Addition criteria
Patients eligible for inclusion was ? 18 age, likely to stay static in brand new ICU (LOS-ICU) ? forty eight h and you can anticipated to become mechanically ventilated ? 24 h. Additionally, individual have to have that close relative happy to take part in the analysis. Customers will be able to discover Danish, while the facts about the research and the survey is just offered within the Danish.
Family unit members qualified to receive inclusion are ? 18 yrs old, identify on their own as the a relative for the patient (elizabeth.grams., father or mother, spouse, companion, sister, man or buddy) and so are capable understand Danish. A family member is defined right here since a man which have a great intimate and private link to the average person being in touch towards patient a few times during the times. Nearest and dearest 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.
Input
Family unit members randomized for the input class will receive an excellent hardcover laptop getting record have fun with, along with authored suggestions and you may recommendations out of nurses. Family members and you will clients randomized on the control group gets important care (zero log). Created information to your members of the family on exactly how to creator new log is actually closed on record (look for Desk 1). This new instructions define the purpose of the new diary as a way to the according to enhance the patient immediately following its ICU sit, as well as the potential value the diary have for the fresh new relative. To greatly help the fresh new relative initiate composing, a listing of it is possible to subject areas exists having determination (discover Desk step one). The household members are encouraged to create have a tendency to and use its own way of expressing on their own. But to avoid hurting the fresh new nearest and dearest, they shall be warned facing writing feelings and thoughts also personal otherwise personal becoming shared . In the end, the newest leaflet will offer advice about whenever and ways to show the brand new record with the diligent, underscoring the necessity to hold back until individual believes to see the fresh log to get rid of the individual of becoming exposed to the tough time on the ICU up until he is able .
Photos
Several photographs of each and every patient could be taken by the the brand new nursing staff and within the diary . You to definitely picture was drawn of the diligent inside crucial phase , proving the individual attached to the ventilator and also the outlines, tubing and you may technical devices essential for rigorous care and attention therapy. More photographs you need to take in the flipping point , in the event the patient will be weaned from the ventilator or being mobilized so you're able to a chair, and possibly regarding rehab stage , is likewise integrated. Members of the family will be allowed to end up being shoot, personnel does not. Photographs was printed in colour with the semi-gloss paper (13 ? 18 cm) and supplied to the person because of the ICU nurses during the a close package https://datingranking.net/es/citas-vietnamita/ with a description out-of what to expect when searching in the photos. This technique has been chose to end too many problems, while the photo reveal people inside vulnerable affairs. Additionally, this technique allows the patient to help you reject the photographs entirely, in which case photo is destroyed. Pictures will never be given to family relations regarding a great person's dying.
Powering relatives on paper the newest journal
In the event that relative receives the record, an intensive care and attention nurse will show you its play with. That with clinical and verbal knowledge to assess the needs of the individual cousin, suggestions would-be custom, but considering when you look at the framework of your composed information entered when you look at the the new journal (come across Desk step 1). Emphasis would-be towards improving the cousin look for their ways away from composing regarding the record. Relatives might be encouraged to hold the log together with them and you can not let it rest throughout the ICU. In addition, nurses will continue to guide the fresh new cousin on use of the new diary when the relative visits the fresh ICU or whenever nurses chat towards the cellular telephone toward cousin. In the event your discussion towards the cousin implies that he or she finds out challenging in conclusion the brand new incidents before hospitalization, the fresh nurse may indicate that the cousin talk about these incidents inside statement just otherwise focus on the introduce alternatively. If the cousin complains which they can't find the full time or area to type regarding the diary while in the ICU, the newest nursing assistant may suggest which they write-in the brand new diary during the domestic.
