Abstract
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
Objective: When a patient has serious stroke, family will make a decision whether cardiopulmonary resuscitationis performed or not on admission. It is expected the family is unable to make a decision. The purpose of this study was to clarify how the family made a decision about the treatment options at the sudden change for a patient with serious stroke condition.
Methods: The families of a patient in this study were recruited with an introduction from the physician in charge of the patient who had stable conditions with serious stroke, were independent before admissions, and explained the treatment options including Do Not Attempt Resuscitation at the sudden change on admission. The participants were agreed with the study participation orally and in writing, and asked by interviewing the structured and semi-structured items made by the investigators originally after approving the ethical committees from Kawasaki University of Medical Welfare and the hospital where the investigators recruited the participants. The interviews were recorded by IC recorder with their agreements. Data were analyzed verbatim by the content analysis.
Results: One-third patients told the families about a life prolonging remedy in advance orally, and one-third families desired all life prolonging remedies not complying with the instructions of the doctors. Thoughts of the families making decisions on the treatment options at the sudden change for the patients were categorized into the following five categories: "difficulty in understanding the life-prolonging treatment once"; "to think whether to do life-prolonging treatment by the patient condition"; "I cannot but entrust a doctor"; "To have no doubts how to make decision"; and "To recall the patient's wishes."
Conclusions: It's necessary for nurses to understand how the family understand and feel the patient's situations, and how they have the patient's wishes when they are required the decision-making of the treatment options at the patient's sudden change. Nurses also have to collaborate with a physician in an interprofessional team.
Sigma Membership
Tau Nu
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Do Not Attempt Resuscitation, Decision Making, Family
Recommended Citation
Kataoka, Eri and Ito, Misae, "Family decision about the treatment options at the sudden change for a patient with serious stroke condition" (2016). Convention. 88.
https://www.sigmarepository.org/convention/2015/posters_2015/88
Conference Name
43rd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Las Vegas, Nevada, USA
Conference Year
2015
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Family decision about the treatment options at the sudden change for a patient with serious stroke condition
Las Vegas, Nevada, USA
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
Objective: When a patient has serious stroke, family will make a decision whether cardiopulmonary resuscitationis performed or not on admission. It is expected the family is unable to make a decision. The purpose of this study was to clarify how the family made a decision about the treatment options at the sudden change for a patient with serious stroke condition.
Methods: The families of a patient in this study were recruited with an introduction from the physician in charge of the patient who had stable conditions with serious stroke, were independent before admissions, and explained the treatment options including Do Not Attempt Resuscitation at the sudden change on admission. The participants were agreed with the study participation orally and in writing, and asked by interviewing the structured and semi-structured items made by the investigators originally after approving the ethical committees from Kawasaki University of Medical Welfare and the hospital where the investigators recruited the participants. The interviews were recorded by IC recorder with their agreements. Data were analyzed verbatim by the content analysis.
Results: One-third patients told the families about a life prolonging remedy in advance orally, and one-third families desired all life prolonging remedies not complying with the instructions of the doctors. Thoughts of the families making decisions on the treatment options at the sudden change for the patients were categorized into the following five categories: "difficulty in understanding the life-prolonging treatment once"; "to think whether to do life-prolonging treatment by the patient condition"; "I cannot but entrust a doctor"; "To have no doubts how to make decision"; and "To recall the patient's wishes."
Conclusions: It's necessary for nurses to understand how the family understand and feel the patient's situations, and how they have the patient's wishes when they are required the decision-making of the treatment options at the patient's sudden change. Nurses also have to collaborate with a physician in an interprofessional team.
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.