerns of the affected patients so

Read More
741 Words | 3 Pages

Something like 18 to 20 percent of americans spend their last days in ICU. for them, it’s extremely expensive and uncomfortable. So for most patients that either don’t have health insurance or their insurance doesn’t cover all of the cost it’s would be extremely expensive to cover the cost so most families would much rather their loved one die pain-free rather than uncomfortable and

Read More
713 Words | 3 Pages

Coping with death can be one of the hardest things in life that a person can experience. When someone we love is dying, it can be hard to accept the circumstance and letting go. This is why communication as well as how a person griefs, forms of mourning, and the impact of the death affects an individual during this complicated time. Communication is so important when it comes to death. It is best for the person that is dying as well as any family or friends to be aware of the situation, so that they can say their goodbyes and spend the lasts bit of time that is left how they wish.

Read More
1922 Words | 8 Pages

The limitation of current end of life care education The end of life care education course can shape nurses’ attitude toward caring of dying patients so as to reduce anxiety about death and consequently have a positive influence on nurses’ attitude towards caring of dying (Wass, 2004; Abu Hasheesh, AI- Sayed AboZeid, Goda EI-Zaid& Alhujaili, 2014; Adesina, DeBellis & Zannettino,2014; Wessel & Rutledge, 2005). However, somehow, there is still limitation of end of life care education to the newly graduated nurse in delivering end of life care. Nursing students and newly graduated registered nurses claimed that the training was inadequately prepared them to deal with death and dying (Cavaye & Watts, 2010). Also, 72% in 607 registered nurses reported that did not formally end of life care courses in

Read More

More about ICU Integrative Review

Related Topics

Open Document