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Patient und Familie

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End-of-Life Care in der Intensivmedizin
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Zusammenfassung

Angehörige können langfristig psychologische Symptome entwickeln (Post-intensive Care Syndrome-Familiy, PICS-F). Die Betreuung von Angehörigen gehört zu den ärztlichen und pflegerischen Aufgaben. Sie beinhaltet unter anderem umfassende Besuchsmöglichkeiten, Erreichbarkeit des ICU-Teams, physische Versorgung, geeignete Kommunikation, emotionalen oder spirituellen Beistand.

Die Intensivstation ist einer der Orte im Krankenhaus, wo Familien am meisten leiden, insbesondere wenn die Überlebenschancen gering sind. (Schmitt und Azoulay [ 1 ])

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Literatur

  1. Schmidt M, Azoulay E. Having a loved one in the ICU: the forgotten family. Curr Opin Crit Care 2012; 18:540–547

    Article  PubMed  Google Scholar 

  2. Needham DM, Davidson J, Cohen H et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference. Crit Care Med 2012; 40:502–509

    Article  PubMed  Google Scholar 

  3. Nydahl P. Intensivtagebuch Newsletter 24. http://www.nydahl.de/Nydahl/Intensivtagebuch_files/Newsletter24.pdf. 01/13

  4. Davidson JE, Jones C, Bienvenu OJ. Family response to critical illness: postintensive care syndrome-family. Crit Care Med 2012; 40:618–624

    Article  PubMed  Google Scholar 

  5. Azoulay E, Pochard F, Kentish-Barnes N et al. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med 2005; 171:987–994

    Article  PubMed  Google Scholar 

  6. Colville GA, Gracey D. Mothers’ recollections of the paediatric intensive care unit: associations with psychopathology and views on follow up. Intensive Crit Care Nurs 2006; 22:49–55

    Article  PubMed  CAS  Google Scholar 

  7. Lautrette A, Darmon M, Megarbane B et al. A communication strategy and brochure for relatives of patients dying in the ICU. N Engl J Med 2007; 356:469–478

    Article  PubMed  CAS  Google Scholar 

  8. Kentish-Barnes N, Azoulay E. The vulnerable family. Crit Care Med 2012; 40:1667–1668

    Article  PubMed  Google Scholar 

  9. Azoulay E, Pochard F, Chevret S. et al. Half the family members of intensive care unit patients do not want to share in the decision-making process: a study in 78 French intensive care units. Crit Care Med 2004; 32:1832–1838

    Article  PubMed  Google Scholar 

  10. Pochard F, Darmon M, Fassier T et al. Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study. J Crit Care 2005; 20:90–96

    Article  PubMed  Google Scholar 

  11. Wall RJ, Curtis JR, Cooke CR et al. Family satisfaction in the ICU: differences between families of survivors and nonsurvivors. Chest 2007; 132:1425–1433

    Article  PubMed  Google Scholar 

  12. Stricker KH, Kimberger O, Schmidlin K et al. Family satisfaction in the intensive care unit: what makes the difference? Intensive Care Med 2009; 35:2051–2059

    Article  PubMed  Google Scholar 

  13. Schwarzkopf D, Behrend S, Skupin H et al. Family satisfaction in the intensive care unit - a quantitative and qualitative analysis. Intensive Care Med 2013; 39: 1071-1079

    Google Scholar 

  14. Hofmann JC, Wenger NS, Davis RB et al. Patient preferences for communication with physicians about end-of-life decisions. SUPPORT Investigators. Study to understand prognoses and preference for outcomes and risks of treatment. Ann Intern Med 1997; 127:1–12

    Article  PubMed  CAS  Google Scholar 

  15. SUPPORT Principal Investigators. A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 1995; 274:1591–1598

    Article  Google Scholar 

  16. Peigne V, Chaize M, Falissard B et al. Important questions asked by family members of intensive care unit patients. Crit Care Med 2011; 39:1365–1371

    Article  PubMed  Google Scholar 

  17. Douglas SL, Daly BJ, Lipson AR. Neglect of quality-of-life considerations in intensive care unit family meetings for long-stay intensive care unit patients. Crit Care Med 2012; 40:461–467

    Article  PubMed  Google Scholar 

  18. Curtis JR, Engelberg RA, Wenrich MD et al. Missed opportunities during family conferences about end-of-life care in the intensive care unit. Am J Respir Crit Care Med 2005; 171:844–849

    Google Scholar 

  19. Curtis JR, Patrick DL, Shannon SE et al. The family conference as a focus to improve communication about end-of-life care in the intensive care unit: opportunities for improvement. Crit Care Med 2001; 29:N26–33

    Google Scholar 

  20. Mitchell ML, Courtney M. Reducing family members’ anxiety and uncertainty in illness around transfer from intensive care: an intervention study. Intensive Crit Care Nurs 2004; 20:223–231

    Article  PubMed  Google Scholar 

  21. Kuhlmann B. Die Beziehung zwischen Angehörigen und Pflegenden auf Intensivstationen. In: Abt-Zegelin A. Fokus: Intensivpflege. Hannover, Schlütersche Verlagsgesellschaft, 2004, S. 219–274

    Google Scholar 

  22. Garrouste-Orgeas M, Coquet I, Perier A et al. Impact of an intensive care unit diary on psychological distress in patients and relatives. Crit Care Med 2012; 40:2033–2040

    Article  PubMed  Google Scholar 

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Correspondence to Christiane S. Hartog .

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Hartog, C. (2013). Patient und Familie. In: Michalsen, A., Hartog, C. (eds) End-of-Life Care in der Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36944-5_18

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  • DOI: https://doi.org/10.1007/978-3-642-36944-5_18

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