Addition criteria
Customers entitled to introduction is actually ? 18 ages, anticipated to stay in new ICU (LOS-ICU) ? forty eight h and likely to end up being mechanically ventilated ? 24 h. Additionally, individual need that romantic relative willing to take part in the analysis. People can read Danish, given that details about the analysis while the questionnaire is readily available for the Danish.
Nearest and dearest eligible for addition try ? 18 years of age, choose on their own because the a member of family toward patient (e.g., mother, spouse, mate, aunt, boy or buddy) and are usually able to realize Danish. A family member is placed here since the men with a great close and private relationship to the person being in contact to the diligent several times during the day. Nearest and dearest meet the requirements through this meaning.
Exception conditions
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
Household members sitios para hacer nuevos amigos randomized to the input category will get a good quality hardcover notebook having record explore, along with authored advice and you will information away from nurses. Friends and you will patients randomized to the handle category are certain to get basic proper care (no record). Authored guidance on the family relations for you to blogger the brand new journal try sealed on the log (select Desk 1). The newest tips explain the goal of the newest diary as a way into the relative to help the patient immediately following its ICU remain, while the possible really worth the new diary have to own new relative. To help this new relative initiate writing, a listing of it is possible to subject areas is offered to possess motivation (look for Table step one). The brand new household members are encouraged to build commonly in order to have fun with its own technique for saying on their own. But to end damaging the latest family relations, they are cautioned against composing feelings and thoughts too personal or individual to-be shared . Fundamentally, the latest leaflet will give advice about when and how to show the newest record towards the diligent, underscoring the necessity to wait until the in-patient agrees observe brand new diary to stop the in-patient out of getting confronted by the difficult time from the ICU until he’s in a position .
Photographs
A couple of pictures each and every patient will be removed of the the latest medical professionals and you can included in the record . That visualize could be taken of your own diligent inside the critical stage , showing the individual linked to the ventilator and lines, tube and you will tech gadgets important for rigorous worry therapy. A lot more photo to be taken at flipping section , in the event the diligent has been weaned on ventilator or becoming mobilized in order to a chair, and maybe on rehabilitation phase , can also be included. Members of the family would be permitted to feel snap, professionals cannot. Images would be written in color to the partial-gloss papers (13 ? 18 cm) and you may provided to the in-patient from the ICU nurses inside the a sealed package that have a reason away from exactly what should be expected when looking within photos. This procedure might have been chosen to stop a lot of problems, because the images show people during the insecure points. Furthermore, this technique enable the person so you’re able to deny the images entirely, in which case photos would-be missing. Photos will never be made available to family members in the case of an excellent person’s dying.
Powering household members on paper the new diary
When the relative receives the log, a thorough care nursing assistant will explain their fool around with. By using clinical and you can communicative event to evaluate the needs of the individual cousin, information could be personalized, but offered in design of your authored advice registered when you look at the the new record (select Desk step one). Stress might possibly be on the helping the cousin select their own way regarding composing about log. Friends is encouraged to hold the journal together and perhaps not let it rest about ICU. In addition, nurses will continue to guide brand new cousin with the entry to the latest diary in the event the cousin visits the fresh ICU or when nurses speak towards cellular phone towards relative. In case the conversation toward cousin demonstrates he/she finds out challenging to close out the latest incidents before hospitalization, new nursing assistant may indicate your cousin write on these types of events for the statement just otherwise concentrate on the introduce instead. If the relative complains that they cannot find the time otherwise room to type throughout the log while in the ICU, this new nursing assistant may suggest that they write-in the journal at the house.