Healthcare, Patients and Eatng habits
Kornfeld (1979, p.154) reports that "for some patients, the transfer out of the ICU may therefore represent tangible evidence of improvement. However, others report their concern about the loss of attention and constant observation ", the author mentions that the latter patients felt rejected.
Klein (cited KORNFELD, 1979), a study of the transfer of the patient in a coronary care unit, suggested changes to avoid emotional reactions and associated cardiovascular complications. Such were the suggestions: all patients would be prepared in advance for the transfer of the unit, that is, they would know that their stay would end as soon as they did not need more intensive care; a doctor would be responsible for the evolution of the patient and also after discharge, making contact with the team and alerting them to the special needs or the patient's problems.
Kornfeld (1979) adds that, for patients who remained a long time in the ICU, leave the "familiarity" can also be a problem.
[...] In the case of permanent impairment, [ . ] Once the psychologist's role in aid and this difficult restructuring is of fundamental importance because working here with various levels of identity, starting by staff (being-in-itself) and going through a lot related roles defined for the individual and his family their sense of being in the world, and who are committed, as they were irreversibly (Santos and SEBASTIANI p.166). The second type occurs in the case of family that immobilizes to the shock, Santos and Sebastiani (2001) report that such immobility is proportional to the degree of importance that such a sick person had to balance the family structure and the degree of maturity of the same. [...]
[...] It shows, as your experience, what to help patients, one must open the ICU door to the family. For this she describes the flexible visiting hours; the delivery of an information manual on first contact with the family, with simple ICU information describing the routines, the technical terms used by doctors, team composition, and this information is also provided verbally. During the time of the visit, she reports having a professional available to talk to the family gathering important data for the treatment and guiding up. [...]
[...] Cambridge handbook of psychology, health and medicine. Cambridge: Cambridge University Press; 1997. p.310-13. SANTOS, C.T., SEBASTIANI, R. W. Psychological monitoring the person with chronic disease. In: ANGERAMI-CAMON, V.A. (Org) and psychology entered the hospital . Sao Paulo, Ed. [...]
[...] "If realized that family what is presented is a flood of feelings unresolved, especially if the patient is incommunicado, intubated in permanent sedation or comatose, unresponsive" (DI BIAGGI p.66). In this list of feelings, a family member may feel anger toward the patient himself, the situation, and professional caregivers, may then feel guilty pr such a feeling; in difficult situations the confidence in the care can be shaken. In addition to the critical situation of the patient, Di Biaggi points out the possibility of a family collapsing. [...]
[...] This type of procedure may cause the patient to feel insecurity, stress and anxiety. Some procedures that could prevent such anxiety would be the ICU presentation as a temporary drive; to the transfer of information in advance; to transfer during the day involving family members; show the transfer as a sign of progress; promote a positive relationship between the patient and the nurse; encourage verbalization and issues of the patient; encourage patient autonomy; keep you updated as to their progress; explain the functions of equipment and monitors; desacostumá it the use of equipment, introduce you to new staff; accompany you to new unit within the hospital; among others (Leith 1998). [...]
using our reader.