Medical Family Therapy in Intensive Care

Lamson, Angela; Goodman, Jessica

doi:10.1007/978-3-319-68834-3_5

Angela Lamson⁶ &
Jessica Goodman⁶

Part of the book series: Focused Issues in Family Therapy ((FIFT))

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Abstract

The history of intensive care units and critical care dates back to the early to mid-1900s. Critical care is commonly described as a form of medical care for patients who have an acute, life-threatening, or medically complex condition or illness which requires a close, constant watch by specialized providers (Fulbrook, 2010; Lakanmaa, Suominenb, Perttila, Puukkae, & Leino-Kilpi, 2012). Most critical care services take place in an environment known as an intensive care unit (ICU).

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Notes

1.
Note: Due to diversity of diagnoses across neonatal , pediatric, and adult intensive care units , terms are defined within the “Fundamentals of Intensive Care” section of this chapter. Below are key terms related to intervention in ICUs that are important for MedFTs to know regardless of a patient’s age.
2.
Note: References that are prefaced with an asterisk are recommended readings.

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Department of Human Development and Family Science, East Carolina University, Greenville, NC, USA
Angela Lamson & Jessica Goodman

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Angela Lamson
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Jessica Goodman
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Correspondence to Angela Lamson .

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Department of Family Social Science, University of Minnesota, Saint Paul, Minnesota, USA
Tai Mendenhall
Department of Human Development and Family Science, East Carolina University, Greenville, North Carolina, USA
Angela Lamson
Department of Human Development and Family Science, East Carolina University, Greenville, North Carolina, USA
Jennifer Hodgson
Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota, USA
Macaran Baird

Additional Resources

Literature

Davidson, J. E., Powers, K., Hedayat, K. M., Tieszen, M., Kon, A. A., Shepard, E., … Armstrong, D. (2007). Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004–2005. Critical Care Medicine, 35, 605–622. https://doi.org/10.1097/01.ccm.0000254067.14607.eb

Foster, M., Whitehead, L., & Maybee, P. (2015). The parents’, hospitalized child’s, and health care providers’ perceptions and experiences of family-centered care within a pediatric critical care setting: A synthesis of quantitative research. Journal of Family Nursing, 22, 6–73. https://doi.org/10.1177/1074840715618193

Johnson, J. R., Engelberg, R. A., Nielsen, E. L., Kross, E. K., Smith, N. L., Hanada, J. C., … Curtis, J. R. (2014). The association of spiritual care providers’ activities with family members’ satisfaction with care after a death in the ICU. Critical Care Medicine, 42, 1991–2000. https://doi.org/10.1097/ccm.0000000000000412

Wall, R.J., Engelberg, R.A., Gries, C.J., Glavan, B., & Curtis, J.R. (2007). Spiritual care of families in the intensive care unit. Critical Care Medicine, 35, 1084–1090. https://doi.org/10.1097/01.CCM.0000259382.36414.06

Electronic Resources

Critical Care Reviews (free, full access, peer reviewed articles related to critical care).

http://www.criticalcarereviews.com/

iCritical Care Podcasts (produced by the Society of Critical Care Medicine; free to download).

https://itunes.apple.com/nz/podcast/sccm-podcast-icritical-care/id76207297/

Learn ICU.org (offered by the Society of Critical Care Medicine; provides a variety of journal articles and presentations about different ICU topics).

http://www.learnicu.org/Pages/default.aspx

Organizations/Associations

American Thoracic Society.

http://www.thoracic.org/default.asp

National Association of Neonatal Nurses.

http://nann.org/

Society of Critical Care Medicine.

http://www.sccm.org/index.asp

World Federation of Societies of Intensive and Critical Care Medicine.

http://www.world-critical-care.org/index.php?option=com_content&view=article&id=278&Itemid=47

Glossary of Important Terms in Intensive Care

Note: Due to diversity of diagnoses across neonatal , pediatric, and adult intensive care units , terms are defined within the “Fundamentals of Intensive Care” section of this chapter. Below are key terms related to intervention in ICUs that are important for MedFTs to know regardless of a patient’s age.

Arterial catheterization: A thin, hollow tube that is placed into an artery (large blood vessel) in the wrist, groin, or other location to measure blood pressure. This is often called an “art line” in the intensive care unit (ICU ).
Bubble CPAP: Devices that apply pressure to the neonatal respiratory system via nasal prongs placed into the nostrils, forming a tight seal to minimize leak.
Central venous catheter (central line): A long, soft, thin hollow tube that is placed into a largevein. Also known as a central line or CVC.
Chest tube thoracostomy: Chest tubes are inserted between ribs into one’s chest in order to drain blood, fluid, or air and allow full expansion of the lungs. The tube may be connected to a suction machine to help with drainage.
High-frequency oscillation: A type of high frequency ventilation characterized by the use of active expiration.
Intensive care unit-acquired weakness: Clinically detected weakness in critically ill patients when there is no other explanation for the weakness other than critical illness.
Intubation: The introduction of a tube into a hollow organ (such as the trachea).
Mechanical ventilation: The technique through which gas is moved toward and from the lungs through an external device connected directly to the patient.
Neuromuscular blockers: A group of drugs that prevent motor nerve endings from exciting skeletal muscle. They may be used during surgery to produce paralysis and facilitate manipulation of muscles.
Tracheostomy: This procedure involves surgically constructing a hole that goes through the front of the neck into the trachea or windpipe. A breathing tube is placed through the hole and directly into the windpipe to facilitate breathing .

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Lamson, A., Goodman, J. (2018). Medical Family Therapy in Intensive Care. In: Mendenhall, T., Lamson, A., Hodgson, J., Baird, M. (eds) Clinical Methods in Medical Family Therapy. Focused Issues in Family Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-68834-3_5

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DOI: https://doi.org/10.1007/978-3-319-68834-3_5
Published: 25 March 2018
Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-68834-3
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