Patients which have previous reported big cognitive impairments otherwise neurologic ruin have a tendency to not noticed with the research

Inclusion standards

Patients eligible for inclusion is ? 18 age, likely to remain in the fresh ICU (LOS-ICU) ? forty eight h and likely to getting mechanically vented ? twenty four h. In addition, the person need you to definitely intimate relative prepared to be involved in the study. People will be able to realize Danish, given that information about the research and also the survey is available from inside the Danish.

Household members eligible for inclusion is actually ? 18 yrs . old, identify on their own given that a relative into diligent (e.g., father or mother, mate, spouse, sis, guy or friend) and tend to be in a position to discover Danish. A close relative is placed here because a man having good personal and personal relationship to the average person and being in touch to your patient several times within the day. Family relations qualify from this meaning.

Exclusion 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 unit members randomized to the input group get a good quality hardcover laptop computer for diary have fun with, and additionally” alt=”Dating in Ihrem 30er Meme”> composed information and advice regarding nurses. Family relations and you may customers randomized into the manage category will get basic worry (zero diary). Composed guidance to your friends for you to writer the brand new diary are enclosed throughout the journal (look for Desk step 1). The fresh guidelines determine the intention of this new record as an easy way with the according to improve patient shortly after its ICU remain, together with prospective really worth the fresh record have getting the new relative. To simply help this new cousin start writing, a listing of you can subject areas is offered to have motivation (get a hold of Table 1). New loved ones are encouraged to build commonly and use the very own way of expressing on their own. However, to prevent damaging the family unit members, they will be cautioned up against composing thoughts and feelings too individual otherwise individual become mutual . Ultimately, new leaflet will give advice about whenever and the ways to express the new log towards the patient, underscoring the requirement to hold back until individual agrees to see this new log to get rid of the in-patient out of becoming confronted by the hard time throughout the ICU up to he or she is able .


Two or more photos of every diligent could well be drawn of the the new breastfeeding group and you will included in the diary . One photo would be taken of your own diligent from inside the crucial stage , demonstrating individual connected to the ventilator in addition to outlines, tube and you will tech devices important for intense worry cures. More pictures to be taken at the turning area , when the diligent will be weaned regarding the ventilator or becoming mobilized so you’re able to a chair, and maybe regarding the rehab stage , will also be included. Members of the family will be permitted to become shoot, professionals does not. Images could be printed in color to your semi-shine papers (thirteen ? 18 cm) and given to the average person of the ICU nurses inside a shut envelope having an explanation of just what to expect when looking at the images. This technique could have been chose to prevent so many problems, given that pictures let you know people into the vulnerable circumstances. In addition, this process will allow the individual in order to refuse the photographs altogether, in which case photos might be lost. Photo won’t be provided to loved ones in the example of a person’s demise.

At the rear of family in writing this new record

In the event the cousin receives the journal, a comprehensive proper care nursing assistant will explain their play with. That with clinical and verbal skills to assess the requirements of anyone cousin, pointers would be custom, however, offered when you look at the framework of written guidance inserted into the brand new diary (discover Desk step 1). Focus might be into improving the cousin get a hold of their own means out of creating about diary. Nearest and dearest will be motivated to support the journal with these people and you may perhaps not leave it regarding the ICU. Additionally, nurses continues to publication the latest cousin into usage of the new journal if relative check outs the ICU otherwise whenever nurses speak toward cell phone on the relative. When your conversation towards cousin demonstrates she or he discovers it difficult to close out new situations preceding hospitalization, the brand new nurse may suggest your relative reveal these types of events within the words only or concentrate on the introduce alternatively. If for example the cousin complains that they cannot find enough time or space to write in the diary during the ICU, the newest nurse may suggest which they write in the fresh journal at home.