Recommendations for intensive care units more serene
lequotidiendumedecin.fr 22/02/2011
Reduce stress of patients and teams often suffer from burnout, this is the objective of the recommendations of the Academy for intensive care units.
ACADEMY Medicine devoted its session on Tuesday to the social aspects of resuscitation of adults. A topic that merited Treaty to believe the papers presented at the psychiatric disorders of patients during and after their stay in intensive care on burnout among caregivers and the difficulties of communication with families.
For patients hospitalized in intensive care is a source of physical and psychological. Depression is common and psychiatric disorders and confusional delirious exist in nearly half the cases (hallucinations, agitation, stupor). After the stay, anxiodepressive symptoms are common, mixed with symptoms of PTSD that affects one out of four patients after discharge.
Caregivers, in turn, often suffer from burnout. Burnout is present, according to recent studies, in half of the doctors and nurses third. Among the former, the most exposed are those with the most hours of work (number of night guards and time elapsed since the last holiday). For the second, the determining factors are the organization of service and the features of the policy vis-à-vis patients at the end of life. In both cases, the personal conflicts play a significant role.
Map of confidence.
From these findings follow the recommendations presented by Jean-Roger Le Gall. To avoid or reduce symptoms of anxiety, depression and confusional states in patients, it is necessary to reduce noise, limiting the light at night, increasing the presence of the family 24 hours 24. To prevent posttraumatic stress disorder, the implementation of a diary of events and subsequent stay could prove useful.
Against caregiver burnout, it is recommended to reduce working hours, which is easier said than done, to adopt a clear policy and cooperative vis-à-vis the patient end of life, and especially to prevent conflicts through frequent and common to nurses and doctors.
As for family members who also suffer from anxiety and depression, we must subject themselves to inform and communicate with them, especially when decisions to limit or stop treatment.
The Academy also proposes to create a "map of trust" which would specify the name and address of the trusted person under the Act of March 4, 2002. It would allow for the patient care more serene and less anxiety for the family to avoid conflict between its members and with the team and for doctors and nurses easy access to patient information, which are often lacking in urgency.
> RENEE BOX
I translate: it is not good rea currently find themselves due to lack of staff (present and in working order). He is asked families to care for their Dying and organize tours guard to monitor the machines in case it would cease to beep, change * perfs, that it took to buy the pharmacy and possibly pass a lick of paint and change the curtains in the room where stays the ailing.
* change a perf, it's not very difficult. I do not see why we need a nurse for that.
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