Extended visit as a therapeutic strategy for elderly people in intensive care units: experience report
DOI:
https://doi.org/10.18554/refacs.v12i3.7753Keywords:
Intensive care unit, Delirium, Humanization of assistance, Nursing, teamAbstract
Objective: to describe the experience of extended visits by the nursing team as a therapeutic strategy for elderly people hospitalized in an Intensive Care Unit (ICU). Method: This is a descriptive experience report, carried out using the observation technique in the General ICU of a teaching hospital in the Northeast of Brazil, experienced by the nursing team as a therapeutic approach for elderly people hospitalized during the month of April/2024, documenting the implementation of the Extended Visit. Results: the results indicate that this intervention significantly improved patients' behavior, sleep quality and duration, and reduced anxiety and delirium levels. Conclusion: The experience reinforced the importance of the institution's humanization policy, promoting the integration of family members in the care of critically ill patients. The Extended Visit proved to be an effective strategy in reducing delirium symptoms in elderly people, contributing to improving the clinical status and general well-being of patients.References
Oliveira JC. Humanização na UTI: estratégias para um cuidado integral. São Paulo: Editora Saúde; 2023.
Wang X, Lv Y, Zhang C, Mi J, Zhao Q. Status quo and influencing factors of multiprofessional and multidisciplinary teamwork for early mobilization in mechanically ventilated patients in ICUs: a multi?centre survey study. J Adv Nurs. [Internet]. 2024 [citado em 12 jan 2024]; 80(11):450-59. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.16149
Goularte PN, Gabarra LM, Moré CLOO. A visita em Unidade de Terapia Intensiva adulto: perspectiva da equipe multiprofissional. Rev Psicol Saúde [Internet]. 2020 [citado em 01 nov 2024] ; 12(1):157-70. Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S2177-093X2020000100012&lng=pt. DOI: 10.20435/pssa.v12i1.734
Wenham T, Pittard A. Intensive care unit environment. Cont Educ Anaesth Crit Care Pain [Internet]. 2009 [citado em 17 jan 2024]; 9(6):178-83. Disponível em: https://e-safe-anaesthesia.org/e_library/12/Intensive_care_unit_environment.pdf
Fernandes F, Santos M, Anacleto AM, Jerónimo C, Ferreira Ó, Baixinho CL. Nursing intervention to prevent and manage delirium in critically ill patients: a scoping review. Healthcare [Internet]. 2024 [citado em 18 jan 2024]; 12(11):1134. Disponível em: https://www.mdpi.com/2227-9032/12/11/1134/pdf?version=1717222994
Brasil. Lei nº 10.741, de 1º de outubro de 2003. Dispões sobre o Estatuto da Pessoa Idosa e dá outras providências [Internet]. Brasília, DF: Ministério da Saúde; 2003 [citado em 19 jan 2024]. Disponível em: https://www.planalto.gov.br/ccivil_03/leis/2003/l10.741.htm#:~:text=%C3%89%20obriga%C3%A7%C3%A3o%20do%20Estado%20e,na%20Constitui%C3%A7%C3%A3o%20e%20nas%20leis.
Silva AM, Sá MC, Miranda L. Humanization in the intensive care: perception of family and healthcare professionals. Rev Bras Enferm. [Internet]. 2017 [citado em 20 out 2024]; 70(5):1040-7. Disponível em: https://www.scielo.br/j/reben/a/wcR7GFGhLYs7P5gmpB4kxzj/?format=pdf&lang=en
Ely EW, Inouye SK, Bernard GR, Gordon S, Francis J, May L, et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA [Internet]. 2001 [citado em 05 fev 2024]; 286(21):2703-10. Disponível em: https://jamanetwork.com/journals/jama/articlepdf/194422/jce10051.pdf
Mohse S, Moss SJ, Lucini F, Krewulak KD, Stelfox HT, Niven DJ, et al. Impact of family presence on delirium in critically ill patients: a retrospective cohort study. Crit Care Med. [Internet]. 2022 [citado em 27 set 2024]; 50(11):1628-37. Disponível em: https://journals.lww.com/ccmjournal/fulltext/2022/11000/impact_of_family_presence_on_delirium_in.9.aspx
Conselho Nacional de Saúde (Brasil). Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Brasília: Conselho Nacional de Saúde; 2012 [citado em 20 set 2024]. Disponível em: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.
