Discussion of family presence during invasive procedures has been ongoing for many years. Some healthcare organizations have instituted policies to allow family members to be present during invasive procedures, which they would previously forbid during these procedures. Attitudes of healthcare provider’s differ drastically. (MacLean et al., 2003) This paper will illustrate the important benefits of having a family member present during these procedures. Terms used in this search includes: Pro family at bedside, Importance of family at bedside invasive procedure, Family centered car in the operating room and position statement on Family presence. The following articles were deemed appropriate for this paper.
1. Baumhover N, Hughes L. Spirituality and support for family presence during invasive procedures and resuscitations in adults. American Journal of Critical Care July 2009; 18(4):357-367
Several health organizations have made recommendations and written guidelines to include family presence at the bedside during invasive procedures. A quantitative study was done of health care professionals exploring their thoughts and attitudes to family presence during invasive procedures. This article explores the importance of Spirituality and holistic care. The design for this study was exploratory, descriptive, and correlation. The setting was a 210-bed not-for-profit Christian-based hospital located in the Southwestern United States. Data was collected from the individuals in this study and analyzed. The study found that 58% of nurses Compared with 34% of physicians and physician assistants strongly agreed that family presence during invasive procedures is a patient’s right. This study ...
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...eterization, 84%; sedation and analgesia, 81%; bladder catheterization, 80%; sutures, 79%; lumbar puncture, 66%; and cardiopulmonary resuscitation maneuvers, 44%. The families’ reasons for being present included calming the child, suffering less anxiety, and watching over the procedure. Eighty percent thought that the family’s presence could be beneficial.
10. American Heart Association. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112:Supp IV-1-IV-211.Retrieved December,7,2010.From: http://circ.ahajournals.org/cgi/content/full/112/24_suppl/IV-6
The American Heart association support having family members present during invasive procedures. They have out clear and concise directions on establishing a family member presence at the bedside that any hospital can adapt.
Among medical teams in ICU there is a conviction of opposition to opening the unit and allowing the presence of family members at the bedside. The reasons for their convictions are:
It is essential to make sure that the patient is fine once the procedure has been finished and prior to them leaving. If there have been no complications, then the patient will most likely be ok. Nevertheless make sure that the site has stopped bleeding and that they are not feeling faint. If there was any complications, for example, hitting an artery, haematoma or fainting, then make sure you follow the process for dealing with the complication and let the patient know what they need to do if any symptoms
James Agee's A Death in the Family is a posthumous novel based on the largely complete manuscript that the author left upon his death in 1955. Agee had been working on the novel for many years, and portions of the work had already appeared in The Partisan Review, The Cambridge Review, The New Yorker, and Harper's Bazaar.
When a patient is unable to make care decisions for themselves, it is necessary to involve those closest to them, most often family members. Providing a supporting environment to family members is another way that the best interest of the patient can be maintained. Families and friends can make a huge difference in the life of the patient after discharge. Instructing families in a way that is easy to understand helps eliminate potential barriers to communication. Families should be aware of what things to look for, what would constitute an emergency, and how to safely handle
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
More often than not positive patient outcomes come from these procedures, but not without challenges along the road to recovery. Recently I had a patient that underwent a bowel resection with establishment of an end colostomy for the treatment of her diverticulitis. Fortunate, the procedure went without complications from a surgeon’s point of view, but sadly this was not the case for the patient. Caring for this patient postoperatively presented great opportunity for me to practice presence. The pain and suffering my patient was experiencing had nothing to do with the mechanical aspect of her surgery, but rather the emotional craters created by discovering her colostomy bag. For the patient, a colostomy was the absolute worst case scenario. New colostomies require frequent attention from nurses; checking for viable tissue, emptying output, and watching for signs of infection. Each time I assessed the ostomy humiliation and shame consumed her spirit and body. After the second flood of these emotions, I stopped dead in my tracks, pulled up a chair and asked the patient “how are you feeling”. A constant stream of tears ran down her face as she expresses to me the fear she has in telling her significant other that she will forever have “a bad of feces” on the outside of her abdomen. My heart cried for her! I couldn’t imagine how she must feel. As a woman, she previously viewed her body as a sacred part of her that she was able to share with her partner, but she no longer felt beautiful and sexy, but rather a disgrace. Her painful emotions struck my heart like a bolt of lightning, how was I supposed to help her see the beauty of this colostomy? In the end, it was my time and patience coupled with positive affirmations that relieved her fears of the unknown. I had every opportunity to place ignorance at the frontline of my care and ignore the obvious
After surgery, they monitor the patient to see if there are any problems while they are coming off an anesthesia (Nurse Anesthetists, Nurse Midwives…) If there are no problems the surgery will be deemed as successful, and the nurse anesthetist will report all findings to the
Providing a space for and allowing multiple family members in the room will allow for the maintenance of family dynamics and comfort to the patient while in the hospital setting. Native American patients may request that the nurse consult with the family elders before proceeding with care. Educating the patient and family in a way that is understandable will play major part in the recovery phase. Native Americans tend to comprehend educational materials and approaches that are concrete or experiential rather than abstract and theoretical. (Field,
Throughout history, it seems that medicine and spirituality have been linked in many circumstances. In a study looking at the use of complementary and alternative therapies in cardiac patients, spiritual healing was one of many practices patient sought to utilize. In another study, 29% of participants chose to use prayer or premeditation as a way to cope with their chronic illness. In both studies, prayer or meditation was more likely to be used by individuals who had a large social network, as well as support from another person in the same health situation. Based on these studies, it seems that many individuals (not just cardiovascular patients) turn to their spirituality in times of health distress.
...the patient’s family more within the assessment after obtaining the patients consent, but my main aim in this case was to concentrate the assessment, solely on the patient, with little information from the family/loved ones. This is a vital skill to remember as patients family/loved ones can often feel unimportant and distant toward nursing staff, and no one knows the patient better than they do, and can tell you vital information. Therefore involvement of family/ carers or loved ones is sometimes crucial to patient’s further treatment and outcomes.
Religion is a significant aspect of culture that must be understood and respected. Through understanding the differences in peoples cultures, a nurse who is tending to a patient who’s beliefs differ from his or her own can appropriately adjust care to respect the patient’s beliefs and
As we in become more evolved as a nation one of the problem that needs to be address is how to response to diverse faith within our healthcare practices. This essay serves to compare these three different religious philosophies: Yoruba, Hinduism (karma) and Buddhism, to a Christian’s perspective. These religions have wide perspectives but one will key in on health management and what to expect from healthcare point of view while caring for these patients.
Weng, L., Huang, H., Wang, Y., Chang, C., Tsai, C., & Lee, W. (2011). Primary caregiver stress in caring for a living-related liver transplantation recipient during the postoperative stage. Journal of Advanced Nursing, 1749-1757.
In healthcare organizations, medical staff must conform to their hospital and their country’s code of conduct. Not only do they have to meet set standards, they must also take their patient into consideration. When making a decision upon a patient, medical staff must recognize religious backgrounds and spiritual beliefs. By understanding a patients’ beliefs and their belief system, a medical worker can give the patient their deserved medical assistance without overstepping boundaries or coming off as offensive. The practices and beliefs of four religions will be articulated throughout this essay to fully understand how religion can either help or hinder the healing process.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).