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Terms in this set (82)
what research has taught us need for assurance reflects keeping or redefining
hope about pt outcome
receiving assurance
meeting: promote confidence, security and freedom
what research has taught us need for information reflects the goal of
understanding the pt conidtion, meeting this need
receiving information lays foundartion for family decision making
anxiety reduced, sense of control promoted
what are the two needs of family reassurance and information
members that have been consistently
demonstrated in research:
if information incomplete, family's rate of ptsd higher in families who felt info was
experience a higher rate of incomplete
??? incongruence between physicians/nurses preception
of family needs and actual family needs ( 3studies)
family needs need to visit reflects linking and maintaining familial
relationships
remaining near the pt
meetng: family remain emotionally close
family needs pt wants their family to be involved in their care
pt wants ___
, pt voice on family visitation yes
do pt want their family there during
invasive procedures?
family needs - reduce distress
- less anxiety
being comfortable, having support - meeting these assist with coping with stress and
available maintaining strength
family needs 40-73% prevalence of anxiety
anxiety symptoms: stress, depression, anxiety
3-5 days afterICU admin: 73% anxiety, 35%
depression
when the family is older - higher incidence of chronic illness
- cognitive decline
- functional decline
- longer marriage
- social isolation
transitions in care transfers (ICU, PCU, rehab, SNF)
diacharge
=
relocation stress, increased travel distance/time,
financial constraints
nursing barriers to meeting family - lack of recognition of family as part of
needs environment fro recovery
- lack of confidence to care for/deal with families
- lack of family assessment tools and intervention
protocols
- lack of rewards (is there gratitude from the family)
- physical environment not conducive to meeting
family needs/wants