Family Engagement Regarding the Critically Ill Patient

被引:14
作者
Weaver, Jessica L. [2 ]
Bradley, Ciaran T. [3 ]
Brasel, Karen J. [1 ,4 ]
机构
[1] Med Coll Wisconsin, Dept Surg, Milwaukee, WI 53226 USA
[2] Univ Louisville, Sch Med, Dept Surg, Louisville, KY 40292 USA
[3] Mem Sloan Kettering Canc Ctr, Dept Surg, New York, NY 10065 USA
[4] Med Coll Wisconsin, Dept Bioeth & Med Humanities, Milwaukee, WI 53226 USA
关键词
Critically ill patients; Family-centered care; End-of-life care; Intensive care unit; INTENSIVE-CARE-UNIT; OF-LIFE CARE; WITNESSED RESUSCITATION; INVASIVE PROCEDURES; BRAIN-DEATH; COMMUNICATION; EXPERIENCE; PHYSICIANS; ATTITUDES; RELATIVES;
D O I
10.1016/j.suc.2012.08.004
中图分类号
R61 [外科手术学];
学科分类号
摘要
The Institute of Medicine strongly recommends a health care system that supports family members. Nowhere is the need for family-centered care greater than with critically ill patients. Simplistically, family-centered care is primarily about communication. Unfortunately, family perception of communication in the intensive care unit (ICU) is quite poor. This article reviews some strategies to improve communication, including family meetings and family presence at resuscitation. It also highlights some of the areas within the realm of ICU care in which family engagement is particularly important, including advance directives, end-of-life care, brain death, and organ donation.
引用
收藏
页码:1637 / +
页数:12
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