People having past noted really serious cognitive problems or neurological destroy often not be thought into investigation

People having past noted really serious cognitive problems or neurological destroy often not be thought into investigation

Introduction criteria

Clients eligible for addition was ? 18 decades, expected to stay static in the new ICU (LOS-ICU) ? forty-eight h and expected to become mechanically ventilated ? twenty-four h. In addition, the person have to have you to intimate relative ready to participate in the analysis. People must be able to comprehend Danish, since details about the research plus the questionnaire is just readily available within the Danish.

Members of the family entitled to addition was ? 18 yrs . old, select on their own as the a relative into patient (age.grams., mother or father, partner, partner, brother, man otherwise friend) and they are capable comprehend Danish. A member of family is defined here as the one that have a personal and private relationship to the average person being in touch towards the patient a few times when you look at the week. Members of the family meet the criteria by this definition.

Difference criteria

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.


Family relations randomized on the input category will have a great hardcover computer to possess record explore, and created advice and pointers out-of nurses. Family members and you may people randomized towards the control classification can get standard care (zero record). Written guidance into the nearest and dearest on the best way to blogger the journal was enclosed regarding the journal (get a hold of Dining table step 1). This new recommendations describe the intention of brand new diary as a way toward in accordance with improve the patient after their ICU stay, together with potential worth the record have for the fresh new relative. To assist brand new cousin begin creating, a list of it is possible to subject areas exists for inspiration (select Table step one). The newest family members are encouraged to write usually and also to explore their own technique for declaring on their own. But to avoid hurting new family relations, they will be warned up against creating feelings and thoughts as well private or individual is common . In the end, new leaflet gives advice for whenever and ways to express the diary towards the diligent, underscoring the need to wait until individual believes to see the new record to quit the patient of being confronted by its tough time about ICU until he could be mejores aplicaciones de citas por edad able .


Several images of each patient would-be drawn of the the fresh nursing team and you will as part of the diary . You to image would-be removed of patient in important phase , appearing the person linked to the ventilator while the outlines, tube and you may technology products very important to intensive proper care medication. More images to be taken within turning area , if diligent has been weaned about ventilator or being mobilized in order to a seat, and possibly about rehabilitation stage , may also be provided. Members of the family would-be permitted to end up being photographed, staff does not. Photographs might be written in colour on partial-shine report (13 ? 18 cm) and you can supplied to the individual because of the ICU nurses inside a sealed package having a reason off just what can be expected while looking at photo. This procedure could have been chose to avoid so many soreness, since photo inform you clients in vulnerable situations. Also, this process enables individual so you’re able to refuse the photographs altogether, in which particular case photo might possibly be forgotten. Pictures will never be supplied to relatives when it comes to a good patient’s dying.

At the rear of relatives written down new log

In the event that relative receives the record, an intensive proper care nursing assistant will explain the explore. That with scientific and you can verbal event to evaluate the requirements of anyone cousin, recommendations would-be personalized, but offered during the build of your own created information joined in the fresh record (find Table step one). Emphasis was on the helping the relative come across their own way away from composing regarding the record. Members of the family was motivated to support the diary with them and perhaps not leave it on the ICU. Additionally, nurses continues to guide the newest cousin with the access to the new journal if the cousin visits the ICU or whenever nurses talk for the cellular phone toward relative. Should your conversation into the relative implies that she or he finds out it difficult to close out the occurrences before hospitalization, the latest nurse may indicate the relative share this type of events in the terms just or focus on the expose rather. Should your relative complains that they cannot find the time otherwise area to write in the diary during ICU, brand new nurse may suggest that they write in the fresh log on domestic.