Addition standards
People entitled to introduction try ? 18 many years, anticipated to remain in the latest ICU (LOS-ICU) ? forty eight h and you will expected to end up being automatically ventilated ? twenty-four h. Additionally, the patient need that intimate cousin prepared to be involved in the analysis. People can see Danish, since information about the study while the survey is just readily available within the Danish.
Friends eligible for introduction was ? 18 yrs . old, identify on their own since a close relative on diligent (e.g., father or mother, spouse, spouse, sibling, son or friend) and are usually capable realize Danish. A close relative is scheduled here once the a man that have an effective personal and private relationship to the person and being in contact to your diligent a few times within the month. Family are eligible through this definition.
Exception criteria
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.
Intervention
Family randomized towards the intervention category get a the right hardcover laptop computer having record use, also composed pointers and you may suggestions out-of nurses. Members of the family and customers randomized to the manage category gets practical worry (no log). Composed information to your family members on how best to copywriter brand new journal is sealed regarding the journal (look for Table step one). The newest instructions explain the objective of the brand new record as a means for the relative to boost the patient immediately after its ICU stand, and the potential well worth the new log have to have the latest relative. To help new cousin begin composing, a list of you can easily information is offered getting inspiration (look for Desk step one). The new family should create have a tendency to and play with the individual way of expressing themselves. But to cease hurting the new relatives, they’ll be informed facing composing feelings and thoughts too personal or private are mutual . Fundamentally, the fresh leaflet will provide advice for when and the ways to express brand new record with the diligent, underscoring the necessity to hold back until the person believes to see new diary to cease the individual off being confronted by the difficult time in the ICU until he’s able .
Photo
2 or more images of every diligent could well be taken because of the new medical employees and as part of the diary . That photo might be drawn of your diligent from inside the vital stage , proving the average person attached to the ventilator together with contours, pipe and you can tech products very important to rigorous care and attention procedures. Most photo you need to take at turning point , in the event that diligent is weaned in the ventilator or being mobilized in order to a chair, and possibly in the rehab stage , might also be included. Relatives would be permitted to become snap, professionals will not. Pictures is written in colour towards semi-polish paper (thirteen ? 18 cm) and you can made available to the average person by the ICU nurses when you look at the a closed package which have a reason out of what should be expected when searching on photographs. This procedure has been chosen to end so many soreness, because photographs reveal patients in insecure factors. In addition, this technique will allow the person to deny the images entirely, in which case photographs might possibly be lost. Photos are not provided to loved ones when it comes to a good patient’s demise.
Guiding family members written down new record
In the event the relative receives the journal, an extensive care nurse will show you their fool around with. By using health-related and communicative event to evaluate the requirements of anyone cousin, guidance is customized, however, provided within the structure of written pointers inserted in the new diary (get a hold of Table step one). Focus might be towards helping the cousin discover their own ways away from composing about journal. Friends might be encouraged to contain the diary using them and you will maybe not leave it from the ICU. Also, nurses continues to book the brand new cousin towards the accessibility this new log if the relative visits the newest ICU otherwise when nurses cam to sites de rencontres 420 your cell phone on the cousin. Whether your dialogue on the relative reveals that she or he finds it difficult in conclusion the new occurrences before hospitalization, the new nurse may suggest your cousin talk about such situations from inside the keywords only otherwise focus on the introduce rather. In the event your cousin complains that they can’t find the full time or room to type from the log throughout the ICU, the fresh new nursing assistant may suggest that they write in the fresh new record at family.