Silva GA, Maier SRO, Ribeiro JKA, Gonçalves GE, Felipe RNR, Andrade LMS, et al. Humanização em UTI: a hora da visita - uma revisão integrada da literatura. Rev Gest Saúde. [Internet] 2016; [citado em 19 ago 2024]; 7(1):506-17. Disponível em: https://periodicos.unb.br/index.php/rgs/article/view/3479
Nouri JM, Safaeipour L, Vafadar Z, Moradian ST. The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial. Perioper Med (Lond). [Internet]. 2021 [citado em 19 ago 2024]; 10(1):40. Disponível em: https://perioperativemedicinejournal.biomedcentral.com/counter/pdf/10.1186/s13741-021-00207-2.pdf
American Association of Critical-Care Nurses. Family presence during resuscitation and invasive procedures. Crit Care Nurse [Internet]. 2016 [citado em 19 ago 2024]; 36(1):e11-e14. Disponível em: https://aacnjournals.org/ccnonline/article-pdf/36/1/e11/120492/e11.pdf
Hu RF, Jiang XY, Chen J, Zeng Z, Chen XY, Li Y, et al. Non-pharmacological interventions for sleep promotion in the intensive care unit. Cochrane Database Syst Rev. [Internet]. 2015 [citado em 26 set 2024]; (10):CD008808. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC6517220/pdf/CD008808.pdf
Barreto BB, Luz M, Rios MNO, Lopes AA, Gusmao-Flores D. The impact of intensive care unit diaries on patients’ and relatives’ outcomes: a systematic review and meta-analysis. Crit Care [Internet]. 2019 [citado em 26 set 2024]; 23:411. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC6916011/pdf/13054_2019_Article_2678.pdf
Jackson DL, Proudfoot CW, Cann KF, Walsh T. A systematic review of the impact of sedation practice in the ICU on resource use, costs and patient safety. Crit Care [Internet]. 2010 [citado em 26 set 2024]; 14(2):R59. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC2887180/pdf/cc8956.pdf
Ludmir J, Netzer G. Engaging families in the intensive care unit to support ICU survivors. In: Haines KJ, Mcpeake J, Sevin CM, editors. Improving critical care survivorship: a guide to prevention, recovery, and reintegration. Berlin: Springer; 2021. p. 39-51.
Cypress BS. Family presence on rounds: a systematic review of literature. Dimens Crit Care Nurs. [Internet]. 2012 [citado em 26 set 2024]; 31(1):53-64. Disponível em: https://journals.lww.com/dccnjournal/abstract/2012/01000/family_presence_on_rounds__a_systematic_review_of.15.aspx
Ministério da Saúde (Brasil). Política Nacional de Humanização [Internet]. Brasília, DF: Ministério da Saúde; 2013 [citado em 3 fev 2024]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_humanizacao_pnh_folheto.pdf
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 JOURNAL FAMILY, CYCLES OF LIFE AND HEALTH IN SOCIAL CONTEXT
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Each of the authors of the manuscript must complete and sign a copy of Statement of Responsibility and Copyright Transfer Agreement, which must be attached, by the submitting author, in step 4 of the submission process in the journal system (Click on the "Browse" option, select the file that should be inserted in pdf format, click on the "Download" button, in the "Title" field type: Declaration of responsibilities, then click the "Save and Continue" button and proceed with the submission process.
Note: Including scanned signature will not be accepted. Each author of the manuscript must complete a declaration individually.
REFACS de Universidade Federal do Triângulo Mineiro está licenciado com uma Licença Creative Commons - Atribuição-NãoComercial 4.0 Internacional.
Baseado no trabalho disponível em www.uftm.edu.br.
Podem estar disponíveis autorizações adicionais às concedidas no âmbito desta licença em http://www.uftm.edu.br/refacs.
