People entitled to addition is actually ? 18 ages, likely to stay static in the newest ICU (LOS-ICU) ? forty eight h and you can expected to feel automatically vented ? twenty-four h. Also, the average person should have you to definitely close cousin ready to participate in the research. People must be able to comprehend Danish, due to the fact details about the analysis as well as the survey is readily available during the Danish.
Family relations qualified to receive addition are ? 18 years old, identify by themselves once the a member of family toward patient (elizabeth.g., mother, companion, mate, aunt, man or buddy) and are usually able to discover Danish. A close relative is set right here once the a man which have an effective close and personal link to individual being in touch on the patient a few times in day. Friends meet the requirements through this definition.
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.
Family unit members randomized towards the intervention group can get a the right hardcover notebook having record fool around with, plus written recommendations and you can information off nurses. Relatives and customers randomized with the handle category are certain to get important care (zero record). Created suggestions for the family relations on how best to journalist the brand new diary try sealed regarding journal (come across Table step 1). The latest directions explain the purpose of new log as a way to the prior to boost the patient shortly after the ICU remain, and possible well worth this new log may have to possess new cousin. To greatly help the latest relative begin writing, a list of possible information emerges to possess desire (see Dining table step 1). Brand new household members are advised to generate often and play with their individual technique for expressing on their own. But to eliminate damaging this new family relations, they shall be informed up against creating thoughts and feelings too private otherwise private become mutual . Fundamentally, the fresh leaflet will give advice for whenever and ways to display the diary toward patient, underscoring the need to wait until the https://datingranking.net/de/android-de/ person believes to see the journal to prevent the individual from are met with its hard time regarding ICU up to he could be in a position .
Several photographs of each and every diligent was taken because of the this new medical personnel and you can within the diary . You to visualize might be removed of one’s diligent into the crucial stage , demonstrating the person linked to the ventilator and also the contours, pipe and you may tech equipment essential for intense care and attention therapy. Extra images you need to take at the flipping section , in the event the diligent will be weaned on the ventilator or becoming mobilized to a seat, and perhaps throughout the treatment phase , will additionally be integrated. Friends could be permitted to feel shoot, group will not. Pictures would be written in color on semi-gloss papers (thirteen ? 18 cm) and you can provided to the individual from the ICU nurses for the a close envelope having a reason of just what should be expected when looking at pictures. This procedure might have been selected to prevent so many serious pain, just like the images show clients from inside the insecure facts. Also, this process will allow individual to help you reject the photographs completely, in which case pictures was shed. Photographs may not be given to relatives regarding a good patient’s dying.
Guiding household members on paper the newest diary
If the cousin gets the diary, a thorough care and attention nursing assistant will explain their explore. That with clinical and you can communicative experiences to evaluate the requirements of anyone cousin, pointers might possibly be personalized, but provided inside framework of the authored recommendations inserted during the the record (see Desk step one). Focus would be on improving the relative see their unique way away from writing from the journal. Loved ones could be encouraged to hold the journal together and you can not leave it on ICU. Also, nurses continues to book the relative to the use of the fresh log if relative visits the brand new ICU otherwise whenever nurses talk for the phone on the relative. If the discussion on the cousin demonstrates that she or he finds it difficult in conclusion the fresh new occurrences before hospitalization, the fresh nursing assistant may suggest that the cousin talk about this type of events from inside the terminology merely otherwise focus on the introduce alternatively. Should your cousin complains that they can’t find enough time otherwise area to enter throughout the diary throughout ICU, the fresh nursing assistant may suggest that they write-in the new diary from the domestic.